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Título

EFFECT OF THE COVID-19 PANDEMIC ON RADICAL PROSTATECTOMY: A BRAZILIAN RETROSPECTIVE STUDY

Resumo

According to The Lancet Oncology Commission, by 2030, it is estimated that of the 21.6 million patients with cancer, about 17.3 million will require surgery, with 10 million of those patients being from low and middle-income countries. Prostate cancer is reported as the second most common cancer in men. Hence, prostatectomy is fundamental for a better prognosis and outcome of cancer treatment. surgery is one of the major pillars of cancer care and control; it can be preventive, diagnostic, curative, supportive, palliative, and reconstructive.The overload on health systems caused by the coronavirus pandemic has strongly affected the surgical care in Brazilian public healthcare. Under these circumstances, we aim to expose the impact of COVID-19 in the surgical treatment of prostate cancer performed by SUS.METHODS:A cross-sectional was conducted following the Strengthening the Reporting of Observational studies in Epidemiology checklist. A cross-sectional, with secondary data from DATASUS’s Hospital Information System. The study analyzes the absolute numbers of prostatectomies in oncology registered between January 2012 and October 2022. Statistical analysis was performed on PAST4.12, to assess the number of procedures compared over the years. RESULTS:The number of prostatectomy in Brazil, through the SUS, between January 2012 and October 2022, was 31,716 with a yearly average of 2,883 procedures. In 2020, the total number of prostate cancer surgery also suffered a decrease of 27.20% between the years of 2019-2020, going from 3,499 procedures to 2547. In agreement with that, a decrease of 43,02%, 38,87%, 35,77%, and 35,03% in prostate cancer surgery was reported in the months of July, October, May, and August, respectively, when comparing 2019 and 2020. The impact of the pandemic remained during 2021, with a decrease of 22.32%, compared to the number of prostatectomy in 2019.CONCLUIONS:The decrease in the number of prostatectomies is apparent and is going to affect the prognosis of the patients who haven't had access to the health system during the covid 19 pandemic. It is fundamental to know the amount of damming from those surgeries to propose measures to prevent the worst outcomes, and risk of metastasis. To deliver safe, affordable, and timely cancer surgery to all, surgery must be at the heart of global and national cancer control planning.