COVID-19 outbreak impact on urolithiasis treatments: A multicenter retrospective study across 9 urological centers in Italy
Abstract. Background. The coronavirus disease (COVID-19) pandemic has posed challenges to the global health care community, affecting the management of upper urinary tract stones. Materials and methods. This retrospective study involved 9 Italian centers. We compared the 12-month period prior to COV...
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Wolters Kluwer Health
2024-12-01
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| Series: | Current Urology |
| Online Access: | http://journals.lww.com/10.1097/CU9.0000000000000246 |
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| author | Giorgio Mazzon Stefania Ferretti Emanuele Serafin Francesco Claps Pietro Acquati Davide Brusa Federico Germinale Giuseppe Celentano Andrea Pescuma Andrea Vismara Fugini Davide Campobasso Umberto Maestroni Giovanni Costa Tonino Morena Flavia Di Marco Andrea Baudo Massimiliano Creta Nicola Pavan Marco Ticonosco Angelo Peroni Devis Collura Maria Angela Cerruto Alessandro Antonelli Luca Carmignani Salvatore Micali Carlo Trombetta Giovanni Muto Antonio Celia |
| author_facet | Giorgio Mazzon Stefania Ferretti Emanuele Serafin Francesco Claps Pietro Acquati Davide Brusa Federico Germinale Giuseppe Celentano Andrea Pescuma Andrea Vismara Fugini Davide Campobasso Umberto Maestroni Giovanni Costa Tonino Morena Flavia Di Marco Andrea Baudo Massimiliano Creta Nicola Pavan Marco Ticonosco Angelo Peroni Devis Collura Maria Angela Cerruto Alessandro Antonelli Luca Carmignani Salvatore Micali Carlo Trombetta Giovanni Muto Antonio Celia |
| author_sort | Giorgio Mazzon |
| collection | DOAJ |
| description | Abstract. Background. The coronavirus disease (COVID-19) pandemic has posed challenges to the global health care community, affecting the management of upper urinary tract stones.
Materials and methods. This retrospective study involved 9 Italian centers. We compared the 12-month period prior to COVID-19 (March 1, 2019, to February 28, 2020; Period A) with the COVID-19 period (March 1, 2020, to February 28, 2021, Period B). This study aimed to compare outcomes during Periods A and B, specifically focusing on the overall number of treatments, rate of urgent/elective cases, and operational complexity.
Results. A total of 4018 procedures were collected, comprising 2176 procedures during Period A and 1842 during Period B, indicating a loss of 15.35% (p < 0.001). In the elective cases, 1622 procedures were conducted in Period A, compared with 1280 in Period B, representing a 21.09% reduction in cases (p = 0.001). All types of stone treatments were affected: extracorporeal shock wave lithotripsy (−29.37%, p = 0.001), percutaneous nephrolithotomy (−26.47%, p = 0.008), retrograde surgeries for renal stones (−10.63%, p = 0.008), and semirigid ureterolithotripsy (−24.86%, p = 0.008). Waiting lists experienced significant delays during Period B. The waiting time (WT) for elective procedures increased during Period B (p < 0.001). For ureteral stones, the mean WT in Period A was 61.44 days compared with 86.56 days in Period B (p = 0.008). The WT for renal stones increased from 64.96 days in Period A to 85.66 days in Period B for retrograde intrarenal surgery (p = 0.008) and from 96.9 days to 1103.9 days (p = 0.035) for percutaneous nephrolithotomy procedures.
Conclusions. Our study demonstrates that COVID-19 significantly disrupted endourological services across the country. Our data underline how patients received treatment over a prolonged period, potentially increasing the risk of stone-related complications and patient discomfort. |
| format | Article |
| id | doaj-art-ee1e9803c3f241428d6bde4eae46f062 |
| institution | OA Journals |
| issn | 1661-7649 1661-7657 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Health |
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| series | Current Urology |
| spelling | doaj-art-ee1e9803c3f241428d6bde4eae46f0622025-08-20T02:16:10ZengWolters Kluwer HealthCurrent Urology1661-76491661-76572024-12-0118430130610.1097/CU9.0000000000000246202412000-00011COVID-19 outbreak impact on urolithiasis treatments: A multicenter retrospective study across 9 urological centers in ItalyGiorgio Mazzon0Stefania Ferretti1Emanuele Serafin2Francesco Claps3Pietro Acquati4Davide Brusa5Federico Germinale6Giuseppe Celentano7Andrea Pescuma8Andrea Vismara Fugini9Davide Campobasso10Umberto Maestroni11Giovanni Costa12Tonino Morena13Flavia Di Marco14Andrea Baudo15Massimiliano Creta16Nicola Pavan17Marco Ticonosco18Angelo Peroni19Devis Collura20Maria Angela Cerruto21Alessandro Antonelli22Luca Carmignani23Salvatore Micali24Carlo Trombetta25Giovanni Muto26Antonio Celia27a Department of Urology, AULSS7 Pedemontana, San Bassiano Hospital, Bassano del Grappa, Italyb Department of Urology, University Hospital of Pama, Parma, Italyc Department of Urology, University of Verona, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italyd Urological Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italye Department of Urology, IRCCS Policlinico San Donato, Milan, Italyc Department of Urology, University of Verona, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italyf Department of Urology, Humanitas Gradenigo