About: Assessing the Burden of Nondeferrable Major Uro-oncologic Surgery to Guide Prioritisation Strategies During the COVID-19 Pandemic: Insights from Three Italian High-volume Referral Centres

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About: Assessing the Burden of Nondeferrable Major Uro-oncologic Surgery to Guide Prioritisation Strategies During the COVID-19 Pandemic: Insights from Three Italian High-volume Referral Centres Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Assessing the Burden of Nondeferrable Major Uro-oncologic Surgery to Guide Prioritisation Strategies During the COVID-19 Pandemic: Insights from Three Italian High-volume Referral Centres
Creator	Amparore, Daniele Briganti, Alberto Campi, Riccardo Capitanio, Umberto Carini, Marco Checcucci, Enrico Fiori, Cristian Minervini, Andrea Montorsi, Francesco Porpiglia, Francesco Salonia, Andrea Serni, Sergio
Source	Elsevier; Medline; PMC
abstract	Abstract The coronavirus 2019 (COVID-19) pandemic has led to an unprecedented emergency scenario for all aspects of health care, including urology. At the time of writing, Italy was the country with the highest rates of both infection and mortality. A panel of experts recently released recommendations for prioritising urologic surgeries in a low-resource setting. Of note, major cancer surgery represents a compelling challenge. However, the burden of these procedures and the impact of such recommendations on urologic practice are currently unknown. To fill this gap, we assessed the yearly proportion of high-priority major uro-oncologic surgeries at three Italian high-volume academic centres. Of 2387 major cancer surgeries, 32.3% were classified as high priority (12.6% of radical nephroureterectomy, 17.3% of nephrectomy, 33.9% of radical prostatectomy, and 36.2% of radical cystectomy cases). Moreover, 26.4% of high-priority major cancer surgeries were performed in patients at higher perioperative risk (American Society of Anesthesiologists score ≥3), with radical cystectomy contributing the most to this cohort (50%). Our real-life data contextualise ongoing recommendations on prioritisation strategies during the current COVID-19 pandemic, highlighting the need for better patient selection for surgery. We found that approximately two-thirds of elective major uro-oncologic surgeries can be safely postponed or changed to another treatment modality when the availability of health care resources is reduced. Patient summary: We used data from three high-volume Italian academic urology centres to evaluate how many surgeries performed for prostate, bladder, kidney, and upper tract urothelial cancer can be postponed in times of emergency. We found that approximately two-thirds of patients with these cancers do not require high-priority surgery. Conversely, of patients requiring high-priority surgery, approximately one in four is considered at high perioperative risk. These patients may pose challenges in allocation of resources in critical scenarios such as the current COVID-19 pandemic.
has issue date	2020-04-11(xsd:dateTime)
bibo:doi	10.1016/j.eururo.2020.03.054
bibo:pmid	32307215
has license	els-covid
sha1sum (hex)	9342b7bf05ed34ee0aaf29506eeaca8f507fdaa3
schema:url	https://doi.org/10.1016/j.eururo.2020.03.054
resource representing a document's title	Assessing the Burden of Nondeferrable Major Uro-oncologic Surgery to Guide Prioritisation Strategies During the COVID-19 Pandemic: Insights from Three Italian High-volume Referral Centres
has PubMed Central identifier	PMC7151319
has PubMed identifier	32307215
schema:publication	Eur Urol
resource representing a document's body	covid:9342b7bf05ed34ee0aaf29506eeaca8f507fdaa3#body_text
is schema:about of	named entity 'Major' named entity 'Three' named entity 'Three' named entity 'Italian' named entity 'Surgery' named entity 'Strategies' named entity 'Major' named entity 'oncologic Surgery' named entity 'urothelial cancer' named entity 'malignancies' named entity 'urologic' named entity 'American Society of Anesthesiologists' named entity 'cancer surgeries' named entity 'Italy' named entity 'urology' named entity 'oncologic surgeries' named entity 'COVID-19 pandemic' named entity 'Coronavirus' named entity 'COVID-19 pandemic' named entity 'urology' named entity 'radical cystectomy' named entity 'Italy' named entity 'COVID-19 pandemic' named entity 'radical cystectomy' named entity 'Europe' named entity 'urology' named entity 'American Society of Anesthesiologists' named entity 'Italian' named entity 'tumour growth' named entity 'health care' named entity 'Minimally invasive surgery' named entity 'urologic' named entity 'MIS' named entity 'Italy' named entity 'nephrectomy' named entity 'rates of infection' named entity 'coronavirus 2019' named entity 'cancer surgeries' named entity 'oncologic surgeries' named entity 'urologic surgeries' named entity 'COVID-19 pandemic' named entity 'health care' named entity 'urologic' named entity 'alternative treatment' named entity 'MIS' named entity 'Florence' named entity 'hospital-acquired infection' named entity 'intensive care units' named entity 'intensive care units' named entity 'oncologic surgeries' named entity 'treatment modality' named entity 'tumours' named entity 'perioperative' named entity 'nephrectomy' named entity 'health care' named entity 'perioperative' named entity 'Turin' named entity '3, 4' named entity 'radical prostatectomy' named entity 'alternative treatment' named entity 'cancer surgeries' named entity 'cancer surgery' named entity 'urology' named entity 'COVID-19' named entity 'Italy' named entity 'perioperative' named entity 'health care' named entity 'cancer surgeries' named entity 'alternative treatment' named entity 'Italy'

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