@Article{,
AUTHOR = {Zhiyu Qian, Jamie Ye, David F. Friedlander,
Mara Koelker, Muhieddine Labban, Bjoern Langbein,
Cheryl Chang-Rong Chen, Mark A. Preston, Timothy Clinton,
Matthew Mossanen, Firas Abdullah, Stuart R. Lipsitz,
Adam S. Kibel, Quoc-Dien Trinh, Alexander P. Cole},
TITLE = {Impact of COVID-19 pandemic on ambulatory urologic oncology surgeries},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {30},
YEAR = {2023},
NUMBER = {6},
PAGES = {11714--11723},
URL = {http://www.techscience.com/CJU/v30n6/59654},
ISSN = {1488-5581},
ABSTRACT = {<b>Introduction:</b> Robot-assisted laparoscopic prostatectomy
(RALP) and transurethral resection of bladder tumor
(TURBT) are two common surgeries for prostate and
bladder cancer. We aim to assess the trends in the site of
care for RALP and TURBT before and after the COVID
outbreak.<br/>
<b>Materials and methods:</b> We identified adults who
underwent RALP and TURBT within the California
Healthcare Cost and Utilization Project State Inpatient
Database and the State Ambulatory Surgery Database
between 2018 and 2020. Multivariable analysis and
spline analysis with a knot at COVID outbreak were
performed to investigate the time trend and factors
associated with ambulatory RALP and TURBT.<br/>
<b>Results:</b> Among 17,386 RALPs, 6,774 (39.0%) were ambulatory. Among 25,070 TURBTs, 21,573 (86.0%)
were ambulatory. Pre-COVID, 33.5% of RALP and
85.3% and TURBT were ambulatory, which increased
to 53.8% and 88.0% post-COVID (both p < 0.001). In
multivariable model, RALP and TURBT performed after
outbreak in March 2020 were more likely ambulatory (OR
2.31, p < 0.0001; OR 1.25, p < 0.0001). There was an
overall increasing trend in use of ambulatory RALP both
pre- and post-COVID, with no significant change of trend
at the time of outbreak (p = 0.642). TURBT exhibited an
increased shift towards ambulatory sites post-COVID
(p < 0.0001).<br/>
<b>Conclusions:</b> We found a shift towards ambulatory
RALP and TURBT following COVID outbreak. There
was a large increase in ambulatory RALP post-COVID,
but the trend of change was not significantly different pre-
and post-COVID — possibly due to a pre-existing trend
towards ambulatory RALP which predated the pandemic.},
DOI = {}
}