Impact of COVID-19 pandemic on prostate cancer outcomes at an uro-oncology referral center
To evaluate the possible effects of the coronavirus disease 2019 (COVID-19) pandemic on the oncologic results of patients with prostate cancer regarding clinical staging, presence of adverse pathological outcomes, and perioperative complications. This retrospective study included patients who underw...
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Published in | International Brazilian Journal of Urology Vol. 49; no. 2; pp. 233 - 242 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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Sociedade Brasileira de Urologia
01.04.2023
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Abstract | To evaluate the possible effects of the coronavirus disease 2019 (COVID-19) pandemic on the oncologic results of patients with prostate cancer regarding clinical staging, presence of adverse pathological outcomes, and perioperative complications.
This retrospective study included patients who underwent radical prostatectomy. The time between biopsy and surgery, staging tests, final histopathological evaluation after surgery, lymphadenectomy rate, postoperative complications, and prostatic specific antigen (PSA) levels (initial and 30 days after surgery) were analyzed and compared in a group of patients before and during the pandemic period.
We included 226 patients: 88 in the pre-pandemic period and 138 during the pandemic period. There was no statistically significant difference in mean age, body mass index, ASA, pathological locally advanced disease, the proportion of patients who underwent lymphadenectomy, and ISUP grade in the biopsy between the groups. Positive surgical margins, prostatic extracapsular extension, and PSA levels at 30 days were also similar between the groups. The mean time between medical consultation and surgery was longer in the pandemic period than in the pre-pandemic (124 vs. 107 days, p<0.001), and the mean time between biopsy and medical consultation (69.5 days vs. 114 days, p<0.001) and between biopsy and surgery (198.5 days vs. 228 days, p=0.013) was shorter during the pandemic. The incidence of severe early and late perioperative complications was similar between the periods.
There was no delay between diagnosis and treatment at our institution during the COVID-19 pandemic period. No worsening of the prostate cancer features was observed. |
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AbstractList | ABSTRACT Introduction To evaluate the possible effects of the coronavirus disease 2019 (COVID-19) pandemic on the oncologic results of patients with prostate cancer regarding clinical staging, presence of adverse pathological outcomes, and perioperative complications. Materials and methods This retrospective study included patients who underwent radical prostatectomy. The time between biopsy and surgery, staging tests, final histopathological evaluation after surgery, lymphadenectomy rate, postoperative complications, and prostatic specific antigen (PSA) levels (initial and 30 days after surgery) were analyzed and compared in a group of patients before and during the pandemic period. Results We included 226 patients: 88 in the pre-pandemic period and 138 during the pandemic period. There was no statistically significant difference in mean age, body mass index, ASA, pathological locally advanced disease, the proportion of patients who underwent lymphadenectomy, and ISUP grade in the biopsy between the groups. Positive surgical margins, prostatic extracapsular extension, and PSA levels at 30 days were also similar between the groups. The mean time between medical consultation and surgery was longer in the pandemic period than in the pre-pandemic (124 vs. 107 days, p<0.001), and the mean time between biopsy and medical consultation (69.5 days vs. 114 days, p<0.001) and between biopsy and surgery (198.5 days vs. 228 days, p=0.013) was shorter during the pandemic. The incidence of severe early and late perioperative complications was similar between the periods. Conclusions There was no delay between diagnosis and treatment at our institution during the COVID-19 pandemic period. No worsening of the prostate cancer features was observed. To evaluate the possible effects of the coronavirus disease 2019 (COVID-19) pandemic on the oncologic results of patients with prostate cancer regarding clinical staging, presence of adverse pathological outcomes, and perioperative complications. This retrospective study included patients who underwent radical prostatectomy. The time between biopsy and surgery, staging tests, final histopathological evaluation after surgery, lymphadenectomy rate, postoperative complications, and prostatic specific antigen (PSA) levels (initial and 30 days after surgery) were analyzed and compared in a group