Trend of ambulatory benign prostatic obstruction surgeries during COVID-19 pandemic.
Ambulatory surgery
Benign prostatic obstruction
Bladder outlet surgery
COVID-19
Journal
World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716
Informations de publication
Date de publication:
01 Nov 2024
01 Nov 2024
Historique:
received:
08
03
2024
accepted:
22
04
2024
medline:
1
11
2024
pubmed:
1
11
2024
entrez:
1
11
2024
Statut:
epublish
Résumé
Benign prostatic obstruction (BPO) is one of the most common causes of male lower urinary tract symptoms. Some institutions routinely perform BPO surgeries in ambulatory setting, while others elect for overnight hospitalization. With the COVID-19 pandemic limiting resources and hospital space for elective surgery, we investigated the time trend of ambulatory BPO procedures performed around the COVID-19 outbreak. We identified BPO surgeries from the California State Inpatient and State Ambulatory Surgery Databases between 2018 and 2020. Our primary outcome was the proportion of procedures performed in ambulatory settings with a length of stay of zero days. Univariable and multivariable analyses were performed to analyze factors associated with ambulatory surgery around the COVID-19 outbreak. Spline regression with a knot at the pandemic outbreak was performed to compare time trends pre- and post-pandemic. Among 37,148 patients who underwent BPO procedures, 30,067 (80.9%) were ambulatory. Before COVID-19, 80.1% BPO procedures were performed ambulatory, which increased to 83.4% after COVID-19 outbreak (p < 0.001). In multivariable model, BPO procedures performed after COVID-19 outbreak were 1.26 times more likely to be ambulatory (OR 1.26, 95% CI 1.14-1.40, p < 0.0001). Spline curve analysis indicated significantly different trend of change pre- and post-pandemic (p = 0.006). We observed a rising trend of BPO surgeries performed in ambulatory setting post-pandemic. It remains to be seen if the observed ambulatory transition remains as we continue to recover from the pandemic.
Identifiants
pubmed: 39485508
doi: 10.1007/s00345-024-05343-0
pii: 10.1007/s00345-024-05343-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
613Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Chughtai B, Forde JC, Thomas DDM et al (2016) Benign prostatic hyperplasia. Nat Rev Dis Primers 2(1):1–15
doi: 10.1038/nrdp.2016.31
Welch G, Weinger K, Barry MJ (2002) Quality-of-life impact of lower urinary tract symptom severity: results from the Health Professionals Follow-up Study. Urology 59(2):245–250
doi: 10.1016/S0090-4295(01)01506-0
pubmed: 11834396
Lerner LB, McVary KT, Barry MJ et al (2021) Management of lower urinary tract symptoms attributed to benign prostatic hyperplasia: AUA GUIDELINE PART I—initial work-up and medical management. J Urol 206(4):806–817
doi: 10.1097/JU.0000000000002183
pubmed: 34384237
Rassweiler J, Teber D, Kuntz R, Hofmann R (2006) Complications of transurethral resection of the prostate (TURP)—incidence, management, and prevention. Eur Urol 50(5):969–980
doi: 10.1016/j.eururo.2005.12.042
pubmed: 16469429
Gratzke C, Bachmann A, Descazeaud A et al (2015) EAU guidelines on the assessment of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction. Eur Urol 67(6):1099–1109
doi: 10.1016/j.eururo.2014.12.038
pubmed: 25613154
Ljungqvist O, Scott M, Fearon KC (2017) Enhanced recovery after surgery: a review. JAMA Surg 152(3):292–298
doi: 10.1001/jamasurg.2016.4952
pubmed: 28097305
Pędziwiatr M, Mavrikis J, Witowski J et al (2018) Current status of enhanced recovery after surgery (ERAS) protocol in gastrointestinal surgery. Med Oncol 35:1–8
doi: 10.1007/s12032-018-1153-0
Nguyen D-D, Marchese M, Ozambela M et al (2020) Ambulatory-based bladder outlet procedures offer significant cost savings and comparable 30-day outcomes relative to inpatient procedures. J Endourol 34(12):1248–1254
doi: 10.1089/end.2019.0684
pubmed: 32178528
pmcid: 7757614
Friedlander DF, Krimphove MJ, Cole AP et al (2021) Where is the value in ambulatory versus inpatient surgery? Ann Surg 273(5):909–916
doi: 10.1097/SLA.0000000000003578
pubmed: 31460878
Berger A, Friedlander DF, Herzog P et al (2019) Impact of index surgical care setting on perioperative outcomes and cost following penile prosthesis surgery. J Sex Med 16(9):1451–1458
doi: 10.1016/j.jsxm.2019.07.004
pubmed: 31405770
Majholm B, Engbæk J, Bartholdy J et al (2012) Is day surgery safe? AD anish multicentre study of morbidity after 57,709 day surgery procedures. Acta Anaesthesiol Scand 56(3):323–331
doi: 10.1111/j.1399-6576.2011.02631.x
pubmed: 22335277
Das AK, Leong JY, Roehrborn CG (2019) Office-based therapies for benign prostatic hyperplasia: a review and update. Can J Urol 26(4 Suppl 1):2–7
pubmed: 31481142
Salciccia S, Del Giudice F, Maggi M et al (2021) Safety and feasibility of outpatient surgery in benign prostatic hyperplasia: a systematic review and meta-analysis. J Endourol 35(4):395–408
doi: 10.1089/end.2020.0538
pubmed: 33081521
Malaeb BS, Yu X, McBean AM, Elliott SP (2012) National trends in surgical therapy for benign prostatic hyperplasia in the United States (2000–2008). Urology 79(5):1111–1117
doi: 10.1016/j.urology.2011.11.084
pubmed: 22546389
Diaz A, Sarac BA, Schoenbrunner AR, Janis JE, Pawlik TM (2020) Elective surgery in the time of COVID-19. Am J Surg 219(6):900–902
doi: 10.1016/j.amjsurg.2020.04.014
pubmed: 32312477
pmcid: 7161516
Jain A, Dai T BK, Myers C (2020) Covid-19 created an elective surgery backlog: how can hospitals get back on track. Harvard Bus Rev. 10(1)
Liang ZC, Chong MSY, Liu GKP et al (2021) COVID-19 and elective surgery: 7 practical tips for a safe, successful, and sustainable reboot. Ann Surg 273(2):e39–e40
doi: 10.1097/SLA.0000000000004091
pubmed: 32433295
Ditonno F, Autorino R (2023) Editorial comment. Urol Pract 10(6):637–638. https://doi.org/10.1097/UPJ.0000000000000452.01
doi: 10.1097/UPJ.0000000000000452.01
pubmed: 37856721
Teoh JY-C, Ong WLK, Gonzalez-Padilla D et al (2020) A global survey on the impact of COVID-19 on urological services. Eur Urol 78(2):265–275
doi: 10.1016/j.eururo.2020.05.025
pubmed: 32507625
pmcid: 7248000
Cole AP, Friedlander DF, Trinh Q-D (2018) Secondary data sources for health services research in urologic oncology. Elsevier, pp. 165–173
Wahba G (1990) Spline models for observational data. SIAM
Lwin AA, Zeng J, Evans P et al (2020) Holmium laser enucleation of the prostate is safe and feasible as a same day surgery. Urology 138:119–124
doi: 10.1016/j.urology.2020.01.014
pubmed: 31962119
Agarwal DK, Large T, Tong Y et al (2022) Same day discharge is a successful approach for the majority of patients undergoing holmium laser enucleation of the prostate. Eur Urol Focus 8(1):228–234
doi: 10.1016/j.euf.2020.12.018
pubmed: 33414073