Should the Endoscopic Restrictions during COVID-19 Pandemic Remain Unchanged?
| العنوان: | Should the Endoscopic Restrictions during COVID-19 Pandemic Remain Unchanged? |
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| المؤلفون: | Maria Jose Rojas, Sebastian Licuime, Luis Seijas, Paulette Palma, Emilio Bresky, Fabian Saez, Gustavo Bresky, Domingo Lancellotti, Juan Andres Madariaga |
| المصدر: | Gastroenterology Insights Volume 12 Issue 3 Pages 34-365 Gastroenterology Insights, Vol 12, Iss 34, Pp 358-365 (2021) |
| بيانات النشر: | Multidisciplinary Digital Publishing Institute, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Infection risk, medicine.medical_specialty, stomach neoplasms, Hepatology, medicine.diagnostic_test, Coronavirus disease 2019 (COVID-19), business.industry, General surgery, Gastroenterology, Outcome measures, Cancer, RC799-869, Diseases of the digestive system. Gastroenterology, colorectal neoplasms, medicine.disease, gastrointestinal, Endoscopy, gastrointestinal neoplasms, coronavirus infections, Pandemic, medicine, Retrospective analysis, Gastrointestinal cancer, endoscopy, business |
| الوصف: | (Background) Endoscopic procedures are interventions that have been defined as carrying a high-risk of infection with COVID-19. Most endoscopy units restrict their activity based on pre-endoscopic diagnosis. (Objective) To determine the consequences of endoscopic restrictions as a result of the COVID-19 pandemic and their impact on digestive cancer diagnosis. (Design) A comparison of upper digestive endoscopies and colonoscopies with gastrointestinal cancers diagnosed between three endoscopic centers, two of which restricted their procedures and one that did not but performed the procedures under a strict protocol. (Setting) A retrospective analysis was performed collecting data between 15 March 2019 and 15 August 2020. Two-factor ANOVA and a Tukey’s a posteriori test were used as statistical tests. (Main outcome measures) There was variation in gastrointestinal cancer diagnosis between 2019 and 2020, considering the endoscopic procedures performed each year. (Result) There was a significant decrease in the total endoscopic procedures performed between 2019 and 2020 (p < 0.001), the result of reduced testing at the two centers (p < 0.001) with pre-endoscopic restrictions, which was not compensated for by a slight increase in procedures at the center without restrictions (p = 0.139). Regarding the total cancers diagnosed, while a significant decrease was observed for the two centers with pre-endoscopic restrictions (p = 0.007), a significant increase was registered in the center that maintained its endoscopic productivity (p < 0.001). After 851 procedures (537 upper digestive endoscopies and 314 colonoscopies) there was no evidence of COVID-19 infection in the endoscopic staff. (Conclusion) Endoscopic restrictions based on pre-endoscopic diagnosis should be reassessed in consideration of local pandemic situations, and a balance should be sought between COVID-19 infection risk and the detrimental delay of potential cancer diagnosis. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2036-7422 |
| DOI: | 10.3390/gastroent12030034 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::954c7ed1b1dd4787e1f47cd60f60a1d7 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....954c7ed1b1dd4787e1f47cd60f60a1d7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20367422 |
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| DOI: | 10.3390/gastroent12030034 |