Nation-wide analysis of the impact of Covid-19 pandemic on daily urology practice in Turkey
Corresponding Author
Ozan Bozkurt
Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
Correspondence
Ozan Bozkurt, Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey.
Email: [email protected]
Search for more papers by this authorVolkan Sen
Department of Urology, Manisa City Hospital, Manisa, Turkey
Search for more papers by this authorBora Irer
Department of Urology, Izmir Metropolitan Municipality Esrefpasa Hospital, Izmir, Turkey
Search for more papers by this authorLevent Sagnak
Department of Urology, Health Sciences University Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
Search for more papers by this authorBulent Onal
Department of Urology, Istanbul University Cerrahpasa School of Medicine, Istanbul, Turkey
Search for more papers by this authorYiloren Tanidir
Department of Urology, Marmara University School of Medicine, Istanbul, Turkey
Search for more papers by this authorEmre Karabay
Department of Urology, Health Sciences University Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey
Search for more papers by this authorCoskun Kaya
Department of Urology, Eskisehir City Hospital, Eskisehir, Turkey
Search for more papers by this authorErman Ceyhan
Department of Urology, Baskent University Konya Hospital, Konya, Turkey
Search for more papers by this authorAykut Baser
Department of Urology, Hitit University School of Medicine, Corum, Turkey
Search for more papers by this authorMesut Berkan Duran
Department of Urology, Samsun Training and Research Hospital, Samsun, Turkey
Search for more papers by this authorEvren Suer
Department of Urology, Ankara University School of Medicine, Ankara, Turkey
Search for more papers by this authorIlker Celen
Department of Urology, Merkezefendi State Hospital, Manisa, Turkey
Search for more papers by this authorIsmail Selvi
Department of Urology, Karabuk University School of Medicine, Karabuk, Turkey
Search for more papers by this authorOktay Ucer
Department of Urology, Celal Bayar University School of Medicine, Manisa, Turkey
Search for more papers by this authorSedat Karakoc
Department of Urology, Van Training and Research Hospital, Van, Turkey
Search for more papers by this authorEge Sarikaya
Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
Search for more papers by this authorEnder Ozden
Department of Urology, Ondokuz Mayis University School of Medicine, Samsun, Turkey
Search for more papers by this authorDogan Deger
Department of Urology, Trakya University School of Medicine, Edirne, Turkey
Search for more papers by this authorSedat Egriboyun
Department of Urology, Odemis State Hospital, Izmir, Turkey
Search for more papers by this authorSakir Ongun
Department of Urology, Balikesir University School Medicine, Balikesir, Turkey
Search for more papers by this authorOzgur Gurboga
Department of Urology, Tunceli State Hospital, Tunceli, Turkey
Search for more papers by this authorMehmet Kazim Asutay
Department of Urology, Sanliurfa Training and Research Hospital, Sanliurfa, Turkey
Search for more papers by this authorIlke Onur Kazaz
Department of Urology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
Search for more papers by this authorIsmail Onder Yilmaz
Department of Urology, Selahattin Eyubi State Hospital, Diyarbakir, Turkey
Search for more papers by this authorErdem Kisa
Department of Urology, Health Sciences University, Izmir Tepecik Training and Research Hospital, Izmir, Turkey
Search for more papers by this authorEngin Denizhan Demirkiran
Department of Urology, Zonguldak Ataturk State Hospital, Zonguldak, Turkey
Search for more papers by this authorOzan Horsanali
Department of Urology, Cigli Regional Training Hospital, Izmir, Turkey
Search for more papers by this authorIlker Akarken
Department of Urology, Mugla Sitki Kocman University School of Medicine, Mugla, Turkey
Search for more papers by this authorOnur Kizer
Department of Urology, Medifema Hospital, Izmir, Turkey
Search for more papers by this authorHuseyin Eren
Department of Urology, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey
Search for more papers by this authorMurat Ucar
Department of Urology, Alanya Alaaddin Keykubat University School of Medicine, Antalya, Turkey
Search for more papers by this authorOguz Ozden Cebeci
Department of Urology, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey
Search for more papers by this authorFuat Kizilay
Department of Urology, Ege University School of Medicine, Izmir, Turkey
Search for more papers by this authorKaan Comez
Department of Urology, Burdur State Hospital, Burdur, Turkey
Search for more papers by this authorMehmet Necmettin Mercimek
Department of Urology, Samsun Liv Hospital, Samsun, Turkey
Search for more papers by this authorMehmet Serkan Ozkent
Department of Urology, Konya Education and Research Hospital, Health Sciences University, Konya, Turkey
Search for more papers by this authorVolkan Izol
Department of Urology, Cukurova University School of Medicine, Adana, Turkey
Search for more papers by this authorAhmet Gudeloglu
Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey
Search for more papers by this authorBilgin Ozturk
Department of Urology, Izmir Can Hospital, Izmir, Turkey
