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• W4225254968 abstract "You have accessJournal of UrologyCME1 May 2022MP26-20 IMPACT OF COVID-19 ON THE MANAGEMENT OF URETERIC STONES IN THE UK: THE COVID STONES STUDY Matthew Byrne, Fanourios Georgiades, Catherine Lovegrove, Tobias Klatte, Kasra Saeb-Parsy, Rajeev Kumar, Alexander Light, Josephine Rahman, Catherine Dominic, Senthooran Kathiravelupillai, Sarah Howles, Grant Stewart, Ben Turney, Oliver Wiseman, and COVID Stones Collaborative Matthew ByrneMatthew Byrne More articles by this author , Fanourios GeorgiadesFanourios Georgiades More articles by this author , Catherine LovegroveCatherine Lovegrove More articles by this author , Tobias KlatteTobias Klatte More articles by this author , Kasra Saeb-ParsyKasra Saeb-Parsy More articles by this author , Rajeev KumarRajeev Kumar More articles by this author , Alexander LightAlexander Light More articles by this author , Josephine RahmanJosephine Rahman More articles by this author , Catherine DominicCatherine Dominic More articles by this author , Senthooran KathiravelupillaiSenthooran Kathiravelupillai More articles by this author , Sarah HowlesSarah Howles More articles by this author , Grant StewartGrant Stewart More articles by this author , Ben TurneyBen Turney More articles by this author , Oliver WisemanOliver Wiseman More articles by this author , and COVID Stones Collaborative More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002569.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In the COVID Stones study, we aimed to determine how management of ureteric stones changed during the COVID-19 pandemic in the United Kingdom. The primary outcome was success of primary treatment modality as determined by no additional treatment required for the index ureteric stone. METHODS: The COVID Stones study was a multi-centre retrospective study of consecutive adults diagnosed with CT-proven ureteric stone disease at 19 UK sites. We compared a pre-pandemic period (23/3/19 to 22/6/19) to a period during the pandemic (the 3 month period after the first SARS-CoV-2 case at individual sites). Our protocol was published in advance (Available at: https://doi.org/10.22374/jeleu.v3i3.96). RESULTS: A total of 3755 patients were included (pre-pandemic = 1963 patients; pandemic = 1792 patients). Age, gender, and stone size were similar between groups (p>0.05). Patients during the pandemic had significantly lower hospital admission rates (pre-pandemic = 54.2% vs pandemic = 46.6%, p<0.001), shorter length of stay (mean = 4.0 vs. 3.2 days, p=0.01), and higher rates of use of alpha-blockers (16.1% vs. 23.3%, p<0.001). In the cohort of patients who received interventional management (pre-pandemic, n=790 [44.1%] vs. pandemic, n=686 [34.9%]), rates of ESWL (22.8% vs. 33.9%, p<0.001) were significantly higher; rates of ureteroscopy (56.7% vs. 47.7%, p<0.01) and stent insertion (67.9% vs. 54.5%, p>0.001) were lower; and there was no difference in rates of nephrostomy (10.5% vs. 7.1%, p=0.76) during the pandemic. Fewer patients had a general anaesthetic during the pandemic (pandemic=78.0% vs. pre-pandemic=52.9%, p=0.0001). During the pandemic, there was no difference in success of primary treatment overall, including both non-interventional and interventional modalities (pre-pandemic=73.8% vs. pandemic 2=76.2%, Chi-squared test p=0.467), nor when stratified by treatment modality or stone size. Rates of operative and pulmonary complications, admission to critical care, 30-day mortality, readmission, and renal function at 6 months did not differ between the data collection periods. CONCLUSIONS: Despite fewer invasive procedures performed during the pandemic, we demonstrated no difference in success of treatment, without an increase in adverse outcomes. This leads us to question whether the management of ureteric stones can be optimised further, as the COVID Stones study has shown that during the pandemic a higher proportion of patients were safely managed conservatively and without hospitalisation. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e448 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Matthew Byrne More articles by this author Fanourios Georgiades More articles by this author Catherine Lovegrove More articles by this author Tobias Klatte More articles by this author Kasra Saeb-Parsy More articles by this author Rajeev Kumar More articles by this author Alexander Light More articles by this author Josephine Rahman More articles by this author Catherine Dominic More articles by this author Senthooran Kathiravelupillai More articles by this author Sarah Howles More articles by this author Grant Stewart More articles by this author Ben Turney More articles by this author Oliver Wiseman More articles by this author COVID Stones Collaborative More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W4225254968 title "MP26-20 IMPACT OF COVID-19 ON THE MANAGEMENT OF URETERIC STONES IN THE UK: THE COVID STONES STUDY" @default.
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