Amir Ido, Golan Shay, Frumer Michael, Sternberg Itay A, Gildor Omri Schwarztuch, Hoffman Azik, Shashar Reut, Mano Roy, Savin Ziv, Haifler Miki, Zilberman Dorit E, Dotan Zohar A, Rosenzweig Barak
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.
Section of Urology, Rabin Medical Center, Petah Tikva 4941492, Israel.
J Clin Med. 2022 Nov 29;11(23):7071. doi: 10.3390/jcm11237071.
Initial deleterious effects of the COVID-19 pandemic on urologic oncology surgeries are well described, but the possible influence of vaccination efforts and those of pandemic conditions on surgical volumes is unclear. Our aim was to examine the association between changing vaccination status and COVID-19 burden throughout the pandemic and the volume of urologic oncology surgeries in Israel. This multi-center cross-sectional study included data collected from five tertiary centers between January 2019 and December 2021. All 7327 urologic oncology surgeries were included. Epidemiological data were obtained from the Israeli Ministry of Health database. A rising trend in total urologic oncology surgery volumes was observed with ensuing COVID-19 wave peaks over time (X2 = 13.184, = 3, = 0.004). Total monthly surgical volumes correlated with total monthly hospitalizations due to COVID-19 ( = -0.36, = 0.015), as well as with the monthly average Oxford Stringency Index ( = -0.31, = 0.035). The cumulative percent of vaccinations and of new COVID-19 cases per month did not correlate with total monthly urologic surgery volumes. Our study demonstrates the gradual acclimation of the Israeli healthcare system to the COVID-19 pandemic. However, hospitalizations due to COVID-19, as well as restriction stringency, correlate with lower volumes of urologic oncological surgeries, regardless of the population's vaccination status.
新冠疫情对泌尿外科肿瘤手术的初步有害影响已有详尽描述，但疫苗接种工作以及疫情状况对手术量可能产生的影响尚不清楚。我们的目的是研究在整个疫情期间，疫苗接种状态的变化、新冠负担与以色列泌尿外科肿瘤手术量之间的关联。这项多中心横断面研究纳入了2019年1月至2021年12月期间从五个三级中心收集的数据。共纳入了7327例泌尿外科肿瘤手术。流行病学数据取自以色列卫生部数据库。随着时间的推移，随着新冠疫情波峰的出现，泌尿外科肿瘤手术总量呈上升趋势（X2 = 13.184，自由度 = 3，P = 0.004）。每月手术总量与因新冠疫情导致的每月住院总数相关（r = -0.36，P = 0.015），也与每月平均牛津严格指数相关（r = -0.31，P = 0.035）。每月疫苗接种累积百分比和每月新增新冠病例数与每月泌尿外科手术总量无关。我们的研究表明，以色列医疗系统逐渐适应了新冠疫情。然而，无论人群的疫苗接种状态如何，因新冠疫情导致的住院人数以及限制的严格程度都与泌尿外科肿瘤手术量较低相关。