of patients before and during the pandemic period. We included 226 patients: 88 in the pre-pandemic period and 138 during the pandemic period. There was no statistically significant difference in mean age, body mass index, ASA, pathological locally advanced disease, the proportion of patients who underwent lymphadenectomy, and ISUP grade in the biopsy between the groups. Positive surgical margins, prostatic extracapsular extension, and PSA levels at 30 days were also similar between the groups. The mean time between medical consultation and surgery was longer in the pandemic period than in the pre-pandemic (124 vs. 107 days, p<0.001), and the mean time between biopsy and medical consultation (69.5 days vs. 114 days, p<0.001) and between biopsy and surgery (198.5 days vs. 228 days, p=0.013) was shorter during the pandemic. The incidence of severe early and late perioperative complications was similar between the periods. There was no delay between diagnosis and treatment at our institution during the COVID-19 pandemic period. No worsening of the prostate cancer features was observed. |
Author | da Silva, Rafael Benjamim Rosa Bezerra, Murilo Borges Carneiro, Arie Baccaglini, Willy Lemos, Gustavo Caserta Dos Santos, Gabriela Guimarães Rodrigues Bianco, Bianca Andrade, Guilherme Miranda Kayano, Paulo Priante Sesconetto, Lucas |
AuthorAffiliation | 2 Faculdade Israelita de Ciências da Saúde Albert Einstein São Paulo SP Brasil Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, SP, Brasil 1 Departamento de Urologia Hospital Israelita Albert Einstein São Paulo SP Brasil Departamento de Urologia, Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brasil |
AuthorAffiliation_xml | – name: 2 Faculdade Israelita de Ciências da Saúde Albert Einstein São Paulo SP Brasil Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, SP, Brasil – name: 1 Departamento de Urologia Hospital Israelita Albert Einstein São Paulo SP Brasil Departamento de Urologia, Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brasil |
Author_xml | – sequence: 1 givenname: Guilherme Miranda surname: Andrade fullname: Andrade, Guilherme Miranda organization: Departamento de Urologia, Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brasil – sequence: 2 givenname: Lucas surname: Sesconetto fullname: Sesconetto, Lucas organization: Departamento de Urologia, Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brasil – sequence: 3 givenname: Rafael Benjamim Rosa surname: da Silva fullname: da Silva, Rafael Benjamim Rosa organization: Departamento de Urologia, Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brasil – sequence: 4 givenname: Gabriela Guimarães Rodrigues surname: Dos Santos fullname: Dos Santos, Gabriela Guimarães Rodrigues organization: Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, SP, Brasil – sequence: 5 givenname: Paulo Priante surname: Kayano fullname: Kayano, Paulo Priante organization: Departamento de Urologia, Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brasil – sequence: 6 givenname: Willy surname: Baccaglini fullname: Baccaglini, Willy organization: Departamento de Urologia, Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brasil – sequence: 7 givenname: Murilo Borges surname: Bezerra fullname: Bezerra, Murilo Borges organization: Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, SP, Brasil – sequence: 8 givenname: Bianca surname: Bianco fullname: Bianco, Bianca organization: Departamento de Urologia, Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brasil – sequence: 9 givenname: Gustavo Caserta surname: Lemos fullname: Lemos, Gustavo Caserta organization: Departamento de Urologia, Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brasil – sequence: 10 givenname: Arie surname: Carneiro fullname: Carneiro, Arie organization: Departamento de Urologia, Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brasil |
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Keywords | COVID-19 Prostatic Neoplasms Prostatectomy |
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Snippet | To evaluate the possible effects of the coronavirus disease 2019 (COVID-19) pandemic on the oncologic results of patients with prostate cancer regarding... ABSTRACT Introduction To evaluate the possible effects of the coronavirus disease 2019 (COVID-19) pandemic on the oncologic results of patients with prostate... |
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SubjectTerms | COVID-19 COVID-19 - pathology Humans Male Neoplasm Staging Original Pandemics Prostate-Specific Antigen Prostatectomy Prostatectomy - methods Prostatic Neoplasms Prostatic Neoplasms - pathology Retrospective Studies |
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Title | Impact of COVID-19 pandemic on prostate cancer outcomes at an uro-oncology referral center |
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