Impact of COVID-19 pandemic on ambulatory urologic oncology surgeries

Authors

Zhiyu Qian
Jamie Ye
David F. Friedlander
Mara Koelker
Muhieddine Labban
Bjoern Langbein
Cheryl Chang-Rong Chen
Mark A Preston
Timothy Clinton
Matthew Mossanen
Firas Abdollah, Henry Ford HealthFollow
Stuart R. Lipsitz
Adam S. Kibel
Quoc-Dien Trinh
Alexander P. Cole

Recommended Citation

Qian Z, Ye J, Friedlander DF, Koelker M, Labban M, Langbein B, Chen CC, Preston MA, Clinton T, Mossanen M, Abdullah F, Lipsitz SR, Kibel AS, Trinh QD, and Cole AP. Impact of COVID-19 pandemic on ambulatory urologic oncology surgeries. Can J Urol 2023; 30(6):11714-11723.

Document Type

Article

Publication Date

12-1-2023

Publication Title

The Canadian journal of urology

Abstract

INTRODUCTION: Robot-assisted laparoscopic prostatectomy (RALP) and transurethral resection of bladder tumor (TURBT) are two common surgeries for prostate and bladder cancer. We aim to assess the trends in the site of care for RALP and TURBT before and after the COVID outbreak.

MATERIALS AND METHODS: We identified adults who underwent RALP and TURBT within the California Healthcare Cost and Utilization Project State Inpatient Database and the State Ambulatory Surgery Database between 2018 and 2020. Multivariable analysis and spline analysis with a knot at COVID outbreak were performed to investigate the time trend and factors associated with ambulatory RALP and TURBT.

RESULTS: Among 17,386 RALPs, 6,774 (39.0%) were ambulatory. Among 25,070 TURBTs, 21,573 (86.0%) were ambulatory. Pre-COVID, 33.5% of RALP and 85.3% and TURBT were ambulatory, which increased to 53.8% and 88.0% post-COVID (both p < 0.001). In multivariable model, RALP and TURBT performed after outbreak in March 2020 were more likely ambulatory (OR 2.31, p < 0.0001; OR 1.25, p < 0.0001). There was an overall increasing trend in use of ambulatory RALP both pre- and post-COVID, with no significant change of trend at the time of outbreak (p = 0.642). TURBT exhibited an increased shift towards ambulatory sites post-COVID (p < 0.0001).

CONCLUSIONS: We found a shift towards ambulatory RALP and TURBT following COVID outbreak. There was a large increase in ambulatory RALP post-COVID, but the trend of change was not significantly different pre- and post-COVID - possibly due to a pre-existing trend towards ambulatory RALP which predated the pandemic.

Medical Subject Headings

Male; Adult; Humans; Pandemics; Prostatectomy; Prostatic Neoplasms; Ambulatory Surgical Procedures; COVID-19; Laparoscopy; Urinary Bladder Neoplasms

PubMed ID

38104328

Volume

30

Issue

6

First Page

11714

Last Page

11723