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2020 ; 23
(3
): 407-409
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Elective procedures for prostate cancer in the time of Covid-19: a
multidisciplinary team experience
#MMPMID32425655
Sciarra A
; Salciccia S
; Maggi M
; Del Giudice F
; Busetto GM
; Musio D
; Ciardi A
; Catalano C
; Cortesi E
; Panebianco V
Prostate Cancer Prostatic Dis
2020[]; 23
(3
): 407-409
PMID32425655
show ga
On March 29th 2020, 97,689 cases of COVID-19 have been diagnosed only in Italy,
with 73,880 actually positive cases, a daily increase of 3815 cases, 27,386
hospitalized and 3906 patients in intensive care units, causing a total of 10,779
known deaths. In all urological departments, quickly inpatient and outpatient
services have been significantly reduced. Even in this COVID-19 situation,
urological neoplasm care must go on, but significant changes need to be made in
the way some care is delivered. We compared diagnostic and therapeutic elective
procedures requested and performed for PC management from our multidisciplinary
team (MDT) during 1 month activity in the highest national level of COVID-19
infection (March 2020) and under restrictions for all the population, with the
management performed in a no-COVID-19 month (March 2019) 1 year ago. The only
management that did not received a significant reduction are medical therapies
for advanced hormone sensitive (HS) or castration resistant (CR) PC. We describe
our MDT identifications of elective undeferrable PC management in this COVID-19
time. These suggestions have been considered for a country (ITALY) under a rapid
increase of COVID-19 cases and complications, but in a region with an actual
lower impact (2914 actual positive and 1079 hospitalized cases) from the
infection and in an hospital not completely converted to COVID-19 management.
Indications should be different and restricted only to emergencies on the basis
of COVID-19 pandemic situation and hospital involvement.