The Early Impact of COVID-19 Pandemic on Surgical Urologic Oncology Practice in Turkey: Multi-Institutional Experience From Different Geographic Areas

Tınay, İlker; Özden, Ender; Süer, Evren; Bozkurt, Ozan; İzol, Volkan; Şahin, Bahadır; Türkeri, Levent

doi:10.1016/j.urology.2020.05.016

Cited by 5 publications

(16 citation statements)

References 3 publications

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“…All of these variables were also recorded week‐by‐week at the same time interval of the year 2019. Other surgical and diagnostic approaches were not analysed as guidelines regarding Covid‐19 pandemic suggested the postponement of nearly all surgeries for female urology, andrology and some other elective surgical operations 8,9,11,12 . The centres were divided into three groups as tertiary referral centres, state hospitals and private practice hospitals.…”

Section: Methodsmentioning

confidence: 99%

“…[7][8][9][10] Like other surgical subspecialties, cancellation of elective surgeries and utilisation of solely emergent surgeries and non-deferrable oncologic surgeries that delay may cause negative impact on survival have been performed in urology clinics according the triage recommendations. 11 Also, urological outpatient clinics have been adapted to new social distancing rules in Covid-19 pandemic, the number of appointments was limited and only emergent patients could be treated in most of the urology clinics in worldwide as in our country. 8,9,12 In this report, we aimed to present a nation-wide analysis of the workload of urology departments in Turkey week-by-week during Covid-19 pandemic and to compare the outcomes with the same time interval of the year 2019.…”

Section: Introductionmentioning

confidence: 99%

“…Similar with the recommendations of pandemics plan of the State Connecticut, many countries took measures stage by stage for the Covid-19 pandemic. Like in the other specialties, several guidelines and measures were published for urology practice during Covid-19 pandemic [7][8][9][10][11]15. Wallis et al and Stensland et al published review and editorial articles about the triage and the management of genitourinary cancers and the risks of delaying in treatment 7,15.…”

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confidence: 99%

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Nation‐wide analysis of the impact of Covid‐19 pandemic on daily urology practice in Turkey

Bozkurt

Şen²,

İrer

et al. 2020

Int J Clin Pract

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Objective To present a nation‐wide analysis of the workload of urology departments in Turkey week‐by‐week during Covid‐19 pandemic. Methodology The centers participating in the study were divided into three groups as tertiary referral centers, state hospitals and private practice hospitals. The number of outpatients, inpatients, daily interventions and urological surgeries were recorded prospectively between 9‐March‐2020 and 31‐May‐2020. All these variables were recorded for the same time interval of 2019 as well. The weekly change of the workload of urology during pandemic period was evaluated; also the workload of urology and the distributions of certain urological surgeries were compared between the pandemic period and the same time interval of the year 2019. Results A total of 51 centers participated in the study. The number of outpatients, inpatients, urological surgeries and daily interventions were found to be dramatically decreased by the third week of pandemics in state hospitals and tertiary referral centers; however the daily urological practice were similar in private practice hospitals throughout the pandemic period. When the workload of urology in pandemic period and the same time interval of the year 2019 were compared; a huge decrease was observed in all variables during pandemic period. However, temporary measures like ureteral stenting, nephrostomy placement and percutaneous cystostomy have been found to increase during Covid‐19 pandemic compared to normal life. Conclusions Covid‐19 pandemic significantly effected the routine daily urological practice likewise other subspecialties and priority was given to emergent and non‐deferrable surgeries by urologists in concordance with published clinical guidelines.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Nation‐wide analysis of the impact of Covid‐19 pandemic on daily urology practice in Turkey

Bozkurt

Şen²,

İrer

et al. 2020

Int J Clin Pract

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“…7 A further study performed by a tertiary hospital in Turkey by Tinay et al noted that there was an increase in patients attending with higher ASA grades in 2020 compared to 2019, often requiring emergency surgery. 8 Given that they had to cancel all surgeries, this could have been the reason for an increased presentation of patients with multiple comorbidities than expected. 8 It will be interesting to see the further impact of COVID-19 on admissions as the lockdown gradually relaxes.…”

