Colonoscopy in France during the COVID-19 pandemic.
Colonoscopy in France during the COVID-19 pandemic.
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DOI：
10.1007/s00384-020-03816-3
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发表时间：
2021-05
影响因子：
2.8
通讯作者：
Dray-Spira R
中科院分区：
文献类型：
--
作者：
Meyer A;Drouin J;Zureik M;Weill A;Dray-Spira R
我们假设COVID-19大流行可能改变了结肠镜检查制剂的分发，这是结肠镜检查数量的代表。因此，我们研究了法国大流行期间结肠镜检查制剂分发的变化。使用法国国家健康数据系统，我们确定了2018年至2020年分发的结肠镜检查制剂。预期二零二零年豁免乃根据二零一八年至二零一九年豁免估计。在国家封锁的八周内，结肠镜检查准备的分发明显减少：分发了83,045份结肠镜检查准备，即，181，826（68.6%）低于预期。封锁后，结肠镜检查制剂的分发逐渐恢复到预期数量。总的来说，这意味着在大流行开始后的六个月期间，结肠镜检查准备工作估计减少了大约250 000份。在50岁以下或以上的人群、男性和女性以及贫困指数最高和最低五分位数的人群中，结肠镜检查制剂分发方面的短缺程度相同。总之，在法国COVID-19大流行的前六个月，结肠镜检查制剂的分发量减少了约25万份。令人担忧的是，这将对与结肠直肠癌等胃肠疾病有关的发病率和死亡率造成有害后果。在线版本包含补充材料，可通过10.1007/s 00384 -020-03816-3获得。
We hypothesized that the COVID-19 pandemic may have modified dispensing of colonoscopy preparations, a proxy for the number of colonoscopies performed. We therefore studied changes in dispensing of colonoscopy preparations during the pandemic in France. Using the French national health data system, we identified colonoscopy preparations dispensed from 2018 to 2020. The expected 2020 dispensations were estimated from 2018 to 2019 dispensations. Dispensing of colonoscopy preparations decreased markedly during the eight weeks of national lockdown: 83,045 colonoscopy preparations were dispensed, i.e., 181,826 (68.6%) fewer than expected. After lockdown, dispensing of colonoscopy preparations gradually returned to expected numbers. Overall, this represents an estimated decrease of roughly 250,000 colonoscopy preparations during the six-month period following onset of the pandemic. This shortfall in the dispensing of colonoscopy preparations was of the same order of magnitude in people under or over 50 years of age, in men and women, and in those in the highest and the lowest quintiles of the deprivation index. In conclusion, roughly 250,000 fewer colonoscopy preparations were dispensed during the first six months of the COVID-19 pandemic in France. Deleterious consequences on morbidity and mortality related to gastroenterological diseases, such as colorectal cancer, are to be feared. The online version contains supplementary material available at 10.1007/s00384-020-03816-3.
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作者：
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DOI：
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