{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T01:01:05Z","timestamp":1760576465991,"version":"build-2065373602"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To review papers assessing the impact of surgical delay in relation to the COVID\u201019 pandemic, and evaluate what has been learnt about the safety of surgical waiting times in urological oncology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>Medline and Web of Science were searched for studies published between 1 January 2020 and 1 November 2024. Studies included were those reporting treatment delay effects on surgical or oncological outcomes, or patient experience with reference to COVID\u201019. Priority was given to studies deriving their cohort after the start of the pandemic. Studies were also included in which the cohort was derived before the pandemic, but where recommendations were made on COVID\u201019 treatment delay. Data were extracted regarding duration of delay and authors\u2019 reported impact of delay on outcome (quantified, and simplified as negative\/neutral\/positive).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 35 studies met the inclusion criteria. Fourteen studies included data collected after the start of the pandemic and 21 exclusively included cohorts derived prior to the pandemic but made recommendations about COVID\u201019\u2010related treatment delays. Six studies on urothelial cancer reported negative clinical outcomes for delays between 2\u2009weeks and 3\u2009months, while three reported a neutral impact. Four studies on kidney cancer reported negative outcomes with 1\u20133\u2010month delay, while two reported a neutral impact. Eleven studies on prostate cancer reported that a 3\u201312\u2010month delay had neutral effects, while one reported negative outcomes. One study on penile cancer reported worse survival with delays in treatment. No studies on testicular cancer were identified. Five studies reported negative patient experience with delays, while one reported a positive patient experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Few studies have reported the impacts of COVID\u201019\u2010related delayed treatment; this was a missed opportunity. While most prostate cancer treatment can be deferred up to 180\u2009days, diagnostic cystoscopy, transurethral resection of bladder tumour and nephrectomy for cT2+ renal masses should be expedited to occur within 30\u2009days. Treatment of cT1 renal masses, carcinoma invading bladder muscle, upper tract urothelial carcinoma and high\u2010risk prostate cancer should commence within 90\u2009days.<\/jats:p><\/jats:sec>","DOI":"10.1111\/bju.16881","type":"journal-article","created":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T03:54:50Z","timestamp":1754452490000},"page":"781-787","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["What has the <scp>COVID<\/scp>\u201019 pandemic taught us about safety of surgical wait times in urological oncology?"],"prefix":"10.1111","volume":"136","author":[{"given":"James P.","family":"Blackmur","sequence":"first","affiliation":[{"name":"Department of Urology Western General Hospital  Edinburgh UK"},{"name":"Institute of Genetics and Cancer, Western General Hospital University of Edinburgh  Edinburgh UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Re","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cambridge Biomedical Centre University of Cambridge  Cambridge UK"},{"name":"Unit of Urology, IRCCS San Raffaele Hospital Vita\u2010Salute San Raffaele University  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3188-9140","authenticated-orcid":false,"given":"Grant D.","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cambridge Biomedical Centre University of Cambridge  Cambridge UK"},{"name":"Department of Urology Addenbrooke's Hospital  Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2020.04.063"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001288"},{"key":"e_1_2_8_4_1","first-page":"221","article-title":"Recommendations CCAFU on the management of cancers of the urogenital system during an epidemic with coronavirus COVID\u201019","volume":"30","author":"M\u00e9jean A","year":"2020","journal-title":"Prog Urol"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2020.04.056"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2024.108602"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2020.03.027"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-04925-2"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.8648"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2023-004310"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau-22-360"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.seminoncol.2023.03.005"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.16652"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-10319-0"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.13677"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-022-07028-z"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2020.09.002"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2020.09.015"},{"key":"e_1_2_8_19_1","unstructured":"NHS England.Cancer waiting times review [Internet].2023. 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