Section: Discussionmentioning

confidence: 99%

“…8 Given that they had to cancel all surgeries, this could have been the reason for an increased presentation of patients with multiple comorbidities than expected. 8 It will be interesting to see the further impact of COVID-19 on admissions as the lockdown gradually relaxes.…”

Section: Discussionmentioning

confidence: 99%

A Multi-Centre Snapshot Study Comparing Acute Urological Admissions during the COVID-19 Lockdown to a pre-COVID Period

Okwu

Ravindraanandan

Davies³

et al. 2020

Journal of Endoluminal Endourology

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Introduction COVID-19 has had a devastating effect around the globe with over 560,000 deaths and 12.8 million people now infected as of 13 July according to WHO, 2020. Our study looked at the pandemic's effect on acute admissions across two institutions compared to the same time (23 March to 30 April) in 2019. Method We collected data using records from the hospital’s coding department, analysed patients discharge letters, and grouped patients by their final diagnoses. We also looked at variances in daily acute admission numbers. Statistical analysis was performed using the Chi-squared test and descriptive statistics. Results One hundred seventy-six patients were admitted in 2019 and 92 patients in 2020. There was a 58% significant reduction in acute admissions in 2020 (p<0.0000226). Five (5.43%) patients died in 2020 compared to four (2.27%) in 2019, and the most common presentation was renal colic, 23% rising to 29% in 2020. Conclusion There was a significant reduction in acute urological admissions during the UK lockdown period. Possibly as a consequence, the mortality rate doubled. Further analysis with larger cohorts is recommended for future studies.

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The effect of the first wave of COVID‐19 pandemic on urology practice and anxiety scores of patients awaiting surgery

Miçooğulları¹,

Kısa²,

Yücel³

et al. 2021

Int J Clin Pract

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Objective: We aimed to determine the effect COVID-19 pandemic on the daily urology practice of the level 3 centre located in one of the most affected regions in Turkey. We also aimed to assess anxiety and depression levels of patients whose procedures and surgeries had to be postponed due to COVID-19-related restrictions. Methods:The number of patients admitted to the outpatient clinic, outpatient procedures, emergency consultation requests, hospitalised patients and the total number of surgeries between March 10, 2020 and June 15, 2020 were evaluated. These numbers were compared with the same period of 2019. Subsequently, patients who could not be operated or whose elective surgeries were postponed between March 10, 2020 and June 15, 2020 were determined(n:96). These patients were asked to fill out Beck Depression Inventory(BDI) and State-Trait Anxiety Inventory(STAI). The presence of difference between the baseline anxiety levels and the anxiety levels during the COVID-19 pandemic was investigated. Afterwards, these patients were divided into two groups based on planned procedures as oncological group (group1) and non-oncological group (group2). The presence of a difference between the anxiety and depression levels between the groups was investigated.Results: There was a drastic decline in number of patients in all assessed parameters. The least amount of change was seen in the number of emergency consultations. The evaluation of anxiety and depression scores of the patients showed a significant difference between their STAI-S and STAI-T scores (51.8 ± 9.3, 38.2 ± 7.5, respectively) (P < .001). STAI-S scores of the patients were found to be compatible with severe anxiety. The patients' mean BDI score was found to be 15 ± 8.9, which indicated mild depression. However, the age and STAI-S values were significantly higher in group1. Conclusion:We noted that anxiety and depression levels increased in patients whose operations were delayed because of pandemic-related restrictions, especially in oncological patients. We believe that an important contribution can be made to the protection of public health by planning advance psychosocial interventions for highrisk groups during pandemics.How to cite this article: Micoogullari U, Kisa E, Yucel C, et al.The effect of the first wave of COVID-19 pandemic on urology practice and anxiety scores of patients awaiting surgery. Int J

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The Early Impact of COVID-19 Pandemic on Surgical Urologic Oncology Practice in Turkey: Multi-Institutional Experience From Different Geographic Areas

Cited by 5 publications

References 3 publications

Nation‐wide analysis of the impact of Covid‐19 pandemic on daily urology practice in Turkey

Nation‐wide analysis of the impact of Covid‐19 pandemic on daily urology practice in Turkey

A Multi-Centre Snapshot Study Comparing Acute Urological Admissions during the COVID-19 Lockdown to a pre-COVID Period

The effect of the first wave of COVID‐19 pandemic on urology practice and anxiety scores of patients awaiting surgery

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