COVID-19's Impact on Italian Urology

Esperto, Francesco; Papalia, Rocco; Autrán-Gómez, Ana María; Scarpa, Roberto

doi:10.1590/s1677-5538.ibju.2020.s103

Cited by 10 publications

(9 citation statements)

References 13 publications

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“…Despite a reduction in patient load, ER time to triage was similar to previous years. This might be related to a parallel decrease in the number of ER healthcare providers (9). Recent reports have shown that many ER physicians and nurses were forced into isolation or transferred to emerging COVID-19 wards (10)(11)(12).…”

Section: Discussionmentioning

confidence: 99%

Trends in urological emergencies in the Era of COVID-19

et al. 2021

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Purpose: To evaluate trends in emergency room (ER) urological conditions during COVID-19 pandemic lockdown. Materials and Methods: Retrospective analyses of renal colic, hematuria, and urinary retention in ER's admissions of a tertiary hospital during the lockdown period (March 19 to May 4, 2020) in Israel. Patient's demographics and clinical characteristics were compared to those in corresponding periods during 2017-2019, with estimated changes in ER arrival and waiting times, utilization of imaging tests, numbers of hospitalizations, and urgent procedure rates. Results: The number of ER visits for renal colic, hematuria, and urinary retention decreased by 37%, from an average of 451 (2017)(2018)(2019) to 261 patients (2020). Clinical severity was similar between groups, with no major differences in patient's age, vital signs, or laboratory results. The proportion of ER visits during night hours increased signifi cantly during lockdown (44.8% vs. 34.2%, p=0.002). There was a decrease in renal colic admission rate from 19.8% to 8.4% (p=0.001) without differences in urgent procedures rates, while the 30-day revisit rate decreased from 15.8% to 10.3% during lockdown (p=0.02). Conclusions: General lockdown was accompanied by a signifi cant decrease in common urological presentations to the ER. This change occurred across the clinical severity spectrum of renal colic, hematuria, and urinary retention. In the short term, it appears that patients who sought treatment did not suffer from complications that could be attributed to late arrival or delay in treatment. The long-term implications of abstinence from seeking emergent care are not known and require further investigation.

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Section: Discussionmentioning

confidence: 99%

Trends in urological emergencies in the Era of COVID-19

et al. 2021

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“…At this time, an adequate use of PPEs for healthcare providers and specific internal management protocols are essential to contain the spread of the virus (11). In this study, 88% of the participants confirmed the implementation of specific protocols in their urologic centers, but only 2.3%, reported being infected with COVID-19.…”

Section: Discussionmentioning

confidence: 61%

“…The following major uro-oncologic surgeries were reported as high priority: Radical Nephrectomy (RN) 58.4%, and Radical Cystectomy (RC) 57.3%. When we associate the capacity of hospitalization (urologic beds available) and percentage of highpriority surgery performed, we observed that centers with fewer urological beds (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)…”

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confidence: 99%

Exploring Urological Experience in the COVID-19 Outbreak: American Confederation of Urology (CAU) Survey

et al. 2020

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“…In a review of the impact of COVID 19 on the management of cancer patients, the changes in the practices included avoiding hospitalization when not strictly necessary, short outpatient department stays, development of teleconsultation services, surface disinfection, use of personal protective equipment (PPE) and testing for COVID-19 in newly diagnosed cancer patients or patients in need of chemotherapy, even if asymptomatic [10]. Similarly, for urology services, the measures advised by Research Urology Network include management of emergent urological conditions only, postponement of prostate biopsy, flexible cystoscopy, replacement of ureteral stents and intravesical therapy for low or intermediate risk bladder cancer, pre-admission telephone triage, strict use of PPE and nasopharyngeal swab for all patients [11].…”

Section: Discussionmentioning

confidence: 99%

Assessment of the impact and reorganization of interventional pulmonology services at a tertiary care centre during nationwide lockdown for COVID-19 pandemic

Tyagi

Mittal

Madan

et al. 2021

Monaldi Arch Chest Dis

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COVID 19 pandemic has brought about a sea change in health care practices across the globe. All specialities have changed their way of working during the pandemic. In this study, we evaluated the impact of COVID-19 on the practice of interventional pulmonology at our centre. All interventional pulmonology procedures done during the three months after implementation of lockdown were evaluated retrospectively for patient demographics, clinical diagnosis, indication for procedure and diagnostic accuracy. The changes in practices, additional human resources requirement, the additional cost per procedure and impact on resident training were also assessed. Procedures done during the month of January 2020 were used as controls for comparison. Twenty-two flexible bronchoscopies (75.8%), four semirigid thoracoscopies (13.7%) and three EBUS-TBNAs (10.3%) were carried out during three month lockdown period as compared to 174 during January 2020. Twenty-three of the procedures were for the diagnostic indication (79%), and six were therapeutic (20.6%). The diagnostic yield in suspected neoplasm was 100% while for suspected infections was 58.3%. The percentage of independent procedures being done by residents reduced from 45.4% to 0%. The workforce required per procedure increased from 0.75 to 4-8, and the additional cost per procedure came out to be 135 USD. To conclude, COVID 19 has impacted the interventional pulmonology services in various ways and brought about a need to reorganize the services, while also thinking of innovative ideas to reduce cost without compromising patient safety.

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COVID-19's Impact on Italian Urology

Cited by 10 publications

References 13 publications

Trends in urological emergencies in the Era of COVID-19

Trends in urological emergencies in the Era of COVID-19

Exploring Urological Experience in the COVID-19 Outbreak: American Confederation of Urology (CAU) Survey

Assessment of the impact and reorganization of interventional pulmonology services at a tertiary care centre during nationwide lockdown for COVID-19 pandemic

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