The dramatic COVID 19 outbreak in Italy is responsible of a huge drop of urological surgical activity: a multicenter observational study
- Creators
- Rocco B.
- Sighinolfi M. C.
- 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 A. L.
- 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.
- Others:
- Rocco, B.
- Sighinolfi, M. C.
- 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, A. L.
- 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.
Description
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.
Additional details
- URL
- http://hdl.handle.net/11567/1070750
- URN
- urn:oai:iris.unige.it:11567/1070750
- Origin repository
- UNIGE