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Rev Assoc Med Bras (1992) · Jan 2022
Impact of ICU bed availability on ovarian cancer surgical hospitalization rates during the first wave of the coronavirus disease 2019 pandemic.
- Vinicius Cesar Moterani, Nino Jose Wilson Moterani Junior, Franklin Fernandes Pimentel, and Francisco Jose Candido Dos Reis.
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Department of Gynaecology and Obstetrics - Ribeirão Preto (SP), Brazil.
- Rev Assoc Med Bras (1992). 2022 Jan 1; 68 (11): 159315981593-1598.
ObjectivesThe coronavirus disease 2019 pandemic, which began in 2020, disrupted healthcare services. Reports of changes in surgical activities coincide with the outbreak period. We aimed to identify if changes could be determined in hospitalization rates of ovarian cancer patients from 2016 to 2020, comparing pre-pandemic and pandemic levels.MethodsAggregated data were obtained from the State of São Paulo Secretary of Health regarding ovarian cancer clinical and surgical hospitalization, both Coronavirus disease-specific ICU and infirmary bed occupation rates, average social distancing rates, coronavirus disease 2019 incidence, mortality, and lethality rates. We performed the joinpoint analysis to verify if there were changes regarding hospitalization rates during this period. We also calculated hospitalization rate ratios and tested if they were correlated with pandemic-related variables.ResultsHospitalization rates in the state fell, coinciding with the pandemic. Surgical hospitalization rate ratios were inversely correlated with Coronavirus disease-specific ICU bed occupation rates during the third trimester of 2020, with a Pearson's correlation coefficient of -0.50 (95%CI -0.78 to -0.05, p=0.03).ConclusionThese results demonstrate the impact of the coronavirus disease 2019 pandemic on the treatment of conditions that compete for the same healthcare resources.
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