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Tytuł:
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The dramatic COVID 19 outbreak in Italy is responsible of a huge drop of urological surgical activity: a multicenter observational study.
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Autorzy:
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Rocco B; Urology Unit, University of Modena and Reggio Emilia, Modena, Italy.
Sighinolfi MC; Urology Unit, University of Modena and Reggio Emilia, Modena, italy.
Sandri M; Data Methods and Systems Statistical Laboratory, University of Brescia, Brescia, Italy.
Altieri V; Urology Unito, Humanitas Gavazzeni, Bergamo, Italy.
Amenta M; Urology Unit, Azienda ULSS n.4 Veneto Orientale, Portogruaro, Italy.
Annino F; Urology Unit, Ospedale San Donato, Arezzo, Italy.
Antonelli A; Urology Unit, Ospedale Maggiore Borgo Trento, Verona, Italy.
Baio R; Urology Unit, AOU San Giovanni di Dio e Ruggi D'Aragona, Salerno, Italy.
Bertolo R; Urology Unit, Ospedale San Carlo di Nancy, Roma, Italy.
Bocciardi A; Urology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
Borghesi M; Urology Unit, Ospedale San Martino, Genova, Italy.
Bove P; Urology Unit, Ospedale San Carlo di Nancy, Roma, Italy.
Bozzini G; Urology Unit, ASST Valle Olona, Busto Arsizio, Italy.
Brunocilla E; AOU Policlinico Sant'Orsola Malpighi, Bologna, Italy.
Cacciamani G; Catherine and Joseph Aresty Department of Urology, USC Institute of Urology, Los Angeles, CA, USA.
Calori A; Urology Unit, ASST Valle Olona, Busto Arsizio, Italy.
Cafarelli A; Urology Unit, Villa Igea, Ancona, Italy.
Celia A; Urology Unit, Ospedale San Bassiano, Bassano del Grappa, Italy.
Carbone A; Urology Unit, Sapienza University, Roma, Italy.
Cocci A; Urology Unit, Azienda Ospedaliero Universitaria Careggi Firenze, Italy.
Corsaro A; Urology Unit, AULSS 4, Portogruaro, Italy.
Costa G; Urology Unit, Ospedale San Bassiano, Bassano del Grappa, Italy.
Ceruti C; Urology Unit, AOU Citta della Salute e della Scienza, Torino, Italy.
Cindolo L; Urology Unit, Villa Stuart, Roma, Italy.
Crivellaro S; Urology Unit, Azienda Ospedaliero-Universitaria di Udine, Italy.
Dalpiaz O; Urology Unit, Medical University of Graz, Graz, Austria.
D'Agostino D; Urology Unit, Policlinico Abano Terme, Abano Terme, Italy.
Dall'Oglio B; Urology Unit, ASST Mantova, Italy.
Dente D; Abano Terme Hospital, Padua, Italy.
Falabella R; Urology Unit, San Carlo di Potenza, Potenza, Italy.
Falsaperla M; Urology Unit, ARNAS Garibaldi Hospital, Catania, Italy.
Ferrari G; Hesperia Hospital, Modena, Italy.
Finocchiaro M; Urology Unit, ARNAS Garibaldi Hospital, Catania, Italy.
Flammia S; Urology Unit, Policlinico Umberto I, Rome, Italy.
Gaboardi F; Urology Unit, San Raffaele Turro, Milan, Italy.
Galfano A; Endourology Sub-Unit, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
Gallo F; Urology Unit, Ospedale San Paolo di Savona, Savona, Italy.
Gatti L; Hesperia Hospital, Modena, Italy.
Greco F; Urology Unito, Humanitas Gavazzeni, Bergamo, Italy.
Khorrami S; Ospedale San Donato, Arezzo, Italy.
Leonardo C; Urology Unit, Policlinico Umberto I, Rome, Italy.
Marenghi C; ASAT Rhodense Ospedale Guido Salvini di Garbagnate, Garbagnate, Italy.
Nucciotti R; Urology Unit, Azienda USL Toscana, Grosseto, Italy.
Oderda M; Urology Unit, Città della Salute e della Scienza Hospital, Torino, Italy.
Pagliarulo V; Urology Unit, Ospedale Vito Fazzi, Lecce, Italy.
Parma P; Urology Unit, Ospedale San Carlo Poma, Mantova, Italy.
Pastore AL; Urology Unit, Sapienza University, Rome, Italy.
Pini G; Urology Unit, San Raffaele Turro, Milan, Italy.
Porreca A; Urology Unit, Policlinico Abano Terme, Abano, Padova, Italy.
Pucci L; Urology Unit, Azienda Ospedaliera A. Cardarelli, Naples, Italy.
Schenone M; Urology Unit, Ospedale San Paolo, Savona, Italy.