Search for more papers by this authorKaan Turker Akbaba
Department of Urology, Torbali State Hospital, Izmir, Turkey
Search for more papers by this authorSalih Polat
Department of Urology, Amasya University School of Medicine, Amasya, Turkey
Search for more papers by this authorAdnan Gucuk
Department of Urology, Bolu Abant Izzet, Baysal University School of Medicine, Bolu, Turkey
Search for more papers by this authorAvni Ziyan
Department of Urology, Bergama Dr. Faruk Ilker State Hospital, Izmir, Turkey
Search for more papers by this authorBerin Selcuk
Department of Urology, Igdir State Hospital, Igdir, Turkey
Search for more papers by this authorFirat Akdeniz
Department of Urology, Trabzon 7M Hospital, Trabzon, Turkey
Search for more papers by this authorHasan Turgut
Department of Urology, Medical Park, Trabzon Karadeniz Hospital, Trabzon, Turkey
Search for more papers by this authorKubilay Sabuncu
Department of Urology, Karacabey State Hospital, Bursa, Turkey
Search for more papers by this authorOnur Kaygisiz
Department of Urology, Uludag University School of Medicine, Bursa, Turkey
Search for more papers by this authorVeli Ersahin
Department of Urology, Mardin State Hospital, Mardin, Turkey
Search for more papers by this authorHalil Ibrahim Kahraman
Department of Urology, Letoon Hospital, Mugla, Turkey
Search for more papers by this authorMuhammet Guzelsoy
Department of Urology, Bursa Yuksek Ihtisas Education and Research Hospital, Bursa, Turkey
Search for more papers by this authorOmer Demir
Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
Search for more papers by this authorStudy Group of the Society of Urological Surgery
Search for more papers by this authorCorresponding Author
Ozan Bozkurt
Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
Correspondence
Ozan Bozkurt, Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey.
Email: [email protected]
Search for more papers by this authorVolkan Sen
Department of Urology, Manisa City Hospital, Manisa, Turkey
Search for more papers by this authorBora Irer
Department of Urology, Izmir Metropolitan Municipality Esrefpasa Hospital, Izmir, Turkey
Search for more papers by this authorLevent Sagnak
Department of Urology, Health Sciences University Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
Search for more papers by this authorBulent Onal
Department of Urology, Istanbul University Cerrahpasa School of Medicine, Istanbul, Turkey
Search for more papers by this authorYiloren Tanidir
Department of Urology, Marmara University School of Medicine, Istanbul, Turkey
Search for more papers by this authorEmre Karabay
Department of Urology, Health Sciences University Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey
Search for more papers by this authorCoskun Kaya
Department of Urology, Eskisehir City Hospital, Eskisehir, Turkey
Search for more papers by this authorErman Ceyhan
Department of Urology, Baskent University Konya Hospital, Konya, Turkey
Search for more papers by this authorAykut Baser
Department of Urology, Hitit University School of Medicine, Corum, Turkey
Search for more papers by this authorMesut Berkan Duran
Department of Urology, Samsun Training and Research Hospital, Samsun, Turkey
Search for more papers by this authorEvren Suer
Department of Urology, Ankara University School of Medicine, Ankara, Turkey
Search for more papers by this authorIlker Celen
Department of Urology, Merkezefendi State Hospital, Manisa, Turkey
Search for more papers by this authorIsmail Selvi
Department of Urology, Karabuk University School of Medicine, Karabuk, Turkey
Search for more papers by this authorOktay Ucer
Department of Urology, Celal Bayar University School of Medicine, Manisa, Turkey
Search for more papers by this authorSedat Karakoc
Department of Urology, Van Training and Research Hospital, Van, Turkey
Search for more papers by this authorEge Sarikaya
Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
Search for more papers by this authorEnder Ozden
Department of Urology, Ondokuz Mayis University School of Medicine, Samsun, Turkey
Search for more papers by this authorDogan Deger
Department of Urology, Trakya University School of Medicine, Edirne, Turkey
Search for more papers by this authorSedat Egriboyun
Department of Urology, Odemis State Hospital, Izmir, Turkey
Search for more papers by this authorSakir Ongun
Department of Urology, Balikesir University School Medicine, Balikesir, Turkey
Search for more papers by this authorOzgur Gurboga
Department of Urology, Tunceli State Hospital, Tunceli, Turkey
Search for more papers by this authorMehmet Kazim Asutay
Department of Urology, Sanliurfa Training and Research Hospital, Sanliurfa, Turkey
Search for more papers by this authorIlke Onur Kazaz
Department of Urology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
Search for more papers by this authorIsmail Onder Yilmaz
Department of Urology, Selahattin Eyubi State Hospital, Diyarbakir, Turkey
Search for more papers by this authorErdem Kisa
Department of Urology, Health Sciences University, Izmir Tepecik Training and Research Hospital, Izmir, Turkey
Search for more papers by this authorEngin Denizhan Demirkiran
Department of Urology, Zonguldak Ataturk State Hospital, Zonguldak, Turkey
