COVID-19 大流行对法国功能泌尿科手术的影响：一项前瞻性研究。
Impact of COVID-19 pandemic on functional urology procedures in France: a prospective study.
机构信息
Department of Urology, Sorbonne Université, Assistance Publique - Hôpitaux de Paris (AP-HP), Pitié-Salpêtrière Academic Hospital, 47-83 boulevard de l'hôpital, 75013, Paris, France.
Department of Urology, Centre Hospitalier Universitaire de Bordeaux, Université de Bordeaux, Bordeaux, France.
出版信息
World J Urol. 2022 Jan;40(1):277-282. doi: 10.1007/s00345-021-03821-3. Epub 2021 Sep 2.
PURPOSE
To evaluate the impact of COVID-19 pandemic on functional urology procedures in France.
METHODS
A prospective study was conducted within 11 secondary and tertiary referral centers in France. Patients aged > 18 years who were diagnosed with a functional urology disease before the national lockdown (March 17th, 2020) and who required a surgery were included. Study period went from March 17th to September 30th 2020. The included interventions were listed according to the guidelines for functional urology enacted by the French Association of Urology and delay of reoperation was compared to the guidelines' delay. The primary outcome was the number of procedures left unscheduled at the end of the study period. Descriptive statistics were performed.
RESULTS
From March 17th 2020 to September 3 rd 2020, 1246 patients with a previous diagnosis of a functional urological disease requiring a surgery were included. The mean follow-up was 140.4 days (± 53.4). Overall, 316 interventions (25.4%) were maintained whereas 74 (5.9%) were canceled, 848 (68.1%) postponed and 8 patients (0.6%) died. At the end of the follow-up, 184 patients (21.7%) were still not rescheduled. If the intervention was postponed, the mean delay between the initial and final date was 85.7 days (± 64.4).
CONCLUSION
Overall, more than two thirds of interventions had to be postponed and the mean delay between the initial and final date was about three months.
目的
评估 COVID-19 大流行对法国功能泌尿科手术的影响。
方法
在法国的 11 家二级和三级转诊中心进行了一项前瞻性研究。纳入标准为：年龄>18 岁、在国家封锁（2020 年 3 月 17 日）前被诊断为功能性泌尿科疾病且需要手术的患者。研究期间为 2020 年 3 月 17 日至 9 月 30 日。根据法国泌尿科协会颁布的功能性泌尿科指南列出纳入的干预措施，并比较了再次手术的延迟与指南的延迟。主要结局是研究期末未安排的手术数量。采用描述性统计。
结果
从 2020 年 3 月 17 日至 9 月 3 日，共有 1246 名患有需要手术的功能性泌尿科疾病的患者被纳入研究。平均随访时间为 140.4 天（±53.4）。总体而言，维持了 316 项干预措施（25.4%），取消了 74 项（5.9%），推迟了 848 项（68.1%），8 名患者（0.6%）死亡。随访结束时，仍有 184 名患者（21.7%）未再次安排手术。如果干预措施被推迟，最初和最终日期之间的平均延迟为 85.7 天（±64.4）。
结论
总体而言，超过三分之二的手术需要推迟，最初和最终日期之间的平均延迟约为三个月。
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