Raheem Ali A. et al., 2021: Impact of COVID-19 on endourology surgical practice in Saudi Arabia: A national multicenter study.
Raheem Ali A, Ghazwani Y, Alowidah I, Azhar RA, Alomar M, Alzahrani A, Alsowayan O, Kamal W, Alalayet A, Bugis A, Althunayan AM, Alzahrani Tarek M, Fadaak K, Al-Solumany A, Hamri SB.
Urology Department, King Saud Medical City, Riyadh, Saudi Arabia.
Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Devision of Urology, King Abdullah International Medical Research Center, College of Medicine, King Abdulaziz Medical City, King Saud Bin Abdulaziz University for Health Science, Division of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Urology Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Surgery, College of Medicine, King Saud University and King Saud University Medical City, Riyadh, Saudi Arabia.
Urology Department, Price Sultan Military Medical City, Riyadh, Saudi Arabia.
Urology Department, King Fahd Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Urology Department, King Fahd Hospital, Jeddah, Saudi Arabia.
Objective: To identify the impact of COVID-19 on endourology surgical practice in Saudi Arabia.
Methods: A retrospective study of seven tertiary hospitals from January 2019 to April 2019, and from January 2020 to April 2020 was performed. Records of urology outpatient department (OPD) visits and endourology procedures in the first third of 2020 were analyzed and compared with those in the first third of 2019, as well as, during the full curfew time, i.e. April 2020 versus April 2019.
Results: Number of OPD visits in the first third of 2020 and 2019 were 19 499 and 26 594, respectively (p<0.001). Number of OPD visits in April 2020 was 1512, with a 78.6% decrease compared to that in April 2019, and among them 1373 (90.8%) were teleclinics. Number of elective procedures in the first third of 2020 has decreased by 34.3% (from 3025 to 1988) compared to that in the first third of 2019 (p<0.001). There were 120 elective procedures in April 2020, 84.1% lower than that in April 2019. Percutaneous nephrolithotomy, shockwave lithotripsy, and transurethral resection of prostate procedures declined by 94.2%, 98.5%, and 93.8%, respectively. Most procedures were performed as day surgery (85.0%). Number of emergency procedures in 2020 have fallen by 9.3% compared to 2019 (p=0.286). Urolithiasis was the commonest pathology (52.6%) presented to the emergency room (52.6%).
Conclusion: During COVID-19 pandemic, urology services slashed by >75%, including OPD visits and elective endourology procedures. Most hospitals have changed their strategic preventive measures by increasing the rate of teleclinics and day surgeries.
Asian J Urol. 2021 Oct;8(4):416-423. doi: 10.1016/j.ajur.2021.03.006. Epub 2021 Mar 26. PMID: 34765449. FREE ARTICLE
I hope that this (1) is not a must-read for autumn this year:
1 Heldwein FL, Loeb S, Wroclawski ML, Sridhar AN, Carneiro A, Lima FS, Teoh JY. A Systematic Review on Guidelines and Recommendations for Urology Standard of Care During the COVID-19 Pandemic. Eur Urol Focus. 2020 Sep 15;6(5):1070-1085. doi: 10.1016/j.euf.2020.05.020. Epub 2020 Jun 5. PMID: 32532703; PMCID: PMC7274599.
Free PMC article