Evidence map›Paper›PMID 34026658›Full record

ArticleFrontiers in oncology2021

Changes in Urologic Operative Practice at the Beginning of the COVID-19 Pandemic in a Large, National Cohort.

Patrick Lewicki, Camilo Arenas-Gallo, Spyridon P Basourakos, Nahid Punjani, Siv Venkat, Douglas S Scherr, Jim C Hu, Jonathan E Shoag

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 56% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Patrick LewickiDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY, United States.
Camilo Arenas-GalloDepartment of Urology, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, United States.
Spyridon P BasourakosDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY, United States.
Nahid PunjaniDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY, United States.
Siv VenkatDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY, United States.
Douglas S ScherrDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY, United States.
Jim C HuDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY, United States.
Jonathan E ShoagDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY, United States.
Presbyterian Hospital · USUniversity School · USNew York Hospital Queens · USNewYork–Presbyterian Hospital · USWeill Cornell Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze population-level changes in operative practice since the onset of the COVID-19 pandemic to contextualize observations made by individual practices and optimize future responses. MATERIALS AND

methodsThis US retrospective analysis used the Premier Perspectives Database. We investigated changes in operative volume through March 2020. Baseline operative volume for urologic surgery was calculated using data from the preceding 12 months and compared on a total and by procedure basis. Multivariable linear regression was used to identify hospital-level predictors of change in response to the pandemic.

resultsAt baseline, we captured 23,788 urologic procedural encounters per month as compared with 19,071 during March 2020- a 19.9% decrease. Urologic oncology-related cases were relatively preserved as compared to others (average change in March 2020: +1.1% versus -32.2%). Northeastern (β = -5.66, 95% confidence interval [CI]: -10.2 to -1.18, p = 0.013) and Midwestern hospitals (β = -4.17, 95% CI: -7.89 to -0.45, p = 0.027; both with South as reference region), and those with an increasing percentage of patients insured by Medicaid (β= -0.17 per percentage point, 95% CI: -0.33 to -0.01, p = 0.04) experienced a significantly larger decrease in volume.

conclusionsThere was a 20% decline in urologic operative volume in March 2020, compared with baseline, that preferentially affected hospitals serving Medicaid patients, and those in Northeast and Midwest. In the face of varying mandates on elective surgery, widespread declines in operative volume may also represent hesitancy on behalf of patients to interface with healthcare during the pandemic.

Indexed as

(MeSH): COVID-19oncologic urologysurgical proceduresurologic surgical proceduresurology

Identifiers

PMID34026658
PMCPMC8138038
OpenAlexW3159862242

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.