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COVID-19: The impact on urolithiasis treatment in Brazil
Korkes, Fernando; Smaidi, Khalil; Salles, Matheus Pascotto; Lopes Neto, Antonio Correa; Heilberg, Ita Pfeferman; Glina, Sidney.
  • Korkes, Fernando; FMABC. Faculdade de Medicina do ABC. Disciplina de Urologia. Santo André. BR
  • Smaidi, Khalil; FMABC. Faculdade de Medicina do ABC. Disciplina de Urologia. Santo André. BR
  • Salles, Matheus Pascotto; FMABC. Faculdade de Medicina do ABC. Disciplina de Urologia. Santo André. BR
  • Lopes Neto, Antonio Correa; FMABC. Faculdade de Medicina do ABC. Disciplina de Urologia. Santo André. BR
  • Heilberg, Ita Pfeferman; Universidade Federal de São Paulo. Departamento de Nefrologia. São Paulo. BR
  • Glina, Sidney; FMABC. Faculdade de Medicina do ABC. Disciplina de Urologia. Santo André. BR
Int. braz. j. urol ; 48(1): 101-109, Jan.-Feb. 2022. tab, graf
Article in English | LILACS | ID: biblio-1356279
ABSTRACT
ABSTRACT

Introduction:

It has been more than a year since the first case of Covid-19 was diagnosed in Brazil, and its most problematic feature is the oversaturation of the healthcare system capacity. Urolithiasis is a disease that requires timely and appropriate management. The present study aimed to evaluate the impact of the pandemic in hospital admissions for urolithiasis in the Brazilian public healthcare system. Materials and

Methods:

In this cross-sectional study, hospital admissions were obtained from the Brazilian Public Health Information system. All hospital admissions associated with urolithiasis diagnosis (ICD-10 N20) between March 2017 and February 2021 were analyzed.

Results:

During the COVID-19 outbreak, there was a significant decrease in hospital admissions (p<0.0001). More than 20.000 patients probably did not have the opportunity to undergo their surgeries. The impact of the COVID-19 outbreak on women's admissions was significantly more intense than for men, reducing from 48.91% to 48.36% of the total (p=0.0281). The extremes of age seemed to be more affected, with patients younger than 20 years and older than 60 years having a significant reduction in access to hospital services (p=0.033).

Conclusions:

In conclusion, we have noticed a considerable reduction in overall admissions for the treatment of urolithiasis in the Brazilian public healthcare system during the first year of the Covid-19 pandemic. Women and individuals older than 60 years were especially affected. In contrast, we noted a rise in urgent procedures, comparing with the average of the corresponding period of the three previous years. Recovery plans will be needed while returning to activities to handle the impounded surgical volume.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Urolithiasis / COVID-19 Type of study: Observational study / Prevalence study / Risk factors Limits: Adult / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: FMABC/BR / Universidade Federal de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Urolithiasis / COVID-19 Type of study: Observational study / Prevalence study / Risk factors Limits: Adult / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: FMABC/BR / Universidade Federal de São Paulo/BR