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Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Urol+Int 2020 ; 104 (7-8): 631-636 Nephropedia Template TP
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Urology in the Time of Coronavirus: Reduced Access to Urgent and Emergent Urological Care during the Coronavirus Disease 2019 Outbreak in Italy #MMPMID32434207
Porreca A; Colicchia M; D'Agostino D; Amenta M; Corsaro A; Zaramella S; Zegna L; Gallo F; Schenone M; Bozzini G; Calori A; Pastore AL; Al Salhi Y; Sciorio C; Spirito L; Varca V; Marenghi C; Greco F; Altieri VM; Verze P; Barba C; Antonelli A; Cerruto MA; Falabella R; Di Bello S; Leonardo C; Tufano A; Volpe A; Umari P; Parma P; Nidini M; Pini G; Borghesi M; Terrone C; Cacciamani GE; Sighinolfi MC; Busetto GM; Wennberg AM; Finocchiaro M; Falsaperla M; Oderda M; Ceruti C; Rocco B; Schiavina R; Bianchi L; Mari A; Di Maida F; Dalpiaz O; Celia A; Pirozzi M; Bove P; Iacovelli V; Cafarelli A; Cindolo L; Ferrari G; Gatti L; Pirola G; Annino F; Pucci L; Romagnoli D; Artibani W; Minervini A
Urol Int 2020[]; 104 (7-8): 631-636 PMID32434207show ga
PURPOSE: The coronavirus disease 2019 (COVID-19) pandemic has put a substantial burden on the Italian healthcare system, resulting in the restructuring of hospitals to care for COVID-19 patients. However, this has likely impacted access to care for patients experiencing other conditions. We aimed to quantify the impact of COVID-19 on access to care for patients with urgent/emergent urological conditions throughout Italy. MATERIALS AND METHODS: A questionnaire was sent to 33 urological units in the AGILE consortium, asking clinicians to report on the number of urgent/emergent urological patients seen and/or undergoing surgery over a 3-week period during the peak of the COVID-19 outbreak and a reference week prior to the outbreak. ANOVA and linear regression models were used to quantify these changes. RESULTS: Data from 27 urological centres in Italy showed a decrease from 956 patients/week seen just prior to the outbreak to 291 patients/week seen by the end of the study period. There was a difference in the number of patients with urgent/emergent urological disease seen within/during the different weeks (all p values < 0.05). A significant decrease in the number of patients presenting with haematuria, urinary retention, urinary tract infection, scrotal pain, renal colic, or trauma and urgent/emergent cases that required surgery was reported (all p values < 0.05). CONCLUSION: In Italy, during the COVID-19 outbreak there has been a decrease in patients seeking help for urgent/emergent urological conditions. Restructuring of hospitals and clinics is mandatory to cope with the COVID-19 pandemic; however, the healthcare system should continue to provide adequate levels of care also to patients with other conditions.