Surgery Clinical Trial
Official title:
Outcomes of naïve Patients Operated on for an Urological Cancer or Emergency During Periods of Social COVID-19 Containment: is it Reasonable to Limit Access to Surgical Care for All?
The French healthcare system has been strongly mobilized since the start of the Covid-19
epidemic to take care of patients with Covid-19. This should not overlook the fact that some
treatments, surgeries and examinations of non-Covid-19 patients must imperatively be
maintained according to the assessment of their risk-benefit balance. In context, it appears
that this is not always the case. In addition to the necessary social containment measures,
there are general limitations on patient access to the operating theater, neglecting the
individual interest of naive non-Covid-19 patients. Certain studies which report a higher and
earlier risk of death of undetected and ultimately operated Covid-19 patients has reinforced,
as a precaution, the massive deprogramming of naive patients and the restrictive access of
surgical care for all. We believe that this could lead to a risk of delayed treatments and
renunciation of care for naive patients who should not be considered at risk a priori in the
event of surgery. The individual clinical and local health context should be first considered
for appropriate surgical decision-making.
As such, the French Department of Health and Human Services (DGS) has given general
guidelines regarding the maintenance of follow-up and care for non-Covid-19 patients in this
context of containment and major mobilization of health care professionals to care for people
with COVID. Surgeries which could not be postponed because of the patient's status or if
their postponement exposed to a significant risk of loss of chance, if needed in the light of
the recommendations issued by learned societies, were concerned. In this sense, the
investigator have selected the naive Covid-19 patients from Nice Hospital who should benefit
from elective or urgent urological surgeries, taking into account their individual risk and
the territorial epidemic rate. Their rate of ICU stays following their surgery has been
analysed and their surgical follow-up outcomes during the epidemic period evaluated,
according to the anti-Covid-19 measures established in Nice Hospital by comparing them to an
earlier period without Covid-19.
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