[Impact of the COVID-19 pandemic on surgical activity within academic urological departments in Paris].
Impact de la pandémie de COVID-19 sur l’activité chirurgicale au sein des services d’urologie de l’Assistance Publique – Hôpitaux de Paris.
Adult
COVID-19
Coronavirus Infections
/ epidemiology
Hospitals
/ statistics & numerical data
Humans
Kidney Transplantation
/ statistics & numerical data
Pandemics
Paris
/ epidemiology
Pneumonia, Viral
/ epidemiology
Retrospective Studies
Urologic Surgical Procedures
/ statistics & numerical data
Urology
/ statistics & numerical data
COVID-19
Chirurgie
Coronavirus
Health care
Pandemic
Pandémie
Surgery
Urologie
Urology
Journal
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie
ISSN: 1166-7087
Titre abrégé: Prog Urol
Pays: France
ID NLM: 9307844
Informations de publication
Date de publication:
Historique:
received:
20
04
2020
revised:
28
04
2020
accepted:
04
05
2020
pubmed:
21
5
2020
medline:
21
7
2020
entrez:
21
5
2020
Statut:
ppublish
Résumé
As a result of the COVID-19 pandemic in France, all non-emergency surgical activity has been cancelled since March 12, 2020. In order to anticipate the reinstatement of delayed interventions, surgical activity reduction analysis is essential. The objective of this study was to evaluate the reduction of urological surgery in adult during the COVID-19 pandemic compared to 2019. The data regarding urological procedures realized in the 8 academic urological departments of Parisians centres (AP-HP) were compared over two similar periods (14-29 March 2019 and 12-27 March 2020) using the centralized surgical planning software shared by these centres. Procedure title, type of surgery and outpatient ratio were collected. The interventions were sorted into 16 major families of urological interventions. Overall, a 55% decrease was observed concerning urological procedures over the same period between 2019 and 2020 (995 and 444 procedures respectively). Oncology activity and emergencies decreased by 31% and 44%. The number of kidney transplantations decreased from 39 to 3 (-92%). Functional, andrological and genital surgical procedures were the most impacted among the non-oncological procedures (-85%, -81% and -71%, respectively). Approximatively, 1033 hours of surgery have been delayed during this 16-day period. Lockdown and postponement of non-urgent scheduled urological procedures decisions has led to a drastic decrease in surgical activity in AP-HP. Isolated kidney transplantation has been stopped (national statement). Urologists must anticipate for lockdown exit in order to catch-up delayed surgeries. 3.
Identifiants
pubmed: 32430140
pii: S1166-7087(20)30148-2
doi: 10.1016/j.purol.2020.05.001
pmc: PMC7211572
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Langues
fre
Sous-ensembles de citation
IM
Pagination
439-447Informations de copyright
Copyright © 2020 Elsevier Masson SAS. All rights reserved.
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