COVID-19 Pandemisinin Üroloji Poliklinik Hastalarına Etkisi

Year 2024, Volume: 14 Issue: 2, 180 - 186, 22.05.2024

Mert Başaranoğlu , Erim Erdem , Erdem Akbay

https://doi.org/10.33631/sabd.1306681

Abstract

Amaç: Bu çalışma, COVID-19 pandemisinin hastaların üroloji polikliniğine başvuruları üzerindeki etkisini araştırmak; tanı konulan hastalıkların sıklığı ve dağılımındaki değişiklikleri değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntemler: Çalışmamızda, Mersin Üniversitesi Hastanesi Üroloji Polikliniğindeki hasta kayıtları retrospektif olarak incelendi. Çalışma dönemi 11 Eylül 2018 - 11 Eylül 2021 arasını kapsamaktadır. Hasta bilgileri, Hastalıkların Uluslararası Sınıflandırması (ICD-10) kodları, yaş grupları ve muayene tarihleri hastaların dosyalarından elde edildi. Tekrarlayan kayıtlara sahip olan hastaların verileri çalışmaya dahil edilmedi. Birden fazla tanı kodu olan hastalar için her kod ayrı bir veri noktası olarak analiz edildi.
Bulgular: Pandeminin ülkemizde tespitinden sonraki 540 günlük süreçte üroloji polikliniğimize başvurularda %12,52 oranında bir azalma olduğu gözlenmiştir. Ayrıca, yeni tanı konulan üroloji hasta sayısında %27,08 oranında büyük bir düşüş tespit edilmiştir. Bu düşüş, genel başvuru bazında değerlendirildiğinde onkolojik hastalıklar dışındaki tüm hastalık gruplarında görülmüştür. Aynı zamanda genel üroloji ile androloji kategorilerinde yeni tanı konulan vakalarda da aynı düşüş görülmüştür. Ancak, 25-34 ve 35-54 yaş gruplarında hastaların başvurularında bir artış gözlenmiştir (p<0,001).
Tüm yaş grupları için yeni tanı konulanlar incelendiğinde yalnızca 18-24 yaş grubundaki yeni tanı konulan vakalarda bir değişiklik saptanmıştır (p=0,037). Ayrıca belirli tanılarda yaş grupları arasında önemli değişiklikler yaşanmıştır.
Sonuç: Bu çalışmanın bulguları, COVID-19 pandemisi sırasında tüm yaş gruplarında üroloji poliklinik başvurularında bir azalma olduğu gözlenirken 25-34 ve 35-54 yaş grupları bu duruma istisna olup bu her iki alt grupta da artış olduğu görülmüştür. Ayrıca 18-24 yaş alt grubundaki azalış dışında yeni tanı konulan hastalarda önemli bir değişiklik gözlenmemiştir. Bu değişiklikler, yaş gruplarına ve belirli tanılara bağlı olarak üroloji polikliniğine olan hasta ziyaretlerinde azalma olduğunu göstermektedir.

Keywords

COVID-19, pandemi, üroloji polikliniği, sağlık politikaları

Project Number

Yok

The Impact of the COVID-19 Pandemic on Urological Outpatient Patients

Abstract

Aim: This study aims to investigate the impact of the COVID-19 pandemic on patients' admission to the urology outpatient clinic. It aims to evaluate changes in the frequency and distribution of diagnosed diseases.
Material and Methods: Our study retrospectively examined patient records at the Mersin University Hospital Urology Clinic. The study period covers September 11, 2018, to September 11, 2021. Patient information, International Classification of Diseases (ICD-10) codes, age groups, and examination dates were obtained from the patient's files. Data of patients with duplicate records were not included in the study. Each code was analyzed as a separate data point for patients with multiple diagnosis codes.
Results: Following the detection of the pandemic in our country, a decrease of 12.52% in patient admissions to our urology clinic was observed during the 540 days. Furthermore, a significant reduction of 27.08% in newly diagnosed urology cases was identified. This decrease was observed across all disease groups except oncological diseases when overall admissions were evaluated. The general urology and andrology categories also followed a similar decrease in newly diagnosed cases. However, an increase in patient admissions was noted in the 25-34 and 35-54 age groups (p<0.001). When examining newly diagnosed cases across all age groups, a significant change was only detected in the 18-24 age group (p=0.037). Moreover, significant variations were observed among age groups in specific diagnoses.
Conclusion: The findings of this study indicate a decrease in urology clinic admissions across all age groups during the COVID-19 pandemic, except for the 25-34 and 35-54 age groups, which experienced an increase. Furthermore, aside from the decline in the 18-24 age group, no significant changes were observed in newly diagnosed cases. These variations suggest decreased patient visits to the urology clinic during the pandemic, depending on age groups and specific diagnoses.

