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10.1177/0391560320946186

http://scihub22266oqcxt.onion/10.1177/0391560320946186
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33632087!7917571!33632087
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suck abstract from ncbi


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pmid33632087      Urologia 2021 ; 88 (1): 3-8
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  • How uro-oncology has been affected by COVID-19 emergency? Data from Piedmont/Valle d Aosta Oncological Network, Italy #MMPMID33632087
  • Oderda M; Calleris G; Falcone M; Fasolis G; Muto G; Oderda G; Porpiglia F; Volpe A; Bertetto O; Gontero P
  • Urologia 2021[Feb]; 88 (1): 3-8 PMID33632087show ga
  • INTRODUCTION: Coronavirus disease 2019 (COVID-19) pandemic has dramatically hit all Europe and Northern Italy in particular. The reallocation of medical resources has caused a sharp reduction in the activity of many medical disciplines, including urology. The restricted availability of resources is expected to cause a delay in the treatment of urological cancers and to negatively influence the clinical history of many cancer patients. In this study, we describe COVID-19 impact on uro-oncological management in Piedmont/Valle d'Aosta, estimating its future impact. METHODS: We performed an online survey in 12 urological centers, belonging to the Oncological Network of Piedmont/Valle d'Aosta, to estimate the impact of COVID-19 emergency on their practice. On this basis, we then estimated the medical working capacity needed to absorb all postponed uro-oncological procedures. RESULTS: Most centers (77%) declared to be "much"/"very much" affected by COVID-19 emergency. If uro-oncological consultations for newly diagnosed cancers were often maintained, follow-up consultations were more than halved or even suspended in around two out of three centers. In-office and day-hospital procedures were generally only mildly reduced, whereas major uro-oncological procedures were more than halved or even suspended in 60% of centers. To clear waiting list backlog, the urological working capacity should dramatically increase in the next months; delays greater than 1 month are expected for more than 50% of uro-oncological procedures. CONCLUSIONS: COVID-19 emergency has dramatically slowed down uro-oncological activity in Piedmont and Valle d'Aosta. Ideally, uro-oncological patients should be referred to COVID-19-free tertiary urological centers to ensure a timely management.
  • |*Continuity of Patient Care[MESH]
  • |*Health Services Accessibility[MESH]
  • |*Pandemics[MESH]
  • |*SARS-CoV-2[MESH]
  • |Appointments and Schedules[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Female[MESH]
  • |Health Care Surveys[MESH]
  • |Humans[MESH]
  • |Italy/epidemiology[MESH]
  • |Kidney Neoplasms/epidemiology/surgery[MESH]
  • |Male[MESH]
  • |Medical Oncology/organization & administration/*statistics & numerical data[MESH]
  • |Procedures and Techniques Utilization[MESH]
  • |Prostatic Neoplasms/epidemiology/surgery[MESH]
  • |Urinary Bladder Neoplasms/epidemiology/surgery[MESH]
  • |Urologic Neoplasms/epidemiology/surgery[MESH]
  • |Urologic Surgical Procedures/*statistics & numerical data[MESH]


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