Evidence map›Paper›PMID 39485508›Full record

ArticleWorld journal of urology2024

Trend of ambulatory benign prostatic obstruction surgeries during COVID-19 pandemic.

Zhiyu Qian, Dejan Filipas, Edoardo Beatrici, Jamie Ye, Mansoo Cho, Filippo Dagnino, Hanna Zurl, Daniel Stelzl, David F Friedlander, Quoc-Dien Trinh and 3 more

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Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Zhiyu QianDepartment of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Dejan FilipasDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Edoardo BeatriciDepartment of Urology, Humanitas Clinical and Research Hospital, Milan, Italy.
Jamie YeCenter for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Mansoo ChoCenter for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Filippo DagninoDepartment of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Hanna ZurlDepartment of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Daniel StelzlDepartment of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
David F FriedlanderDepartment of Urology, University of North Carolina Medical Center, Chapel Hill, NC, USA.
Quoc-Dien TrinhDepartment of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Stuart R LipsitzCenter for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Alexander P ColeDepartment of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Lori B LernerDepartment of Surgery, VA Boston Healthcare System, West Roxbury, MA, USA. lerner_lori@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBenign prostatic obstruction (BPO) is one of the most common causes of male lower urinary tract symptoms. Some institutions routinely perform BPO surgeries in ambulatory setting, while others elect for overnight hospitalization. With the COVID-19 pandemic limiting resources and hospital space for elective surgery, we investigated the time trend of ambulatory BPO procedures performed around the COVID-19 outbreak.

methodsWe identified BPO surgeries from the California State Inpatient and State Ambulatory Surgery Databases between 2018 and 2020. Our primary outcome was the proportion of procedures performed in ambulatory settings with a length of stay of zero days. Univariable and multivariable analyses were performed to analyze factors associated with ambulatory surgery around the COVID-19 outbreak. Spline regression with a knot at the pandemic outbreak was performed to compare time trends pre- and post-pandemic.

resultsAmong 37,148 patients who underwent BPO procedures, 30,067 (80.9%) were ambulatory. Before COVID-19, 80.1% BPO procedures were performed ambulatory, which increased to 83.4% after COVID-19 outbreak (p < 0.001). In multivariable model, BPO procedures performed after COVID-19 outbreak were 1.26 times more likely to be ambulatory (OR 1.26, 95% CI 1.14-1.40, p < 0.0001). Spline curve analysis indicated significantly different trend of change pre- and post-pandemic (p = 0.006).

conclusionsWe observed a rising trend of BPO surgeries performed in ambulatory setting post-pandemic. It remains to be seen if the observed ambulatory transition remains as we continue to recover from the pandemic.

Indexed as

Ambulatory Surgical ProceduresCOVID-19Prostatic HyperplasiaAgedCaliforniaHumansMaleMiddle AgedPandemicsRetrospective StudiesUrologic Surgical Procedures, MaleAmbulatory surgeryBenign prostatic obstructionBladder outlet surgeryCOVID-19

Identifiers

PMID39485508

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