Keywords

COVID-19, pandemic, urology outpatient clinic, health policies

Supporting Institution

Yok

Project Number

Yok

Thanks

The researchers would like to express their sincere gratitude to all those who contributed to the completion of this research. Firstly, we extend our heartfelt thanks to the University of Mersin for providing us with the opportunity to engage in this study, which has enabled us to acquire valuable life lessons such as patience, perseverance, teamwork, resilience, cooperation, and above all, an unwavering commitment to knowledge. We would also like to express our deepest appreciation to our parents for their boundless love, prayers, support, and sacrifices. Without their selfless love and unwavering support throughout our journey, none of this would have been possible. Lastly, we would like to extend our thanks to all the individuals who have directly or indirectly supported us in the completion of this research. Your contributions, assistance, and encouragement have been invaluable, and we are truly grateful for your involvement.

References

• Zhou P, Yang X Lou, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020; 579(7798): 270-3.
• Celik S, Kizilay F, Narter F, Senoglu Y, Tekin A. ÜCD Güncelleme Serileri. In 2020. p. 1–24.
• T.C. Sağlık Bakanlığı. Elektif İşlemlerin Ertelenmesi ve Diğer Alınacak Tedbirler [Internet]. 2020 [cited 2023 Jan 24]. Available from: https://shgmhastahakdb.saglik.gov.tr/Eklenti/36865/0/elektif-islemlerin-ertelenmesi-ve-diger-tedbirlerpdf.pdf
• Garcia S, Albaghdadi MS, Meraj PM, Schmidt C, Garberich R, Jaffer FA, et al. Reduction in ST-Segment elevation cardiac catheterization laboratory activations in the United States during COVID-19 pandemic. J Am Coll Cardiol. 2020; 75(22): 2871-2.
• Sun N, Wei L, Wang H, Wang X, Gao M, Hu X, et al. Qualitative study of the psychological experience of COVID-19 patients during hospitalization. J Affect Disord. 2021; 278: 15-22.
• Butler MJ, Barrientos RM. The impact of nutrition on COVID-19 susceptibility and long-term consequences. Brain Behav Immun. 2020; 87: 53-4.
• Castaneda-Babarro A, Coca A, Arbillaga-Etxarri A, Gutierrez-Santamaria B. Physical activity change during COVID-19 confinement. Int J Environ Res Public Health. 2020; 17(18): 1-10.
• Sidor A, Rzymski P. Dietary choices and habits during COVID-19 lockdown: Experience from Poland. Nutrients. 2020; 12(6): 1657.
• Davies NG, Klepac P, Liu Y, Prem K, Jit M, Pearson CAB, et al. Age-dependent effects in the transmission and control of COVID-19 epidemics. Nat Med. 2020; 26(8): 1205-11.
• T.C. İçişleri Bakanlığı. 65 Yaş ve Üstü ile Kronik Rahatsızlığı Olanlara Sokağa Çıkma Yasağı Genelgesi [Internet]. 2020 [cited 2023 Jan 24]. Available from: https://www.icisleri.gov.tr/65-yas-ve-ustu-ile-kronik-rahatsizligi-olanlara-sokaga-cikma-yasagi-genelgesi
• Wambier CG, Goren A. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is likely to be androgen mediated. J Am Acad Dermatol. 2020; 83(1): 308-9.
• Pozzilli P, Lenzi A. Testosterone, a key hormone in the context of COVID-19 pandemic. Metabolism. 2020;108: 154252.
• Karavitakis M, Kyriazis I, Omar MI, Gravas S, Cornu JN, Drake MJ, et al. Management of urinary retention in patients with benign prostatic obstruction: a systematic review and meta-analysis. Eur Urol. 2019; 75(5): 788-98.
