Evidence map›Paper›PMID 34850270›Full record

ArticleWorld journal of urology2022

Impact of COVID-19 crisis on medical care of patients with metastasized uro-oncologic disease under systemic cancer therapy: a multicenter study in German university hospitals.

Julian P Struck, Maike Schnoor, Andrea Schulze, Marie C Hupe, Tomasz Ozimek, Immanuel A Oppolzer, Marco J Schnabel, Maximilian Burger, Christopher Darr, Viktor Gruenwald and 9 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Impact of the COVID-19 pandemic on oncological care in Germany: rapid review.Journal of cancer research and clinical oncology · 2023
    Review
  2. 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

19 authors at 6 institutions in 1 country.

Julian P StruckDepartment of Urology, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany. julian.struck@uksh.de.ORCID http://orcid.org/0000-0002-5801-7433
Maike SchnoorDepartment of Social Medicine and Epidemiology and Department of Cancer Epidemiology, University of Luebeck, Ratzeburger Allee 160, 23562, Luebeck, Germany.
Andrea SchulzeDepartment of Urology, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.
Marie C HupeDepartment of Urology, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.
Tomasz OzimekDepartment of Urology, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.
Immanuel A OppolzerDepartment of Urology, University Hospital of Regensburg, Landshuter Straße 65, 93053, Regensburg, Germany.
Marco J SchnabelDepartment of Urology, University Hospital of Regensburg, Landshuter Straße 65, 93053, Regensburg, Germany.
Maximilian BurgerDepartment of Urology, University Hospital of Regensburg, Landshuter Straße 65, 93053, Regensburg, Germany.
Christopher DarrDepartment of Urology, Pediatric Urology and Uro-Oncology, University Hospital of Essen, Hufelandstraße 55, 45147, Essen, Germany.
Viktor GruenwaldDepartment of Urology, Pediatric Urology and Uro-Oncology, University Hospital of Essen, Hufelandstraße 55, 45147, Essen, Germany.
Boris HadaschikDepartment of Urology, Pediatric Urology and Uro-Oncology, University Hospital of Essen, Hufelandstraße 55, 45147, Essen, Germany.
Maximilian WeinkeDepartment of Urology and Pediatric Urology, University Hospital of Wuerzburg, Oberduerrbacher Straße 6, 97080, Wuerzburg, Germany.
Hubert KueblerDepartment of Urology and Pediatric Urology, University Hospital of Wuerzburg, Oberduerrbacher Straße 6, 97080, Wuerzburg, Germany.
Jonas C KlockenbuschDepartment of Urology, University Hospital of Freiburg, Hugstetterstraße 55, 79106, Freiburg im Breisgau, Germany.
Markus T GrabbertDepartment of Urology, University Hospital of Freiburg, Hugstetterstraße 55, 79106, Freiburg im Breisgau, Germany.
Christian GratzkeDepartment of Urology, University Hospital of Freiburg, Hugstetterstraße 55, 79106, Freiburg im Breisgau, Germany.
Mario W KramerDepartment of Urology, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.
Alexander KatalinicDepartment of Social Medicine and Epidemiology and Department of Cancer Epidemiology, University of Luebeck, Ratzeburger Allee 160, 23562, Luebeck, Germany.
Axel S MerseburgerDepartment of Urology, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.
University Hospital Schleswig-Holstein · DEEssen University Hospital · DEUniversity Hospital Regensburg · DEUniversity Medical Center Freiburg · DEUniversitätsklinikum Würzburg · DEUniversity of Lübeck · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo date, over 4.2 million Germans and over 235 million people worldwide have been infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Uro-oncology (UO) patients are particularly vulnerable but in urgent need of life-saving systemic treatments. Our multicentric study examined the impact of the COVID-19 crisis on the medical care of UO patients in German university hospitals receiving ongoing systemic anti-cancer treatment and to detect the delay of medical care, defined as deferred medical treatment or deviation of the pre-defined follow-up assessment.

methodsData of 162 UO patients with metastatic disease undergoing systemic cancer treatment at five university hospitals in Germany were included in our analyses. The focus of interest was any delay or change in treatment between February 2020 and May 2020 (first wave of the COVID-19 crisis in Germany). Statistical analysis of contingency tables were performed using Pearson's chi-squared and Fisher's exact tests, respectively. Effect size was determined using Cramér's V (V).

resultsTwenty-four of the 162 patients (14.8%) experienced a delay in systemic treatment of more than 2 weeks. Most of these received immuno-oncologic (IO) treatments (13/24, 54.2%, p = 0.746). Blood tests were delayed or canceled significantly more often in IO patients but with a small effect size (21.1%, p = 0.042, V = 0.230). Treatment of patients with renal cell carcinoma (12/73, 16.4%) and urothelial carcinoma (7/32, 21.9%) was affected the most.

conclusionsOur data show that the COVID-19 pandemic impacted the medical care of UO patients, but deferment remained modest. There was a tendency towards delays in IO and ADT treatments in particular.

Indexed as

Carcinoma, Transitional CellCOVID-19Urinary Bladder NeoplasmsHospitals, UniversityHumansPandemicsSARS-CoV-2COVID-19COVID19Medical carePandemicSARS-CoV-2Uro-oncology

Identifiers

PMID34850270
PMCPMC8631559
OpenAlexW3217551262

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.