Impact of the coronavirus disease (COVID-19) pandemic on the volume of surgeries and visits to a tertiary urology service

Plinio H. F. Leandro, Tadeu J. F. L. Campos, Ana B. S. dos S. Martins, André C. M. Lima, Marcos F. H. Rocha


Background: The coronavirus disease (COVID-19) pandemic has caused countries and various sectors of the society to initiate measures to prevent its rapid spread, and thus, numerous political and hospital authorities have adopted measures to care for affected patients, limiting the assistance of several hospital sectors, including the urology service of the Hospital Geral de Fortaleza (HGF).

Methods: A retrospective quantitative descriptive study was conducted by analyzing the data of the years 2019 and 2020 (January to June) rescued through the Center for patient safety and hospital quality (CPSHQ) of the HGF, correlating them through methods and statistical and numerical analyses with the aid of Excel and Epi Info programs, to compare and observe the impact of the pandemic in the urology service.

Results: A 26.23% decrease was observed in relation to elective procedures, 25.6% for emergency procedures, 16.57% for minor surgeries, and 46.44% for outpatient consultations when compared to the first semester of 2019 compared to that in 2020.

Conclusions: It is clear that the pandemic has negatively impacted the volume of various HGF urological services, and new studies should demonstrate the consequences of the lack of assistance in the period described.


Pandemic, Coronavirus, Urology

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Bogoch II, Watts A, Thomas-Bachli A, Huber C, Kraemer MUG, Khan l. Pneumonia of unknown aetiology in Wuhan, China: potential for international spread via commercial air travel. J Travel Med. 2020;27.

World Health Organization. Novel Coronavirus (2019-nCoV) Situation Report - 1. 2020. Available at: aviruse/situation-reports/20200121-sitrep-1-2019-ncov.pdf?sfvrsn=20a99c10_4. Last accessed on 10 September, 2020.

World Health Organization. Weekly Operational Update on COVID-19. 2020. Available at: use/weekly-updates/wou-9-september-2020-cleare d.pdf?sfvrsn=d39784f7_2. Last accessed on 9 September, 2020.

World Health Organization. Timeline of WHO’s response to COVID-19. 2020. Available at: Last accessed on 10 September, 2020.

World Health Organization. WHO coronavirus disease (COVID-19) dashboard. Available at: Last accessed on 11 September, 2020.

Vieira S. Introduction to Statistics [Introdução à Estatística]. 3rd ed. Rio de Janeiro, Campus. 1980;196.

Wonnacott TH, Wonnacott RJ. Introductory Statistics. 5th ed. New York, John Wiley & Sons, Inc. 1990;711.

Marconi M, Científico LEMT. 6th ed. São Paulo, Atlas. 2005.

Organização Pan-Americana Da Saúde (OPAS). COVID-19 information sheet [Folha informativa COVID-19]. Available at: https://www.paho org/pt/covid19. Last accessed on 20 October, 2020.

G1 Ceará. First three coronavirus cases in Ceará are confirmed by the Department of Health [Três primeiros casos de coronavírus no Ceará são confirmados pela Secretaria da Saúde]. 2020. Available at: noticia/2020/03/15/tres-primeiros-casos-de-coron avirus-no-ceara-sao-confirmados-pela-secretaria-da-saude.ghtml. Last accessed on 11 October, 2020.

G1 Ceará. Decree determining the closing of trade in Ceará establishes a fine of R $ 50 thousand in case of non-compliance [Decreto que determina fechamento de comércio no Ceará estabelece multa de R$ 50 mil em caso de descumprimento]. 2020. Available at: umprimento.ghtml. Last accessed on 11 October, 2020.

CNN Brasil. Government of Ceará announces lockdown in Fortaleza to contain Covid-19 advance [Governo do Ceará anuncia lockdown em Fortaleza para conter avanço da Covid-19]. 2020. Available at: Last accessed on 11 October, 2020.

Klaassen Z, Wallis C. The impact of COVID-19 on oncology clinical trials. UroToday. 2020. Available at: /advanced-prostate-cancer/121435-the-impact-of-covid-19-on-oncology-clinical-trials.html. Last accessed: October 13, 2020.

Reis AA, Paula LB, Paula AA, Saddi VA, Cruz AD. Clinical-epidemiological aspects associated with penile cancer [Aspectos clínico-epidemiológicos associados ao câncer de pênis]. Ciênc Saúde Coletiva. 2010;15:1105-11.

Silva RS, Silva AC, Nascimento SG, Oliveira CM, Bonfim CV. Demographic and epidemiological aspects of penis cancer mortality [Aspectos demográficos e epidemiológicos da mortalidade por câncer no pênis]. Acta Paul Enferm. 2014;27:44-7.

Ministério Da Saúde (Brasil). Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimate 2020: Cancer Incidence in Brazil [Estimativa 2020: Incidência de Câncer no Brasil]. Available at: Last accessed on 17 October, 2020.

Wallis CJD, Catto JWF, Finelli A, Glase AW, Gore JL, Loeb S. The impact of the COVID-19 pandemic on genitourinary cancer care: re-envisioning the future. Eur Urol. 2020.

Wallis CJD, Klaassen Z. The role of remote interactions in genitourinary oncology: implications for practice change in light of the COVID-19 pandemic. UroToday. Available at: anced-prostate-cancer/124058-the-role-of-remote-interactions-in-genitourinary-oncology-implications-for-practice-change-in-light-of-the-covid-19-pandemic.html. Last accessed on 11 October, 2020.

Greco F, Altieri VM, Esperto F, Mirone V, Scarpa RM. Impact of COVID-19 pandemic on health-related quality of life in uro-oncologic patients: what should we wait for? Clin Genitourin Cancer. 2020;S1558-7673(20)30168-3.

Pereira X, Lima DL, Moran-Atkin E, Malcher F. Where did surgical patients go during the COVID-19 pandemic? Para onde foram os pacientes cirúrgicos durante a pandemia de COVID-19? Rev Col Bras Cir. 2020;47:e20202733.