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Covid-19 Pandemisinin Üroloji Pratiğine Etkisi: İki Merkezli Çalışma

Yıl 2021, Cilt 28, Sayı Özel Sayı 1 (COVID-19 Özel Sayısı), 11 - 18, 01.05.2021
https://doi.org/10.17343/sdutfd.906274

Öz

Amaç: Covid-19 pandemisinin üroloji pratiğine olan etkisini farklı basamak iki hastanenin pandemi öncesi ve sonrası verilerini kullanarak değerlendirmek. Materyal - Metot: Mart 2020 pandemi sürecinin başlangıcı olarak kabul edilerek Mart 2021 yılına kadar geçen süre alınan kısıtlama kararlarına göre üç döneme ayrıldı. Bu süre içerisinde Aydın Devlet Hastanesi (ADH) ve Süleyman Demirel Üniversitesi Araştırma ve Uygulama Hastanesi ( SDÜ-AUH) üroloji polikliniğine başvuran hasta sayısı, acil servisten danışılan hasta sayısı, yapılan günübirlik işlem ve ameliyat sayıları verileri retrospektif olarak toplandı. Toplanan veriler öncelikle bir yıl öncesi aynı zaman aralığı ile sonrasında iki hastane arasında karşılaştırıldı. Bulgular: İki hastanede de pandemi sürecinde poliklinik hasta sayılarında azalma gözlenirken pandeminin birinci döneminde bu azalma daha belirgindi (p<0,05). Günübirlik işlem sayılarının ortalaması SDÜ-AUH’de pandeminin ikinci ve üçüncü döneminde bir önceki yılın sayılarına yaklaşmıştır (p>0.05). Onkolojik cerrahi işlem sayılarında SDÜ-AUH’de anlamlı değişiklik gözlenmedi (p>0.05). Taş cerrahisi ortalama sayılarındaki azalma ADH’de daha belirgindi (p<0.05). Sonuç: Covid-19 pandemisinin olumsuz etkileri tüm dünyada ve ülkemizde halen devam etmektedir. Ülke genelinde hastanelerin birçoğunun pandemi hastanesine dönüştürülmesi ile sağlık sektöründe artan iş yükünün farklı tedavi basamaklarında hizmet veren iki hastanenin işleyişini nasıl etkilediğini gösterdik.

