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How uro-oncology has been affected by COVID-19 emergency? Data from Piedmont/Valle d'Aosta Oncological Network, Italy.
Oderda, Marco; Calleris, Giorgio; Falcone, Marco; Fasolis, Giuseppe; Muto, Giovanni; Oderda, Gianluca; Porpiglia, Francesco; Volpe, Alessandro; Bertetto, Oscar; Gontero, Paolo.
  • Oderda M; Division of Urology, Molinette Hospital-Città della Salute e della Scienza di Torino, University of Turin, Torino, Italy.
  • Calleris G; Division of Urology, Molinette Hospital-Città della Salute e della Scienza di Torino, University of Turin, Torino, Italy.
  • Falcone M; Division of Urology, Molinette Hospital-Città della Salute e della Scienza di Torino, University of Turin, Torino, Italy.
  • Fasolis G; Division of Urology, Ospedale San Lazzaro, ASL-CN2 Alba-Bra, Alba, Italy.
  • Muto G; Humanitas Gradenigo Hospital, Torino, Italy.
  • Oderda G; Credit Suisse AG, Zurich, Switzerland.
  • Porpiglia F; Division of Urology, University of Turin, San Luigi Gonzaga Hospital, Orbassano, Italy.
  • Volpe A; Maggiore della Carità Hospital, University of Eastern Piedmont, Novara, Italy.
  • Bertetto O; Rete Oncologica del Piemonte e della Valle d'Aosta, Torino, Italy.
  • Gontero P; Division of Urology, Molinette Hospital-Città della Salute e della Scienza di Torino, University of Turin, Torino, Italy.
Urologia ; 88(1): 3-8, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-1105635
ABSTRACT

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.
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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Urologic Surgical Procedures / Urology / Continuity of Patient Care / Pandemics / SARS-CoV-2 / COVID-19 / Health Services Accessibility / Medical Oncology Subject: Urologic Surgical Procedures / Urology / Continuity of Patient Care / Pandemics / SARS-CoV-2 / COVID-19 / Health Services Accessibility / Medical Oncology Type of study: Determinantes_sociais_saude Language: English Journal: Urologia Clinical aspect: Prognosis Year: 2021

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Urologic Surgical Procedures / Urology / Continuity of Patient Care / Pandemics / SARS-CoV-2 / COVID-19 / Health Services Accessibility / Medical Oncology Subject: Urologic Surgical Procedures / Urology / Continuity of Patient Care / Pandemics / SARS-CoV-2 / COVID-19 / Health Services Accessibility / Medical Oncology Type of study: Determinantes_sociais_saude Language: English Journal: Urologia Clinical aspect: Prognosis Year: 2021
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