Impact and Burden of Postponing Elective Surgeries in Patients With Urological Diseases
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- mental burden caused by postponement of elective surgery
研究概览
简要总结
Overall, little is known about the effects and burdens of postponed operations in patients with urological diseases. To investigate the consequences and develop possible strategies for overcoming these challenges, the investigators would like to evaluate the influence of operation shifts in more detail.
详细描述
Medical care in Austria is struggling with staff shortages and consecutive OR (operating room) closures. The current development seems to be the result of problems that have been postponed for a long time to be accelerated by the COVID-19 pandemic. The introduction of COVID-19 vaccination and the establishment of protective measures and handling standards with infected patients made it possible to return to the regular operation. However, there is currently no noticeable improvement in the overall situation. The increasing shortage of nursing care in Austria is an increasingly urgent reason for this that affects all hospitals and care facilities. By prioritizing oncological interventions and an "oncology first" strategy at least oncological interventions and emergency interventions are performed on time. However, just looking at the waiting times for oncological interventions does not provide sufficient information of the current overall situation. The impairment for Patients with non-oncological diseases have received little attention so far given. Postponing elective surgery in patients with functional urological diseases (e.g. benign prostatic hyperplasia) can have a long-term impact on patient health and also means shifting their Surgery Burden and the stress for the patient. An American Study observed a decrease in prostate cancer diagnoses and an increase in diagnostic delays and postponements of treatments due to the pandemic, which led to greater stress and uncertainty in the affected patients.
The primary goal of this study is to record the burden on patients caused by the postponement of their surgery (mentally, physically).
Secondary outcomes include complication rates from postponement of surgery, effects on employment, awareness of the current situation (lack of care), state of health of patients upon admission to elective surgery.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients over the age of 18 attending the Department of Urology for an elective surgery
排除标准
- •lack of ability to give consent
- •emergency operations
结局指标
主要结局
mental burden caused by postponement of elective surgery
时间窗: depending on the interval of the postponed surgery; through study completion, an average of 1 year
to evaluate the mental burden (e.g., scale: NCCN-Distress thermometer, scale 1-10) caused by postponement of elective surgery
physical burden caused by postponement of elective surgery
时间窗: depending on the interval of the postponed surgery; through study completion, an average of 1 year
to evaluate the physical burden (e.g., scale 1-5 on severity of disease burden) caused by postponement of elective surgery
次要结局
- effect on employment(depending on the interval of the postponed surgery; through study completion, an average of 1 year)
- complication rates(depending on the interval of the postponed surgery; through study completion, an average of 1 year)
- awareness of the current situation(depending on the interval of the postponed surgery; through study completion, an average of 1 year)
- general health status(depending on the interval of the postponed surgery; through study completion, an average of 1 year)