Kaynakça

  • 1. WHO Coronavirus (COVID-19) Dashboard [Internet]. [cited 2021 Mar 23]. Available from: https://covid19.who.int
  • 2. Hui DS, I Azhar E, Madani TA, Ntoumi F, Kock R, Dar O, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health - The latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis IJID Off Publ Int Soc Infect Dis. 2020 Feb;91:264–6.
  • 3. nCoVsitrep11Apr2020-eng.pdf [Internet]. [cited 2021 Mar 14]. Available from: https://apps.who.int/iris/bitstream/handle/10665/331780/nCoVsitrep11Apr2020-eng.pdf
  • 4. 20200720-covid-19-sitrep-182.pdf [Internet]. [cited 2021 Mar 14]. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200720-covid-19-sitrep-182.pdf?sfvrsn=60aabc5c_2
  • 5. Stensland KD, Morgan TM, Moinzadeh A, Lee CT, Briganti A, Catto JWF, et al. Considerations in the Triage of Urologic Surgeries During the COVID-19 Pandemic. Eur Urol. 2020 Jun;77(6):663–6.
  • 6. Ribal MJ, Cornford P, Briganti A, Knoll T, Gravas S, Babjuk M, et al. European Association of Urology Guidelines Office Rapid Reaction Group: An Organisation-wide Collaborative Effort to Adapt the European Association of Urology Guidelines Recommendations to the Coronavirus Disease 2019 Era. Eur Urol. 2020 Jul;78(1):21–8.
  • 7. Coronavirus Disease (COVID-19) Situation Reports [Internet]. [cited 2021 Mar 28]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports
  • 8. Muslumanoglu AY, Binbay M, Yuruk E, Akman T, Tepeler A, Esen T, et al. Updated epidemiologic study of urolithiasis in Turkey. I: Changing characteristics of urolithiasis. Urol Res. 2011 Aug;39(4):309–14.
  • 9. Tefik T, Guven S, Villa L, Gokce MI, Kallidonis P, Petkova K, et al. Urolithiasis Practice Patterns Following the COVID-19 Pandemic: Overview from the EULIS Collaborative Research Working Group. Eur Urol. 2020 Jul;78(1):e21–4.
  • 10. Flammia S, Salciccia S, Tufano A, Busetto GM, Ricciuti GP, Sciarra A. How urinary stone emergencies changed in the time of COVID-19? Urolithiasis. 2020 Oct;48(5):467–9.
  • 11. Jin P, Park H, Jung S, Kim J. Challenges in Urology during the COVID-19 Pandemic. Urol Int. 2020 Nov 23;1–14.
  • 12. Sanchez LR, Cathelineau X, Pinto AMA, Borque-Fernando Á, Gil MJ, Yee C-H, et al. Clinical and surgical assistance in prostate cancer during the COVID-19 Pandemic: implementation of assistance protocols. Int Braz J Urol Off J Braz Soc Urol. 2020 Jul 27;46(Suppl 1):50–61.
  • 13. Gravas S, Fournier G, Oya M, Summerton D, Scarpa RM, Chlosta P, et al. Prioritising Urological Surgery in the COVID-19 Era: A Global Reflection on Guidelines. Eur Urol Focus. 2020 Sep 15;6(5):1104–10.
  • 14. Professionals S-O. EAU Guidelines: Non-muscle-invasive Bladder Cancer [Internet]. Uroweb. [cited 2020 Dec 5]. Available from: https://uroweb.org/guideline/non-muscle-invasive-bladder-cancer/
  • 15. Professionals S-O. EAU Guidelines: Muscle-invasive and Metastatic Bladder Cancer [Internet]. Uroweb. [cited 2020 Dec 5]. Available from: https://uroweb.org/guideline/bladder-cancer-muscle-invasive-and-metastatic/
  • 16. Amparore D, Campi R, Checcucci E, Sessa F, Pecoraro A, Minervini A, et al. Forecasting the Future of Urology Practice: A Comprehensive Review of the Recommendations by International and European Associations on Priority Procedures During the COVID-19 Pandemic. Eur Urol Focus. 2020 Sep 15;6(5):1032–48.
  • 17. COVID-19 Strategy for the Interim Management of Testicular Cancer Prepared by the BAUS Section of Oncology [Internet]. BOPA. [cited 2021 Mar 28]. Available from: https://www.bopa.org.uk/resources/covid-19-strategy-for-the-interim-management-of-testicular-cancer-prepared-by-the-baus-section-of-oncology/
  • 18. Mistretta FA, Luzzago S, Molendini LO, Ferro M, Dossena E, Mastrilli F, et al. A Guide for Oncologic Patient Management during Covid-19 Pandemic: The Initial Experience of an Italian Oncologic Hub with Exemplificative Focus on Uro-Oncologic Patients. Cancers [Internet]. 2020 Jun 10 [cited 2021 Mar 28];12(6). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7352384/
  • 19. Darlington CD, Mammen RJ, Mammen KJ. COVID-19 and its impact on genitourinary malignancies. Indian J Urol IJU J Urol Soc India. 2020;36(3):163–70.
  • 20. Bozkurt O, Sen V, Irer B, Sagnak L, Onal B, Tanidir Y, et al. Nation-wide analysis of the impact of Covid-19 pandemic on daily urology practice in Turkey. Int J Clin Pract. 2021 Apr;75(4):e13735.
  • 21. Pinto AMA, González MS. Endourology and Benign Prostatic Hyperplasia in COVID-19 Pandemic. Int Braz J Urol Off J Braz Soc Urol. 2020 Jul;46(suppl.1):34–8.
  • 22. Professionals S-O. COVID-19 Recommendations [Internet]. Uroweb. [cited 2021 Mar 27]. Available from: https://uroweb.org/guideline/covid-19-recommendations/?type=archive
  • 23. Wallis CJD, Novara G, Marandino L, Bex A, Kamat AM, Karnes RJ, et al. Risks from Deferring Treatment for Genitourinary Cancers: A Collaborative Review to Aid Triage and Management During the COVID-19 Pandemic. Eur Urol. 2020 Jul;78(1):29–42.
  • 24. TÜİK Kurumsal [Internet]. [cited 2021 Mar 28]. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2020-37210

The Effect of Covid-19 Pandemic on Urology Practice: A Two- Center Study

Yıl 2021, Cilt 28, Sayı Özel Sayı 1 (COVID-19 Özel Sayısı), 11 - 18, 01.05.2021
https://doi.org/10.17343/sdutfd.906274