• Nabeeh H, Ibrahim A, Taha DE, Talaat M, Abdelbaky TM. Impact of COVID-19 pandemic on lower urinary tract symptoms in patients with benign prostatic hyperplasia and predictors of urine retention in such patients. LUTS: Lower Urinary Tract Symptoms. 2022; 14(1): 41-6.
• Farmakovijilans ve Kontrole Tabi Maddeler Dairesi Başkanlığı. İl Sağlık Müdürlüklerinin ve Eczacıların Dikkatine [Internet]. 2020 [cited 2023 Jan 24]. Available from: https://www.titck.gov.tr/duyuru/il-saglik-mudurluklerinin-ve-eczacilarin-dikkatine-01042020124200
• Zou X, Chen K, Zou J, Han P, Hao J, Han Z. Single-cell RNA-seq data analysis on the receptor ACE2 expression reveals the potential risk of different human organs vulnerable to 2019-nCoV infection. Front Med. 2020; 14(2): 185-92.
• Kaya Y, Kaya C, Kartal T, Tahta T, Tokgöz VY. Could LUTS be early symptoms of COVID-19. Int J Clin Pract. 2021; 75(3): e13850
• Wang W, Xu Y, Gao R, Lu R, Han K, Wu G, et al. Detection of SARS-CoV-2 in different types of clinical specimens. JAMA. 2020; 323(18): 1843-4.
• Ling Y, Xu SB, Lin YX, Tian D, Zhu ZQ, Dai FH, et al. Persistence and clearance of viral RNA in 2019 novel coronavirus disease rehabilitation patients. Chin Med J (Engl). 2020; 133(9) :1039-43.
• Sun J, Zhu A, Li H, Zheng K, Zhuang Z, Chen Z, et al. Isolation of infectious SARS-CoV-2 from urine of a COVID-19 patient. Emerg Microbes Infect. 2020; 9(1): 991-3.
• Kim Y Il, Kim SG, Kim SM, Kim EH, Park SJ, Yu KM, et al. Infection and rapid transmission of SARS-CoV-2 in ferrets. Cell Host Microbe. 2020; 27(5): 704-9.e2.
• Li Z, Wu M, Yao J, Guo J, Liao X, Song S, et al. Caution on kidney dysfunctions of COVID-19 patients. medRxiv preprint. 2020; https://doi.org/10.1101/2020.02.08.20021212
• Guan W jie, Ni Z yi, Hu Y, Liang W hua, Ou C quan, He J xing, et al. Clinical characteristics of Coronavirus Disease 2019 in China. New England Journal of Medicine. 2020; 382(18): 1708-20.
• Marand AJB, Bach C, Janssen D, Heesakkers J, Ghojazadeh M, Vögeli TA, et al. Lower urinary tract signs and symptoms in patients with COVID-19. BMC Infect Dis. 2021; 21(1): 706.
• Çayan S, Uğuz M, Saylam B, Akbay E. Effect of serum total testosterone and its relationship with other laboratory parameters on the prognosis of coronavirus disease 2019 (COVID-19) in SARS-CoV-2 infected male patients: a cohort study. Aging Male. 2021; 23(5): 1493-503.
• Pennanen-Iire C, Prereira-Lourenço M, Padoa A, Ribeirinho A, Samico A, Gressler M, et al. Sexual Health Implications of COVID-19 Pandemic. Sex Med Rev. 2021; 9(1): 3-14.
• Mollaioli D, Sansone A, Ciocca G, Limoncin E, Colonnello E, Di Lorenzo G, et al. Benefits of sexual activity on psychological, relational, and sexual health during the COVID-19 breakout. Journal of Sexual Medicine. 2021; 18(1): 35-49.
• Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-ınfected pneumonia in Wuhan, China. JAMA. 2020; 323(11): 1061-9.
• Chow N, Fleming-Dutra K, Gierke R, Hall A, Hughes M, Pilishvili T, et al. Preliminary estimates of the prevalence of selected underlying health conditions among patients with Coronavirus Disease 2019 - United States, MMWR Morb Mortal Wkly Rep. 2020; 69(13): 382-6.
• Mihalopoulos M, Dogra N, Mohamed N, Badani K, Kyprianou N. COVID-19 and kidney disease: Molecular determinants and clinical implications in renal cancer. Eur Urol Focus. 2020; 6(5): 1086-96.