PR3 Patient-Reported Outcome Measures to Prioritize Surgical Lists during Pandemic Events

Objectives: When pandemic events arise, there are complex decisions to take under pressure, such as the prioritization of cases While there are international examples of using PROMs to organize waiting lists, there are no such experiences in Italy Italy was the first European country to be hit hard by the COVID-19 outbreak, and a selection of patients was necessary Could PROMs be used in a prioritization process? Methods: We focused on robotic oncological surgery for prostate cancer in three different surgical units (SU) in Tuscany (Italy) We selected all patients who replied to the baseline PROMs questionnaire (EORTC-QLQ-C30) and received surgery during the COVID-19 crisis (March-May 2020) (n=86) We comparatively analyzed, for each SU, their baseline score with their position both in the real weekly surgical list and the simulation of an optimized list by using the PROMs, considering ±3 positions of tolerance We discussed the findings with healthcare professionals Results: More than 65 7% of cases were not operated accordingly to the severity perceived by patients In one SU, the two surgical lists did not significantly differ In the others, those who underwent later the surgery reported a worse condition (mean PROMs score 69/100;mean n positions in surgical list SU1 +16 on 40) Healthcare professionals discussed the limits and potential of integrating PROMs-scores among the prioritization criteria, reaching a consensus on specific PROMs indicators to be tested to this eds Conclusions: PROMs may represent a key tool to prioritize patients in oncological surgery Surgical activities are still organized from a provider perspective We proposed the use of PROMs as a tool to consider patient-reported needs to prioritize procedures Further analysis should be done to estimate the value of using PROMs for the prioritization of most severe cases