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Indirect effects of COVID-19 in referring women to gynecologic oncology, perinatology and gynecology clinics in Iran

PURPOSE: COVID-19 has captured the world. We hypothesized that this pandemic reduced referral of other non-COVID-19 patients to the hospitals or clinics, including gynecological and perinatological referrals. Women can be at risk in limited use of health services. METHODS: In this retrospective stud...

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Autores principales: Khazaeipour, Zahra, Razavi, Erfan, Pahlevan-Fallahy, Mohammad-Taha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166368/
https://www.ncbi.nlm.nih.gov/pubmed/34059957
http://dx.doi.org/10.1007/s00404-021-06097-5
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author Khazaeipour, Zahra
Razavi, Erfan
Pahlevan-Fallahy, Mohammad-Taha
author_facet Khazaeipour, Zahra
Razavi, Erfan
Pahlevan-Fallahy, Mohammad-Taha
author_sort Khazaeipour, Zahra
collection PubMed
description PURPOSE: COVID-19 has captured the world. We hypothesized that this pandemic reduced referral of other non-COVID-19 patients to the hospitals or clinics, including gynecological and perinatological referrals. Women can be at risk in limited use of health services. METHODS: In this retrospective study, referrals from gynecologic oncology, perinatology, and gynecology clinics in a large teaching hospital of Tehran University of Medical Sciences (TUMS) were compared from February 20 to May 20, 2020, with the same period in 2019. Finally, referral trends in 2020 were compared with the COVID-19 admission pattern. RESULTS: Total admissions to all three clinics declined 63% in 2020 compared to 2019. There was a significant relationship between the number of visits to three clinics during these2  years (p < 0.001). The reduction in referrals to the gynecology clinic was more than gynecologic oncology and perinatology. The COVID-19 referral pattern was conversely linked to gynecology-related admissions. CONCLUSION: As the pandemic situation makes patients hesitant to go to the hospitals or not, health policymakers should consider other non-COVID issues, including maternal and fetal concerns. Providing safe places for other patients to visit is a goal that can be achieved through developing guidelines for nosocomial hygiene and training informed healthcare staff. Moreover, non-urgent visits should be avoided or postponed. This issue calls for new strategies, including telemedicine in situations similar to the current pandemic to both identify and manage such conditions.
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spelling pubmed-81663682021-06-01 Indirect effects of COVID-19 in referring women to gynecologic oncology, perinatology and gynecology clinics in Iran Khazaeipour, Zahra Razavi, Erfan Pahlevan-Fallahy, Mohammad-Taha Arch Gynecol Obstet General Gynecology PURPOSE: COVID-19 has captured the world. We hypothesized that this pandemic reduced referral of other non-COVID-19 patients to the hospitals or clinics, including gynecological and perinatological referrals. Women can be at risk in limited use of health services. METHODS: In this retrospective study, referrals from gynecologic oncology, perinatology, and gynecology clinics in a large teaching hospital of Tehran University of Medical Sciences (TUMS) were compared from February 20 to May 20, 2020, with the same period in 2019. Finally, referral trends in 2020 were compared with the COVID-19 admission pattern. RESULTS: Total admissions to all three clinics declined 63% in 2020 compared to 2019. There was a significant relationship between the number of visits to three clinics during these2  years (p < 0.001). The reduction in referrals to the gynecology clinic was more than gynecologic oncology and perinatology. The COVID-19 referral pattern was conversely linked to gynecology-related admissions. CONCLUSION: As the pandemic situation makes patients hesitant to go to the hospitals or not, health policymakers should consider other non-COVID issues, including maternal and fetal concerns. Providing safe places for other patients to visit is a goal that can be achieved through developing guidelines for nosocomial hygiene and training informed healthcare staff. Moreover, non-urgent visits should be avoided or postponed. This issue calls for new strategies, including telemedicine in situations similar to the current pandemic to both identify and manage such conditions. Springer Berlin Heidelberg 2021-05-31 2021 /pmc/articles/PMC8166368/ /pubmed/34059957 http://dx.doi.org/10.1007/s00404-021-06097-5 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle General Gynecology
Khazaeipour, Zahra
Razavi, Erfan
Pahlevan-Fallahy, Mohammad-Taha
Indirect effects of COVID-19 in referring women to gynecologic oncology, perinatology and gynecology clinics in Iran
title Indirect effects of COVID-19 in referring women to gynecologic oncology, perinatology and gynecology clinics in Iran
title_full Indirect effects of COVID-19 in referring women to gynecologic oncology, perinatology and gynecology clinics in Iran
title_fullStr Indirect effects of COVID-19 in referring women to gynecologic oncology, perinatology and gynecology clinics in Iran
title_full_unstemmed Indirect effects of COVID-19 in referring women to gynecologic oncology, perinatology and gynecology clinics in Iran
title_short Indirect effects of COVID-19 in referring women to gynecologic oncology, perinatology and gynecology clinics in Iran
title_sort indirect effects of covid-19 in referring women to gynecologic oncology, perinatology and gynecology clinics in iran
topic General Gynecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166368/
https://www.ncbi.nlm.nih.gov/pubmed/34059957
http://dx.doi.org/10.1007/s00404-021-06097-5
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