Report of the chief freelance specialist, pediatric urologist-andrologist of the Moscow Healthcare Department on the results of work in 2023

Abstract

Background. The present article is based on the materials of the annual report of Professor S. G. Vrublevsky, the chief freelance specialist – pediatric urologist-andrologist of the Moscow Department of Health Care, which summarizes the results of the pediatric urological service of the capital city. The article is an analysis of the performance indicators of the pediatric urological service of Moscow both with regard to the main nosological areas of its activity and specific institutions within its structure. There has been an increase in the number of specialists and beds in the pediatric urological service. The duration of a patient's stay in hospital has decreased, and all clinics within the pediatric urology service are at approximately the same level in terms of this indicator – from 3.5 to 4.5 days, which is less than in previous periods. Short-stay inpatient clinics have been actively operating.
Results. All Moscow hospitals treated 13,384 children with uroandrologic pathology in 2023. This is more than in the previous 12 months, which is due to the end of the pandemic, during which the opportunities for hospitalization were limited. An important characteristic of any unit performing surgical interventions is surgical activity. In some institutions of the capital, which are part of the structure of pediatric urological service, it is up to 100%, such as, for example, in Z. A. Bashlyaeva Children's City Clinical Hospital, which shows high figures from year to year. This is due to the fact that the main process of examination of patients occurs at the pre-hospital stage, and the child is hospitalized directly to perform surgical care. In all children's hospitals in Moscow, 10,672 urological operations were performed, not counting those performed in short-stay hospitals (about 3,500 more).
Conclusion. In general, more than 14 thousand surgeries in the profile of “urology-andrology” were performed in the capital's pediatric medical institutions during the year. At the same time, the number of surgical interventions performed in short-stay hospitals increased from 2884 in 2022 to 3526 – in 2023, when such hospitals (including in the profile of “urology andrology”) were actively working in all institutions of the capital.