• Arch Med Sci · Jan 2023

    Not as black as it is painted? The impact of the first wave of COVID-19 pandemic on surgical treatment of urological cancer patients in Poland - a cross-country experience.

    • Piotr Zapała, Aleksander Ślusarczyk, Paweł Rajwa, Mikołaj Przydacz, Wojciech Krajewski, Bartosz Dybowski, Przemysław Kubik, Błażej Kuffel, Maciej Przudzik, Rafał Osiecki, Remigiusz Stamirowski, Łukasz Zapała, Mieszko Kozikowski, Dominik Chorągwicki, Magdalena Szymańska, Paweł Kiełb, Bartosz Małkiewicz, Jacek Zostawa, Marek Roslan, Joanna Zajączkowska, Marcin Jarzemski, Bartosz Brzoszczyk, Piotr Petrasz, Piotr Jarzemski, Romuald Zdrojowy, Jakub Dobruch, Andrzej Paradysz, Tomasz Drewa, Piotr Chłosta, and Piotr Radziszewski.
    • Department of General, Oncological and Functional Urology, Medical University of Warsaw, Warsaw, Poland.
    • Arch Med Sci. 2023 Jan 1; 19 (1): 107115107-115.

    IntroductionIn the majority of Western European countries, the coronavirus disease (COVID-19) pandemic has led to a dramatic reduction in urooncological surgeries. Our objective was to evaluate the impact of the pandemic on volume and patterns of urooncological surgery in Poland.Material And MethodsThis is a retrospective analysis of 10 urologic centres in Poland. Data regarding major oncological procedures performed after the COVID-19 pandemic outbreak (March 15, 2020 - May 31, 2020) were evaluated and compared with data from the respective period in 2019.ResultsBetween March 15, 2020 and May 31, 2020, a total of 968 oncological procedures were performed in participating centres. When compared to the respective period in 2019 (1063 procedures) the overall number of surgeries declined by 8.9%. The reduction was observed for transurethral resection of bladder tumour (TURBT) (20.1%) and partial nephrectomies (PN) (16.5%). Surgical activity considering radical nephrectomy (RN), nephroureterectomy (NU), and radical prostatectomy (RP) remained relatively unchanged, whereas radical cystectomy (RC) burden showed a significant increase (90.9%). Characteristics of patients treated with TURBT, RC, NU, PN, and RN did not differ significantly between the compared periods, whereas RP in the COVID-19 period was performed more frequently in patients with a higher grade group (p = 0.028) and positive digital rectal examination (p = 0.007).ConclusionsSurgical activity for urological cancers in Poland has been maintained during the first wave of the COVID-19 pandemic. The Polish strategy in the initial period of the COVID-19 crisis mirrors the scenario of hard initial lockdown followed by adaptive lockdown, during which oncological care remained undisrupted and did not require particular priority triage.Copyright: © 2020 Termedia & Banach.

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