Evidence map›Paper›PMID 41971148›Full record

ArticleBJUI compass2026

Impact of delayed elective urological surgery: A prospective observational study.

Iva Simunovic, Hanna Zurl, Julia Altziebler, Conrad Leitsmann, Lukas Scheipner, Johannes Mischinger, Anna Mangge, Klara Pohl, Almut Frank, Alexandra Weiss and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJUI compass, 2026. 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
–field-weighted citation impact
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. 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

13 authors.

Iva SimunovicDepartment of Urology, University Hospital Graz Medical University of Graz Graz Austria.
Hanna ZurlDepartment of Urology, University Hospital Graz Medical University of Graz Graz Austria.
Julia AltzieblerDepartment of Urology, University Hospital Graz Medical University of Graz Graz Austria.
Conrad LeitsmannDepartment of Urology, University Hospital Graz Medical University of Graz Graz Austria.
Lukas ScheipnerDepartment of Urology, University Hospital Graz Medical University of Graz Graz Austria.
Johannes MischingerDepartment of Urology, University Hospital Graz Medical University of Graz Graz Austria.
Anna ManggeDepartment of Urology, University Hospital Graz Medical University of Graz Graz Austria.
Klara PohlDepartment of Urology, University Hospital Graz Medical University of Graz Graz Austria.ORCID https://orcid.org/0009-0001-6740-4005
Almut FrankMedizinische Versorgungsplanung, University Hospital Graz Graz Austria.
Alexandra WeissDepartment of Medical Psychology, University Hospital Graz Graz Austria.
Gerhard BachmaierInstitute for Medical Informatics, Statistics and Documentation Medical University of Graz Graz Austria.
Sascha AhyaiDepartment of Urology, University Hospital Graz Medical University of Graz Graz Austria.
Marianne LeitsmannDepartment of Urology, University Hospital Graz Medical University of Graz Graz Austria.ORCID https://orcid.org/0000-0002-4605-2020

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aimed to evaluate the psychological and physical impact of delayed elective urological surgeries, as limited surgical capacity has led to frequent cancellations and prolonged waiting times. Patients and Methods: Between July 2023 and September 2025, patients admitted for elective surgery completed questionnaires including the NCCN Distress Thermometer, Severity Symptom Scale (SSS), PROMIS-10 and items on delay-related complications. Primary outcomes were psychological distress (NCCN ≥4), symptom burden (SSS ≥ 3) and PROMIS-10 Global Health T-scores. Results: A total of 488 patients were analysed: 183 (37.5%) with confirmed/suspected oncological diagnoses and 304 (62.3%) non-oncological. Surgery was postponed in 51% of cases. Mean waiting time was 23.9 weeks (SD ± 19.6), longer for postponed patients (31.8 vs. 15.5 weeks; Conclusion: Prolonged waiting times and surgical postponements contribute to physical complaints and psychological distress. Persistent nursing shortages constrain capacity, emphasizing the need for long-term structural planning. Strengthening resources while maintaining patient-centred care is essential to prevent avoidable harm in elective urological surgery.

Indexed as

burdencomplicationselective surgerymental healthpostponementwaiting times

Identifiers

PMID41971148
PMCPMC13069355

What OpenQuestion holds

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Registered trials

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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.