Öz

Aim: To evaluate the effect of the Covid-19 pandemic on urology practice using the pre and post-pandemic data of secondary and tertiary healthcare institutions. Material and Method: March 2020 was considered the beginning of the pandemic, and the timeframe until March 2021 was divided into three periods according to the restriction decisions. During this period, the number of patients admitted to the urology outpatient clinics, the number of patients consulted from the emergency department, the number of daily procedures and operations that performed were collected at both Aydın State Hospital (ADH) and Süleyman Demirel University Research and Application Hospital (SDU-AUH), retrospectively. The collected data were first compared with the same three periods of the previous year, than between two hospitals. Results: While there was a decrease in the number of outpatient clinic patients during the pandemic process in both hospitals, this decrease was more evident in the pandemic's first period (p<0.05). The mean numbers of daily procedures were caught up with the previous year' in the second and third periods of the pandemic in SDU-AUH (p>0.05). No significant change was observed in the number of oncological surgical procedures in SDU-AUH (p>0.05). The decrease in the mean number of stone surgery was more prominent in ADH (p <0.05). Conclusion: The negative effects of the Covid-19 pandemic continue in the world and our country. The health sector's workload has increased with the transformation of many hospitals across the country into pandemic hospitals. We demonstrated how the increasing workload impacts the two hospitals providing at different healthcare levels.