Search for more papers by this authorOzan Horsanali
Department of Urology, Cigli Regional Training Hospital, Izmir, Turkey
Search for more papers by this authorIlker Akarken
Department of Urology, Mugla Sitki Kocman University School of Medicine, Mugla, Turkey
Search for more papers by this authorOnur Kizer
Department of Urology, Medifema Hospital, Izmir, Turkey
Search for more papers by this authorHuseyin Eren
Department of Urology, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey
Search for more papers by this authorMurat Ucar
Department of Urology, Alanya Alaaddin Keykubat University School of Medicine, Antalya, Turkey
Search for more papers by this authorOguz Ozden Cebeci
Department of Urology, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey
Search for more papers by this authorFuat Kizilay
Department of Urology, Ege University School of Medicine, Izmir, Turkey
Search for more papers by this authorKaan Comez
Department of Urology, Burdur State Hospital, Burdur, Turkey
Search for more papers by this authorMehmet Necmettin Mercimek
Department of Urology, Samsun Liv Hospital, Samsun, Turkey
Search for more papers by this authorMehmet Serkan Ozkent
Department of Urology, Konya Education and Research Hospital, Health Sciences University, Konya, Turkey
Search for more papers by this authorVolkan Izol
Department of Urology, Cukurova University School of Medicine, Adana, Turkey
Search for more papers by this authorAhmet Gudeloglu
Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey
Search for more papers by this authorBilgin Ozturk
Department of Urology, Izmir Can Hospital, Izmir, Turkey
Search for more papers by this authorKaan Turker Akbaba
Department of Urology, Torbali State Hospital, Izmir, Turkey
Search for more papers by this authorSalih Polat
Department of Urology, Amasya University School of Medicine, Amasya, Turkey
Search for more papers by this authorAdnan Gucuk
Department of Urology, Bolu Abant Izzet, Baysal University School of Medicine, Bolu, Turkey
Search for more papers by this authorAvni Ziyan
Department of Urology, Bergama Dr. Faruk Ilker State Hospital, Izmir, Turkey
Search for more papers by this authorBerin Selcuk
Department of Urology, Igdir State Hospital, Igdir, Turkey
Search for more papers by this authorFirat Akdeniz
Department of Urology, Trabzon 7M Hospital, Trabzon, Turkey
Search for more papers by this authorHasan Turgut
Department of Urology, Medical Park, Trabzon Karadeniz Hospital, Trabzon, Turkey
Search for more papers by this authorKubilay Sabuncu
Department of Urology, Karacabey State Hospital, Bursa, Turkey
Search for more papers by this authorOnur Kaygisiz
Department of Urology, Uludag University School of Medicine, Bursa, Turkey
Search for more papers by this authorVeli Ersahin
Department of Urology, Mardin State Hospital, Mardin, Turkey
Search for more papers by this authorHalil Ibrahim Kahraman
Department of Urology, Letoon Hospital, Mugla, Turkey
Search for more papers by this authorMuhammet Guzelsoy
Department of Urology, Bursa Yuksek Ihtisas Education and Research Hospital, Bursa, Turkey
Search for more papers by this authorOmer Demir
Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
Search for more papers by this authorStudy Group of the Society of Urological Surgery
Search for more papers by this authorAbstract
Objective
To present a nation-wide analysis of the workload of urology departments in Turkey week-by-week during Covid-19 pandemic.
Methodology
The centres participating in the study were divided into three groups as tertiary referral centres, state hospitals and private practice hospitals. The number of outpatients, inpatients, daily interventions and urological surgeries were recorded prospectively between 9-March-2020 and 31-May-2020. All these variables were recorded for the same time interval of 2019 as well. The weekly change of the workload of urology during pandemic period was evaluated, also the workload of urology and the distributions of certain urological surgeries were compared between the pandemic period and the same time interval of the year 2019.
Results
A total of 51 centres participated in the study. The number of outpatients, inpatients, urological surgeries and daily interventions were found to be dramatically decreased by the 3rd week of pandemics in state hospitals and tertiary referral centres; however, the daily urological practice were similar in private practice hospitals throughout the pandemic period. When the workload of urology in pandemic period and the same time interval of the year 2019 were compared, a huge decrease was observed in all variables during pandemic period. However, temporary measures like ureteral stenting, nephrostomy placement and percutaneous cystostomy have been found to increase during Covid-19 pandemic compared with normal life.
Conclusions
Covid-19 pandemic significantly affected the routine daily urological practice likewise other subspecialties and priority was given to emergent and non-deferrable surgeries by urologists in concordance with published clinical guidelines.
DISCLOSURE
The authors have declared no conflicts of interest for this article.
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