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
Aoibhinn McDermottNiall Francis Davis

Abstract

The risk of acquiring perioperative SARS-CoV-2 infection is concerning for surgeons and patients. 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. 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. 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 ...Continue Reading

References

Mar 30, 2020·Annals of Surgery·Ali AminianConor P Delaney
Apr 14, 2020·European Urology·Kristian D StenslandDavid Canes
Apr 25, 2020·The New England Journal of Medicine·Enver AkalinMilan Kinkhabwala
May 20, 2020·European Urology·Aoibhinn McDermottNiall F Davis
May 20, 2020·Current Opinion in Urology·Thomas HughesBhaskar Kumar Somani

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Methods Mentioned

BETA
dissection
reverse-transcription PCR
biopsy

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