Kaynakça

  • 1. WHO Coronavirus (COVID-19) Dashboard [Internet]. [cited 2021 Mar 23]. Available from: https://covid19.who.int
  • 2. Hui DS, I Azhar E, Madani TA, Ntoumi F, Kock R, Dar O, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health - The latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis IJID Off Publ Int Soc Infect Dis. 2020 Feb;91:264–6.
  • 3. nCoVsitrep11Apr2020-eng.pdf [Internet]. [cited 2021 Mar 14]. Available from: https://apps.who.int/iris/bitstream/handle/10665/331780/nCoVsitrep11Apr2020-eng.pdf
  • 4. 20200720-covid-19-sitrep-182.pdf [Internet]. [cited 2021 Mar 14]. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200720-covid-19-sitrep-182.pdf?sfvrsn=60aabc5c_2
  • 5. Stensland KD, Morgan TM, Moinzadeh A, Lee CT, Briganti A, Catto JWF, et al. Considerations in the Triage of Urologic Surgeries During the COVID-19 Pandemic. Eur Urol. 2020 Jun;77(6):663–6.
  • 6. Ribal MJ, Cornford P, Briganti A, Knoll T, Gravas S, Babjuk M, et al. European Association of Urology Guidelines Office Rapid Reaction Group: An Organisation-wide Collaborative Effort to Adapt the European Association of Urology Guidelines Recommendations to the Coronavirus Disease 2019 Era. Eur Urol. 2020 Jul;78(1):21–8.
  • 7. Coronavirus Disease (COVID-19) Situation Reports [Internet]. [cited 2021 Mar 28]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports
  • 8. Muslumanoglu AY, Binbay M, Yuruk E, Akman T, Tepeler A, Esen T, et al. Updated epidemiologic study of urolithiasis in Turkey. I: Changing characteristics of urolithiasis. Urol Res. 2011 Aug;39(4):309–14.
  • 9. Tefik T, Guven S, Villa L, Gokce MI, Kallidonis P, Petkova K, et al. Urolithiasis Practice Patterns Following the COVID-19 Pandemic: Overview from the EULIS Collaborative Research Working Group. Eur Urol. 2020 Jul;78(1):e21–4.
  • 10. Flammia S, Salciccia S, Tufano A, Busetto GM, Ricciuti GP, Sciarra A. How urinary stone emergencies changed in the time of COVID-19? Urolithiasis. 2020 Oct;48(5):467–9.
  • 11. Jin P, Park H, Jung S, Kim J. Challenges in Urology during the COVID-19 Pandemic. Urol Int. 2020 Nov 23;1–14.
  • 12. Sanchez LR, Cathelineau X, Pinto AMA, Borque-Fernando Á, Gil MJ, Yee C-H, et al. Clinical and surgical assistance in prostate cancer during the COVID-19 Pandemic: implementation of assistance protocols. Int Braz J Urol Off J Braz Soc Urol. 2020 Jul 27;46(Suppl 1):50–61.
  • 13. Gravas S, Fournier G, Oya M, Summerton D, Scarpa RM, Chlosta P, et al. Prioritising Urological Surgery in the COVID-19 Era: A Global Reflection on Guidelines. Eur Urol Focus. 2020 Sep 15;6(5):1104–10.
  • 14. Professionals S-O. EAU Guidelines: Non-muscle-invasive Bladder Cancer [Internet]. Uroweb. [cited 2020 Dec 5]. Available from: https://uroweb.org/guideline/non-muscle-invasive-bladder-cancer/
  • 15. Professionals S-O. EAU Guidelines: Muscle-invasive and Metastatic Bladder Cancer [Internet]. Uroweb. [cited 2020 Dec 5]. Available from: https://uroweb.org/guideline/bladder-cancer-muscle-invasive-and-metastatic/
  • 16. Amparore D, Campi R, Checcucci E, Sessa F, Pecoraro A, Minervini A, et al. Forecasting the Future of Urology Practice: A Comprehensive Review of the Recommendations by International and European Associations on Priority Procedures During the COVID-19 Pandemic. Eur Urol Focus. 2020 Sep 15;6(5):1032–48.
  • 17. COVID-19 Strategy for the Interim Management of Testicular Cancer Prepared by the BAUS Section of Oncology [Internet]. BOPA. [cited 2021 Mar 28]. Available from: https://www.bopa.org.uk/resources/covid-19-strategy-for-the-interim-management-of-testicular-cancer-prepared-by-the-baus-section-of-oncology/
  • 18. Mistretta FA, Luzzago S, Molendini LO, Ferro M, Dossena E, Mastrilli F, et al. A Guide for Oncologic Patient Management during Covid-19 Pandemic: The Initial Experience of an Italian Oncologic Hub with Exemplificative Focus on Uro-Oncologic Patients. Cancers [Internet]. 2020 Jun 10 [cited 2021 Mar 28];12(6). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7352384/
  • 19. Darlington CD, Mammen RJ, Mammen KJ. COVID-19 and its impact on genitourinary malignancies. Indian J Urol IJU J Urol Soc India. 2020;36(3):163–70.
  • 20. Bozkurt O, Sen V, Irer B, Sagnak L, Onal B, Tanidir Y, et al. Nation-wide analysis of the impact of Covid-19 pandemic on daily urology practice in Turkey. Int J Clin Pract. 2021 Apr;75(4):e13735.
  • 21. Pinto AMA, González MS. Endourology and Benign Prostatic Hyperplasia in COVID-19 Pandemic. Int Braz J Urol Off J Braz Soc Urol. 2020 Jul;46(suppl.1):34–8.
  • 22. Professionals S-O. COVID-19 Recommendations [Internet]. Uroweb. [cited 2021 Mar 27]. Available from: https://uroweb.org/guideline/covid-19-recommendations/?type=archive
  • 23. Wallis CJD, Novara G, Marandino L, Bex A, Kamat AM, Karnes RJ, et al. Risks from Deferring Treatment for Genitourinary Cancers: A Collaborative Review to Aid Triage and Management During the COVID-19 Pandemic. Eur Urol. 2020 Jul;78(1):29–42.
  • 24. TÜİK Kurumsal [Internet]. [cited 2021 Mar 28]. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2020-37210

Ayrıntılar

Birincil Dil Türkçe
Konular Cerrahi
Bölüm Araştırma Makaleleri
Yazarlar

Sefa Alperen ÖZTÜRK (Sorumlu Yazar)
Süleyman demirel üniversitesi tıp fakültesi
0000-0003-4586-9298
Türkiye


Ahmet GUZEL
Aydın Devlet Hastanesi
0000-0002-1101-1149
Türkiye

Destekleyen Kurum yok
Proje Numarası yok
Yayımlanma Tarihi 1 Mayıs 2021
Başvuru Tarihi 30 Mart 2021
Kabul Tarihi 1 Nisan 2021
Yayınlandığı Sayı Yıl 2021, Cilt 28, Sayı Özel Sayı 1 (COVID-19 Özel Sayısı)

Kaynak Göster

Vancouver Öztürk S. A. , Guzel A. Covid-19 Pandemisinin Üroloji Pratiğine Etkisi: İki Merkezli Çalışma. SDÜ Tıp Fakültesi Dergisi. 2021; 28(Özel Sayı 1 (COVID-19 Özel Sayısı)): 11-18.

14791


Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/ Medical Journal of Süleyman Demirel Universty Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.