Academic Journal
Impact of delayed elective urological surgery: A prospective observational study.
| Τίτλος: | Impact of delayed elective urological surgery: A prospective observational study. |
|---|---|
| Συγγραφείς: | Simunovic I; Department of Urology, University Hospital Graz Medical University of Graz Graz Austria., Zurl H; Department of Urology, University Hospital Graz Medical University of Graz Graz Austria.; Center of Surgery and Public Health, Brigham and Women's Hospital Harvard Medical School Boston Massachusetts USA., Altziebler J; Department of Urology, University Hospital Graz Medical University of Graz Graz Austria., Leitsmann C; Department of Urology, University Hospital Graz Medical University of Graz Graz Austria., Scheipner L; Department of Urology, University Hospital Graz Medical University of Graz Graz Austria., Mischinger J; Department of Urology, University Hospital Graz Medical University of Graz Graz Austria., Mangge A; Department of Urology, University Hospital Graz Medical University of Graz Graz Austria., Pohl K; Department of Urology, University Hospital Graz Medical University of Graz Graz Austria.; Center of Surgery and Public Health, Brigham and Women's Hospital Harvard Medical School Boston Massachusetts USA., Frank A; Medizinische Versorgungsplanung, University Hospital Graz Graz Austria., Weiss A; Department of Medical Psychology, University Hospital Graz Graz Austria., Bachmaier G; Institute for Medical Informatics, Statistics and Documentation Medical University of Graz Graz Austria., Ahyai S; Department of Urology, University Hospital Graz Medical University of Graz Graz Austria., Leitsmann M; Department of Urology, University Hospital Graz Medical University of Graz Graz Austria.; Institute for Applied Quality Improvement and Research in Health Care Göttingen Germany. |
| Πηγή: | BJUI compass [BJUI Compass] 2026 Apr 11; Vol. 7 (4), pp. e70197. Date of Electronic Publication: 2026 Apr 11 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: John Wiley & Sons Ltd Country of Publication: United States NLM ID: 101764975 Publication Model: eCollection Cited Medium: Internet ISSN: 2688-4526 (Electronic) Linking ISSN: 26884526 NLM ISO Abbreviation: BJUI Compass Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: [Hoboken, New Jersey] : John Wiley & Sons Ltd, [2020]- |
| Περίληψη: | Objectives: This study aimed to evaluate the psychological and physical impact of delayed elective urological surgeries, as limited surgical capacity has led to frequent cancellations and prolonged waiting times. Patients and Methods: Between July 2023 and September 2025, patients admitted for elective surgery completed questionnaires including the NCCN Distress Thermometer, Severity Symptom Scale (SSS), PROMIS-10 and items on delay-related complications. Primary outcomes were psychological distress (NCCN ≥4), symptom burden (SSS ≥ 3) and PROMIS-10 Global Health T-scores. Results: A total of 488 patients were analysed: 183 (37.5%) with confirmed/suspected oncological diagnoses and 304 (62.3%) non-oncological. Surgery was postponed in 51% of cases. Mean waiting time was 23.9 weeks (SD ± 19.6), longer for postponed patients (31.8 vs. 15.5 weeks; p < 0.001) and more frequent among non-oncological patients (64.5% vs. 28.4%; p < 0.001). Postponed patients reported higher symptom burden (SSS ≥ 3: 40.6% vs. 30.1%; p = 0.03) and lower Global Mental Health T-scores (43.9 ± 5.6 vs. 45.1 ± 5.3; p = 0.03). Regression analyses showed patients in the third and fourth waiting-time quartiles had higher SSS scores compared with the shortest quartile (β = 0.36, p = 0.02; β = 0.50, p = 0.001; overall model p = 0.01). Among postponed patients, 30.1% reported complications, most commonly pain (12.9%), urinary tract infection (11.7%), urinary retention (6.4%) and macroscopic haematuria (2.4%). Conclusion: Prolonged waiting times and surgical postponements contribute to physical complaints and psychological distress. Persistent nursing shortages constrain capacity, emphasizing the need for long-term structural planning. Strengthening resources while maintaining patient-centred care is essential to prevent avoidable harm in elective urological surgery. (© 2026 The Author(s). BJUI Compass published by John Wiley & Sons Ltd on behalf of BJU International Company.) |
| Competing Interests: | The authors declare no conflicts of interest. |
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| Contributed Indexing: | Keywords: burden; complications; elective surgery; mental health; postponement; waiting times |
| Entry Date(s): | Date Created: 20260413 Date Completed: 20260413 Latest Revision: 20260926 |
| Update Code: | 20260926 |
| PubMed Central ID: | PMC13069355 |
| DOI: | 10.1002/bco2.70197 |
| PMID: | 41971148 |
| Βάση Δεδομένων: | MEDLINE |
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