MP34-01 OUTCOMES FOLLOWING THE TRIAGE OF PATIENTS FOR UROLOGICAL CANCER AND NON-CANCER SURGERY DURING COVID-19 PANDEMIC PEAK

Abstract

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety II (MP34)1 Sep 2021MP34-01 OUTCOMES FOLLOWING THE TRIAGE OF PATIENTS FOR UROLOGICAL CANCER AND NON-CANCER SURGERY DURING COVID-19 PANDEMIC PEAK Matthieu Durand, Imad Bentellis, Brannwel Tibi, Aysha Shaikh, Adil Mellouki, Jean-Philippe Berthet, Kevin Legueult, Christian Pradier, Thierry Piche, Youness Ahallal, and Daniel Chevallier Matthieu DurandMatthieu Durand More articles by this author , Imad BentellisImad Bentellis More articles by this author , Brannwel TibiBrannwel Tibi More articles by this author , Aysha ShaikhAysha Shaikh More articles by this author , Adil MelloukiAdil Mellouki More articles by this author , Jean-Philippe BerthetJean-Philippe Berthet More articles by this author , Kevin LegueultKevin Legueult More articles by this author , Christian PradierChristian Pradier More articles by this author , Thierry PicheThierry Piche More articles by this author , Youness AhallalYouness Ahallal More articles by this author , and Daniel ChevallierDaniel Chevallier More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002043.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To assess clinical characteristics and surgical outcomes of triaged patients undergoing oncological and non-oncological surgery during the first wave of Covid-19 crisis. METHODS: We conducted a cohort-controled, non-randomized, study in a Covid-19 reference centre in south-eastern France. Participants were consecutive surgical patients after triage and application to prevent from Covid-19 (Tab1). Data were collected prospectively during the propagation period from March 15th to May1st and compared with control data from outside the Covid-19 period. Primary endpoint was intensive care unit (ICU) admissions for surgery-related complications. Rates of surgery-specific death, postponed operations, positive PCR testing and Clavien-Dindo complications were assessed. Cancer and non-cancer subgroups during Covid-19 were also compared. RESULTS: After triage, 96 of 142 elective surgeries were postponed. Altogether, 71 patients, median age 68 yo [56-75], sex ratio M/F of 4/1, had surgery, among whom, 48 (68%) had uro-oncological surgery (Tab 2). No patients developed Covid-19 pneumonia in the post-surgery period. Three (4%) were admitted to the ICU, one of whom died from multi-organ failure due to septic shock caused by klebsiella pneumonia following a delay in treatment. Three Covid-19 RT-PCR were done and all were negative. There was no difference in mortality rates or ICU admission rates between control and Covid-era patients (Tab 3). CONCLUSIONS: Surgery after triage during the Covid-19 pandemic was not associated with worse short-term outcomes. Urological cancers could be operated on safely in our context but delays in care for aggressive genitourinary diseases could be life-threatening. Altogether, two-thirds of elective surgeries were postponed and now need to be rescheduled, thus increasing the work-load in our centre. Source of Funding: This work has been supported by the French government, through the UCAJEDI Investments in the Future project managed by the National Research Agency (ANR) with the reference number ANR-15-IDEX-01 © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e616-e616 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Matthieu Durand More articles by this author Imad Bentellis More articles by this author Brannwel Tibi More articles by this author Aysha Shaikh More articles by this author Adil Mellouki More articles by this author Jean-Philippe Berthet More articles by this author Kevin Legueult More articles by this author Christian Pradier More articles by this author Thierry Piche More articles by this author Youness Ahallal More articles by this author Daniel Chevallier More articles by this author Expand All Advertisement PDF downloadLoading ...