Maccagnano Carmen, Rocchini Lorenzo, Montanari Emanuele, Conti Giario Natale, Petralia Giovanni, Dehò Federico, Bryan Kadi-Ann, Contieri Roberto, Hurle Rodolfo
Department of Surgery, Section of Urology, ASST Lariana, Nuovo Ospedale Sant'Anna, San Fermo della Battaglia (CO).
Department of Surgery, Division of Urology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan.
Arch Ital Urol Androl. 2020 Dec 17;92(4). doi: 10.4081/aiua.2020.4.275.
Overview of bladder cancer (BC) management in Italy during the first month of the COVID-19 pandemic (March 2020) with head to head comparison of the data from March 2019, considered "usual activity" period. The aim is to analyze performance of different Italian Centers in North, Center and South, with a special eye for Lombardy (the Italian epicenter).
During April 2020, a survey containing 14 multiple-choice questions focused on general staffing and surgical activity related to BC during the months of March 2019 and March 2020 was sent to 32 Italian Centers. Statistical analysis was performed using IBM SPSS Statistics (v26) software. A Medline search was performed, in order to attempt a comparative analysis with published papers.
28 Centers answered, for a response rate of 87.5%. Most of the urology staff in the Lombardy region were employed in COVID wards (p = 0.003), with a statistically significant reduction in the number of radical cystectomies (RC) performed during that time (p = 0.036). The total amount of RC across Italy remained the same between 2019 and 2020, however there was an increase in the number of surgeries performed in the Southern region. This was most likely due to travel restrictions limiting travel the North. The number of Trans-Urethral Resection of Bladder Tumors (TURBT) (p = 0.046) was higher in Academic Centers (AC) in 2020 (p = 0.037).
The data of our survey, although limited, represents a snap shot of the management of BC during the first month of the COVD-19 pandemic, which posed a major challenge for cancer centers seeking to provide care during an extremely dynamic clinical and political situation which requires maximum flexibility to be appropriately managed.
概述意大利在2019年冠状病毒病（COVID-19）大流行的第一个月（2020年3月）膀胱癌（BC）的管理情况，并将其与2019年3月的数据进行直接比较，2019年3月被视为“正常活动”时期。目的是分析意大利北部、中部和南部不同中心的表现，特别关注伦巴第地区（意大利疫情中心）。
2020年4月，向32个意大利中心发送了一份包含14个多项选择题的调查问卷，重点关注2019年3月和2020年3月与膀胱癌相关的一般人员配备和手术活动。使用IBM SPSS Statistics（v26）软件进行统计分析。进行了医学文献数据库（Medline）检索，以便尝试与已发表的论文进行比较分析。
28个中心回复，回复率为87.5%。伦巴第地区的大多数泌尿外科工作人员被分配到COVID病房（p = 0.003），在此期间进行的根治性膀胱切除术（RC）数量有统计学意义的减少（p = 0.036）。2019年至2020年期间，意大利全国的RC总量保持不变，然而南部地区进行的手术数量有所增加。这很可能是由于旅行限制限制了前往北部的行程。2020年学术中心（AC）的经尿道膀胱肿瘤切除术（TURBT）数量更高（p = 0.046）（p = 0.037）。
我们的调查数据虽然有限，但反映了COVID-19大流行第一个月膀胱癌的管理情况，这对癌症中心在极其动态的临床和政治形势下寻求提供护理构成了重大挑战，这种形势需要最大程度的灵活性才能得到妥善管理。
