Article ; Online: A prospective study on the incidence of postponed time-sensitive urological procedures during the SARS-CoV-2 pandemic due to patient preference.
Irish journal of medical science
2020 Volume 190, Issue 3, Page(s) 919–923
Abstract: Background: The risk of acquiring perioperative SARS-CoV-2 infection is concerning for surgeons and patients.: Aims: In this study, we investigate the incidence of postponed, medically necessary, time-sensitive urological procedures due to a patient' ... ...
| Abstract | Background: The risk of acquiring perioperative SARS-CoV-2 infection is concerning for surgeons and patients. Aims: In this study, we investigate the incidence of postponed, medically necessary, time-sensitive urological procedures due to a patient's unwillingness to proceed to a recommended surgical intervention during the first phase of the SARS-CoV-2 pandemic. Methods: We prospectively monitored all patients undergoing elective urological surgery during the initial phase of the SARS-CoV-2 pandemic. The primary outcome measurement was incidence of postponed, medically necessary, urological procedures due to the patient's decision not to proceed to a recommended urological intervention (16th of March-5th of June 2020). The secondary outcome measurements were the type of delayed procedure and duration of postponement. Results: During the initial 12-week period of the SARS-CoV-2 pandemic, 155 elective urgent urological procedures were scheduled after pre-operative SARS-CoV-2 screening. In total, 140 procedures were performed and 15 (10%) patients intentionally delayed their urological procedure due to the perceived risk of acquiring nosocomial perioperative SARS-CoV-2 infection. The duration for procedural delays is currently 42 ± 23 (range: 15-80) days. The most frequently postponed procedures among patients unwilling to proceed to surgery are urgent endourological procedures due to symptomatic urolithiasis (n = 7/15). Conclusions: The incidence for patients postponing urological procedures due to the risk of acquiring nosocomial SARS-CoV-2 is 10%. Endourological procedures for urolithiasis are the most frequently postponed procedures by patients. This study demonstrates that a subset of patients will decline urgent urological surgery during the SARS-CoV-2 pandemic. |
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| MeSH term(s) | COVID-19 ; Elective Surgical Procedures ; Humans ; Incidence ; Pandemics ; Patient Preference ; Prospective Studies ; SARS-CoV-2 ; Time Factors ; Urologic Surgical Procedures |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-11-17 |
| Publishing country | Ireland |
| Document type | Journal Article |
| ZDB-ID | 390895-1 |
| ISSN | 1863-4362 ; 0021-1265 |
| ISSN (online) | 1863-4362 |
| ISSN | 0021-1265 |
| DOI | 10.1007/s11845-020-02438-6 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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