Hospital, Turin, Italyg Department of Neurosciences, Reproductive and Oral Sciences, University of Naples Federico II, Naples, Italyh Urology Department, University of Modena & Reggio Emilia, Modena, Italyi Department of Urology, Poliambulanza Foundation Hospital, Brescia, Italyb Department of Urology, University Hospital of Pama, Parma, Italyb Department of Urology, University Hospital of Pama, Parma, Italya Department of Urology, AULSS7 Pedemontana, San Bassiano Hospital, Bassano del Grappa, Italyi Department of Urology, Poliambulanza Foundation Hospital, Brescia, Italyd Urological Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italye Department of Urology, IRCCS Policlinico San Donato, Milan, Italyg Department of Neurosciences, Reproductive and Oral Sciences, University of Naples Federico II, Naples, Italyj Urology Section, Department of Surgical, Oncological and Oral Sciences, University of Palermo, Palermo, Italyh Urology Department, University of Modena & Reggio Emilia, Modena, Italyi Department of Urology, Poliambulanza Foundation Hospital, Brescia, Italyf Department of Urology, Humanitas Gradenigo Hospital, Turin, Italyc Department of Urology, University of Verona, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italyc Department of Urology, University of Verona, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italye Department of Urology, IRCCS Policlinico San Donato, Milan, Italyh Urology Department, University of Modena & Reggio Emilia, Modena, Italyd Urological Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italyf Department of Urology, Humanitas Gradenigo Hospital, Turin, Italya Department of Urology, AULSS7 Pedemontana, San Bassiano Hospital, Bassano del Grappa, ItalyAbstract. Background. The coronavirus disease (COVID-19) pandemic has posed challenges to the global health care community, affecting the management of upper urinary tract stones. Materials and methods. This retrospective study involved 9 Italian centers. We compared the 12-month period prior to COVID-19 (March 1, 2019, to February 28, 2020; Period A) with the COVID-19 period (March 1, 2020, to February 28, 2021, Period B). This study aimed to compare outcomes during Periods A and B, specifically focusing on the overall number of treatments, rate of urgent/elective cases, and operational complexity. Results. A total of 4018 procedures were collected, comprising 2176 procedures during Period A and 1842 during Period B, indicating a loss of 15.35% (p < 0.001). In the elective cases, 1622 procedures were conducted in Period A, compared with 1280 in Period B, representing a 21.09% reduction in cases (p = 0.001). All types of stone treatments were affected: extracorporeal shock wave lithotripsy (−29.37%, p = 0.001), percutaneous nephrolithotomy (−26.47%, p = 0.008), retrograde surgeries for renal stones (−10.63%, p = 0.008), and semirigid ureterolithotripsy (−24.86%, p = 0.008). Waiting lists experienced significant delays during Period B. The waiting time (WT) for elective procedures increased during Period B (p < 0.001). For ureteral stones, the mean WT in Period A was 61.44 days compared with 86.56 days in Period B (p = 0.008). The WT for renal stones increased from 64.96 days in Period A to 85.66 days in Period B for retrograde intrarenal surgery (p = 0.008) and from 96.9 days to 1103.9 days (p = 0.035) for percutaneous nephrolithotomy procedures. Conclusions. Our study demonstrates that COVID-19 significantly disrupted endourological services across the country. Our data underline how patients received treatment over a prolonged period, potentially increasing the risk of stone-related complications and patient discomfort.http://journals.lww.com/10.1097/CU9.0000000000000246 |
| spellingShingle | Giorgio Mazzon Stefania Ferretti Emanuele Serafin Francesco Claps Pietro Acquati Davide Brusa Federico Germinale Giuseppe Celentano Andrea Pescuma Andrea Vismara Fugini Davide Campobasso Umberto Maestroni Giovanni Costa Tonino Morena Flavia Di Marco Andrea Baudo Massimiliano Creta Nicola Pavan Marco Ticonosco Angelo Peroni Devis Collura Maria Angela Cerruto Alessandro Antonelli Luca Carmignani Salvatore Micali Carlo Trombetta Giovanni Muto Antonio Celia COVID-19 outbreak impact on urolithiasis treatments: A multicenter retrospective study across 9 urological centers in Italy Current Urology |
| title | COVID-19 outbreak impact on urolithiasis treatments: A multicenter retrospective study across 9 urological centers in Italy |
| title_full | COVID-19 outbreak impact on urolithiasis treatments: A multicenter retrospective study across 9 urological centers in Italy |
| title_fullStr | COVID-19 outbreak impact on urolithiasis treatments: A multicenter retrospective study across 9 urological centers in Italy |
| title_full_unstemmed | COVID-19 outbreak impact on urolithiasis treatments: A multicenter retrospective study across 9 urological centers in Italy |
| title_short | COVID-19 outbreak impact on urolithiasis treatments: A multicenter retrospective study across 9 urological centers in Italy |
| title_sort | covid 19 outbreak impact on urolithiasis treatments a multicenter retrospective study across 9 urological centers in italy |
| url | http://journals.lww.com/10.1097/CU9.0000000000000246 |
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