Real-World Data on the Impact of COVID-19 on Endoscopic Procedural Delays.
Real-World Data on the Impact of COVID-19 on Endoscopic Procedural Delays.
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DOI：
10.14309/ctg.0000000000000365
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发表时间：
2021-06-01
影响因子：
3.6
通讯作者：
Strate L
中科院分区：
文献类型：
--
作者：
Issaka RB;Feld LD;Kao J;Hegarty E;Snailer B;Kalra G;Tomizawa Y;Strate L
2019冠状病毒病（COVID-19）大流行的最初激增促使各国建议推迟非紧急内窥镜手术。本研究的目的是提供关于COVID-19对安全网医疗保健系统和三级学术中心附属癌症中心内窥镜手术影响的真实数据。这项回顾性队列研究使用了电子健康记录数据和前瞻性数据工具的组合，该工具是为跟踪整个COVID-19期间的内窥镜手术而创建的，以描述在最初COVID-19激增期间延迟的内窥镜手术的患者和手术特征。在确定的480名患者中，中位年龄为57岁（四分位数范围46-66），55%（n = 262）为男性，59%自认为是白色。结肠镜检查是最常见的延迟手术类型（49%），其次是联合食管胃内镜检查（EGD）和结肠镜检查（22%），以及单独EGD（20%）。结直肠癌筛查是延迟结肠镜检查的最常见适应症（35%），疑似出血评估（30%）是延迟EGD和结肠镜检查联合检查的最常见适应症。到目前为止，46%（223/480）的延迟病例已经完成，诊断出12例结直肠癌，胰腺癌和胃癌。社会人口学因素、操作类型和镇静类型与内窥镜检查完成率无显著相关性。延迟手术后至内镜检查的中位时间为88天（四分位距63-119），不同手术类型之间无差异。为了最大限度地减少随访、延迟或漏诊的潜在损失，并减少胃肠道疾病的进展，应尽一切努力确保对因COVID-19而延迟内镜手术的患者进行随访。
The initial surge of the coronavirus disease 2019 (COVID-19) pandemic prompted national recommendations to delay nonurgent endoscopic procedures. The objective of this study was to provide real-world data on the impact of COVID-19 on endoscopic procedures in a safety-net healthcare system and cancer center affiliated with a tertiary academic center. This retrospective cohort study used a combination of electronic health record data and a prospective data tool created to track endoscopy procedures throughout COVID-19 to describe patient and procedural characteristics of endoscopic procedures delayed during the initial COVID-19 surge. Of the 480 patients identified, the median age was 57 years (interquartile range 46–66), 55% (n = 262) were male, and 59% self-identified as white. Colonoscopy was the most common type of delayed procedure (49%), followed by combined esophagogastroduodenoscopy (EGD) and colonoscopy (22%), and EGD alone (20%). Colorectal cancer screening was the most common indication for delayed colonoscopy (35%), and evaluation of suspected bleeding (30%) was the most common indication for delayed combined EGD and colonoscopy. To date, 46% (223/480) of delayed cases have been completed with 12 colorectal, pancreatic, and stomach cancers diagnosed. Sociodemographic factors, procedure type, and sedation type were not significantly associated with endoscopy completion. The median time to endoscopy after delayed procedure was 88 days (interquartile range 63–119) with no differences by procedure type. To minimize potential losses to follow-up, delayed, or missed diagnoses and to reduce progression of gastrointestinal diseases, all efforts should be used to ensure follow-up in those whose endoscopic procedures were delayed because of COVID-19.
影响因子：
12.6
作者：
Lee, Yi-Chia;Fann, Jean Ching-Yuan;Chen, Hsiu-Hsi
通讯作者：
Chen, Hsiu-Hsi
影响因子：
7.7
作者：
Balzora S;Issaka RB;Anyane-Yeboa A;Gray DM 2nd;May FP
通讯作者：
May FP