Schiavina R; Urology Unit, AOU Policlinico Sant'Orsola Malpighi, Bologna, Italy.
Sciorio C; Urology Unit, ASST Ospedale Manzoni, Lecco, Italy.
Spirito L; Urology Unit, ASST Manzoni, Lecco, Italy.
Tafuri A; Urology Unit, Azienda Ospedaliera Universitaria Integrata di Verona - Ospedale Maggiore Borgo Trento, Verona, Italy.
Terrone C; Urology, Ospedale IRRCS Policlinico San Martino Genova, Italy.
Umari P; Urology Unit, Maggiore della Carità Hospital, Novara, Italy.
Varca V; Urology Unit, ASAT Rhodense Ospedale Guido Salvini di Garbagnate, Garbagnate, Italy.
Veneziano D; Urology Unit, AO Bianchi Melacrino Morelli, Calabria, Italy.
Verze P; Urology Unit, AOU San Giovanni di Rio e Ruggi d'Aragona, Salerno, Italy.
Volpe A; Urology, Urology Unit, Ospedale Maggiore della Carita, Novara, Italy.
Micali S; Urology Unit, University of Modena and Reggio Emilia, Modena, Italy.
Berti L; University of Modena and Reggio Emilia, Modena, Italy.
Zaramella S; Urology Unit, Ospedale degli Infermi, Biella, Italy.
Zegna L; Ospedale degli infermi, Biella, Italy.
Bertellini E; Department of Anesthesiology, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy.
Minervini A; Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
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Źródło:
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BJU international [BJU Int] 2021 Jan; Vol. 127 (1), pp. 56-63. Date of Electronic Publication: 2020 Oct 19.
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Typ publikacji:
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Journal Article; Multicenter Study; Observational Study
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Język:
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English
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Imprint Name(s):
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Original Publication: Oxford, UK : Blackwell Science, c1999-
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MeSH Terms:
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Pandemics*
SARS-CoV-2*
COVID-19/*epidemiology
Urologic Diseases/*surgery
Urologic Surgical Procedures/*statistics & numerical data
Comorbidity ; Elective Surgical Procedures ; Humans ; Italy/epidemiology ; Surveys and Questionnaires ; Urologic Diseases/epidemiology
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References:
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N Engl J Med. 2020 May 14;382(20):1873-1875. (PMID: 32187459)
N Engl J Med. 2020 Apr 30;382(18):1708-1720. (PMID: 32109013)
BJU Int. 2020 Jun;125(6):E7-E14. (PMID: 32249538)
Eur Urol. 2020 Aug;78(2):131-133. (PMID: 32303384)
J Urol. 2020 Jul;204(1):11-13. (PMID: 32249715)
JAMA. 2020 Apr 28;323(16):1545-1546. (PMID: 32167538)
N Engl J Med. 2020 Mar 26;382(13):1194-1196. (PMID: 32074416)
JAMA. 2020 Apr 14;323(14):1343-1344. (PMID: 32125355)
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Contributed Indexing:
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Keywords: #COVID19; #Urology; #uroonc; COVID-19 outbreak; trend of variation; urological surgery
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Entry Date(s):
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Date Created: 20200620 Date Completed: 20210104 Latest Revision: 20220716
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Update Code:
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20240105
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PubMed Central ID:
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PMC7322984
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DOI:
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10.1111/bju.15149
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PMID:
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32558053
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Objective: To describe the trend in surgical volume in urology in Italy during the coronavirus disease 2019 (COVID-19) outbreak, as a result of the abrupt reorganisation of the Italian national health system to augment care provision to symptomatic patients with COVID-19.
Methods: A total of 33 urological units with physicians affiliated to the AGILE consortium (Italian Group for Advanced Laparo-Endoscopic Surgery; www.agilegroup.it) were surveyed. Urologists were asked to report the amount of surgical elective procedures week-by-week, from the beginning of the emergency to the following month.
Results: The 33 hospitals involved in the study account overall for 22 945 beds and are distributed in 13/20 Italian regions. Before the outbreak, the involved urology units performed overall 1213 procedures/week, half of which were oncological. A month later, the number of surgeries had declined by 78%. Lombardy, the first region with positive COVID-19 cases, experienced a 94% reduction. The decrease in oncological and non-oncological surgical activity was 35.9% and 89%, respectively. The trend of the decline showed a delay of roughly 2 weeks for the other regions.
Conclusion: Italy, a country with a high fatality rate from COVID-19, experienced a sudden decline in surgical activity. This decline was inversely related to the increase in COVID-19 care, with potential harm particularly in the oncological field. The Italian experience may be helpful for future surgical pre-planning in other countries not so drastically affected by the disease to date.
(© 2020 The Authors BJU International © 2020 BJU International Published by John Wiley & Sons Ltd.)
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