Impact of the COVID-19 pandemic on gastrointestinal endoscopy in the Netherlands: analysis of a prospective endoscopy database
Impact of the COVID-19 pandemic on gastrointestinal endoscopy in the Netherlands: analysis of a prospective endoscopy database
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DOI：
10.1055/a-1272-3788
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发表时间：
2020-10-20
期刊：
影响因子：
9.3
通讯作者：
Siersema, Peter D.
中科院分区：
文献类型：
--
作者：
Lantinga, Marten A.;Theunissen, Felix;Siersema, Peter D.
COVID-19严重影响了胃肠道内窥镜检查的实践。我们的目的是调查其对手术类型、适应症和结果的影响。方法回顾性分析荷兰15家医院的内窥镜检查，比较2019年3月15日至2020年6月25日期间使用前瞻性Trans。它的数据库。结果在2020年封锁期间，9776例患者接受了内窥镜检查，而2019年为19296例。胃镜检查减少了57%（从7846例减少到4467例），结肠镜检查减少了45%（从12219例减少到5609例），而内窥镜逆行胆管造影容量保持相当（从578例减少到522例）。尽管内窥镜检查结果表明癌症减少了（从524例降至340例），但在内窥镜检查中发现癌症的可能性增加了(2019年为2.7%[95%置信区间（CI） 2.5-3.0]，而2020年为3.5%[95%置信区间（CI） 3.1-3.9]；P
Background COVID-19 has dramatically affected gastrointestinal endoscopy practice. We aimed to investigate its impact on procedure types, indications, and findings.Methods We retrospectively analyzed endoscopies performed in 15 Dutch hospitals by comparing periods 15 March to 25 June of 2019 and 2020 using the prospective Trans.IT database.Results During lockdown in 2020, 9776 patients underwent endoscopy compared with 19296 in 2019. Gastroscopies decreased by 57% (from 7846 to 4467) and colonoscopies by 45% (from 12219 to 5609), whereas endoscopic retrograde cholangiopancreatography volumes remained comparable (from 578 to 522). Although endoscopy results indicative of cancer decreased (from 524 to 340), the likelihood of detecting cancer during endoscopy increased (2.7% [95% confidence interval (CI) 2.5-3.0] in 2019 versus 3.5% [95%CI 3.1-3.9] in 2020; P