Urology in the Time of Coronavirus: Reduced Access to Urgent and Emergent Urological Care during the Coronavirus Disease 2019 Outbreak in Italy

被引：32

作者：

Porreca, Angelo ^{[1
]}

Colicchia, Michele ^{[1
]}

D'Agostino, Daniele ^{[1
]}

Amenta, Michele ^{[2
]}

Corsaro, Alfio ^{[2
]}

Zaramella, Stefano ^{[3
]}

Zegna, Luisa ^{[3
]}

Gallo, Fabrizio ^{[4
]}

Schenone, Maurizio ^{[4
]}

Bozzini, Giorgio ^{[5
]}

Calori, Alberto ^{[5
]}

Pastore, Antonio L. ^{[6
]}

Al Salhi, Yazan ^{[6
]}

Sciorio, Carmine ^{[7
]}

Spirito, Lorenzo ^{[7
]}

Varca, Virginia ^{[8
]}

Marenghi, Carlo ^{[8
]}

Greco, Francesco ^{[9
]}

Altieri, Vincenzo M. ^{[9
]}

Verze, Paolo ^{[10
]}

Barba, Ciro ^{[10
]}

Antonelli, Alessandro ^{[11
]}

Cerruto, Maria A. ^{[11
]}

Falabella, Roberto ^{[12
]}

Di Bello, Silvana ^{[13
]}

Leonardo, Costantino ^{[14
]}

Tufano, Antonio ^{[14
]}

Volpe, Alessandro ^{[15
]}

Umari, Paolo ^{[15
]}

Parma, Paolo ^{[16
]}

Nidini, Mattia ^{[16
]}

Pini, Giovannalberto ^{[17
]}

Borghesi, Marco ^{[18
]}

Terrone, Carlo ^{[18
]}

Cacciamani, Giovanni E. ^{[19
,20
]}

Sighinolfi, Maria C. ^{[21
]}

Busetto, Gian Maria ^{[22
]}

Wennberg, Alexandra M. ^{[23
]}

Finocchiaro, Marinella ^{[24
]}

Falsaperla, Mario ^{[24
]}

Oderda, Marco ^{[25
]}

Ceruti, Carlo ^{[25
]}

Rocco, Bernardo ^{[21
]}

Schiavina, Riccardo ^{[26
]}

Bianchi, Lorenzo ^{[26
]}

Mari, Andrea ^{[27
]}

Di Maida, Fabrizio ^{[27
]}

Dalpiaz, Orietta ^{[28
]}

Celia, Antonio ^{[29
]}

Pirozzi, Marco ^{[29
]}

机构：

[1] Policlin Abano Terme, Dept Urol, Piazza Cristoforo Colombo 1, IT-35031 Abano Terme, PD, Italy

[2] Osped Civile Portogruaro, Dept Urol, Portogruaro, Italy

[3] Biella Hosp, Dept Urol, Ponderano, Italy

[4] San Paolo Hosp, Dept Surg, Div Urol, Savona, Italy

[5] ASST Valle Olona, Dept Urol, Busto Arsizio, Italy

[6] Sapienza Univ Rome, ICOT Hosp Latina, Dept Med Surg Sci & Biotechnol, Urol Unit, Rome, Italy

[7] Manzoni Hosp, Urol Unit, Lecce, Italy

[8] ASST Rhodense Garbagnate Milanese, Hosp G Salvini, Milan, Italy

[9] Humanitas Gavazzeni, Dept Urol, Bergamo, Italy

[10] Univ Salerno, Dept Urol, Scuola Med Salernitana, Salerno, Italy

[11] Univ Verona, Azienda Osped Univ Integrata Verona, Dept Urol, Verona, Italy

[12] Azienda Osped Reg Potenza, Dept Urol, Potenza, Italy

[13] Azienda Osped Reg Potenza, Med Urgenza, Accettaz, UO Pronto Soccorso, Potenza, Italy

[14] Univ Roma La Sapienza, Dept Urol, Rome, Italy

[15] Univ Piemonte Orientale, Maggiore Carita Hosp, Dept Translat Med, Div Urol, Novara, Italy

[16] ASST Mantova, Urol Dept, Mantua, Italy

[17] Urol Osped San Raffaele Turro, Milan, Italy

[18] Univ Genoa, S Martino Hosp, Dept Urol, Dept Surg & Diagnost Sci, Genoa, Italy

[19] Univ Southern Calif, Keck Sch Med, USC Inst Urol & Catherine, Los Angeles, CA USA

[20] Univ Southern Calif, Keck Sch Med, Joseph Aresty Dept Urol, Los Angeles, CA USA

[21] Univ Modena & Reggio Emilia, Urol Dept, Modena, Italy

[22] Sapienza Rome Univ Policlin Umberto I, Dept Urol, Rome, Italy

[23] Univ Padua, Dept Neurosci, Padova Neurosci Ctr, Padua, Italy

[24] UOC Urol Osped Vittorio Emanuele, Catania, Italy

[25] Univ Torino, Citta Salute & Sci Torino, Turin, Italy

[26] Univ Bologna, Dept Urol, Bologna, Italy

[27] Univ Florence, Dept Urol, Florence, Italy

[28] Med Univ Graz, Dept Urol, Graz, Austria

[29] San Bassiano Hosp, Dept Urol, Bassano Del Grappa, Italy

[30] San Carlo Di Nancy Hosp, Urol Unit, GVM Care & Res, Rome, Italy

[31] Casa Cura Villa Igea, Dept Urol, Ancona, Italy

[32] Villa Stuart Casa Cura, Dept Urol, Rome, Italy

[33] Hesperia Hosp, Dept Urol, Modena, Italy

[34] USL Toscana Sudest, Dept Urol, San Donato Hosp, Arezzo, Italy

[35] AORN A Cardarelli, Dept Urol, Naples, Italy

来源：

UROLOGIA INTERNATIONALIS | 2020年 / 104卷 / 7-8期

关键词：

Coronavirus disease 2019; Outbreak; Urological care; Italy; DIAGNOSIS; GUIDELINES;

D O I：

10.1159/000508512

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose:The coronavirus disease 2019 (COVID-19) pandemic has put a substantial burden on the Italian healthcare system, resulting in the restructuring of hospitals to care for COVID-19 patients. However, this has likely impacted access to care for patients experiencing other conditions. We aimed to quantify the impact of COVID-19 on access to care for patients with urgent/emergent urological conditions throughout Italy.Materials and Methods:A questionnaire was sent to 33 urological units in the AGILE consortium, asking clinicians to report on the number of urgent/emergent urological patients seen and/or undergoing surgery over a 3-week period during the peak of the COVID-19 outbreak and a reference week prior to the outbreak. ANOVA and linear regression models were used to quantify these changes.Results:Data from 27 urological centres in Italy showed a decrease from 956 patients/week seen just prior to the outbreak to 291 patients/week seen by the end of the study period. There was a difference in the number of patients with urgent/emergent urological disease seen within/during the different weeks (allpvalues < 0.05). A significant decrease in the number of patients presenting with haematuria, urinary retention, urinary tract infection, scrotal pain, renal colic, or trauma and urgent/emergent cases that required surgery was reported (allpvalues < 0.05).Conclusion:In Italy, during the COVID-19 outbreak there has been a decrease in patients seeking help for urgent/emergent urological conditions. Restructuring of hospitals and clinics is mandatory to cope with the COVID-19 pandemic; however, the healthcare system should continue to provide adequate levels of care also to patients with other conditions.

引用

页码：631 / 636

页数：6

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