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10.1111/bju.15149

http://scihub22266oqcxt.onion/10.1111/bju.15149
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suck abstract from ncbi


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pmid32558053      BJU+Int 2021 ; 127 (1): 56-63
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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 #MMPMID32558053
  • Rocco B; Sighinolfi MC; Sandri M; Altieri V; Amenta M; Annino F; Antonelli A; Baio R; Bertolo R; Bocciardi A; Borghesi M; Bove P; Bozzini G; Brunocilla E; Cacciamani G; Calori A; Cafarelli A; Celia A; Carbone A; Cocci A; Corsaro A; Costa G; Ceruti C; Cindolo L; Crivellaro S; Dalpiaz O; D'Agostino D; Dall'Oglio B; Dente D; Falabella R; Falsaperla M; Ferrari G; Finocchiaro M; Flammia S; Gaboardi F; Galfano A; Gallo F; Gatti L; Greco F; Khorrami S; Leonardo C; Marenghi C; Nucciotti R; Oderda M; Pagliarulo V; Parma P; Pastore AL; Pini G; Porreca A; Pucci L; Schenone M; Schiavina R; Sciorio C; Spirito L; Tafuri A; Terrone C; Umari P; Varca V; Veneziano D; Verze P; Volpe A; Micali S; Berti L; Zaramella S; Zegna L; Bertellini E; Minervini A
  • BJU Int 2021[Jan]; 127 (1): 56-63 PMID32558053show ga
  • 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.
  • |*Pandemics[MESH]
  • |*SARS-CoV-2[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Comorbidity[MESH]
  • |Elective Surgical Procedures[MESH]
  • |Humans[MESH]
  • |Italy/epidemiology[MESH]
  • |Surveys and Questionnaires[MESH]
  • |Urologic Diseases/epidemiology/*surgery[MESH]


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