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Impact of the COVID-19 pandemic on gastrointestinal endoscopy in the Netherlands: analysis of a prospective endoscopy database
- Source :
- Endoscopy, 53, 2, pp. 166-170, Endoscopy, 53(2), 166-170. Georg Thieme Verlag, Endoscopy, 53, 166-170, Endoscopy
- Publication Year :
- 2021
-
Abstract
- 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 19 296 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 Conclusions Fewer endoscopies were performed during the COVID-19 lockdown, leading to a significant reduction in the absolute detection of cancer. Endoscopies increased rapidly after lockdown, except for colorectal cancer screening.
- Subjects :
- Databases, Factual
Coronavirus disease 2019 (COVID-19)
computer.software_genre
Endoscopy, Gastrointestinal
03 medical and health sciences
Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14]
0302 clinical medicine
SDG 3 - Good Health and Well-being
Neoplasms
medicine
Humans
Pandemics
Netherlands
Retrospective Studies
Gastrointestinal endoscopy
Endoscopic retrograde cholangiopancreatography
medicine.diagnostic_test
Database
business.industry
Gastroenterology
COVID-19
Cancer
Retrospective cohort study
medicine.disease
Confidence interval
Endoscopy
Renal disorders Radboud Institute for Molecular Life Sciences [Radboudumc 11]
Colorectal cancer screening
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
business
computer
Subjects
Details
- ISSN :
- 0013726X
- Database :
- OpenAIRE
- Journal :
- Endoscopy, 53, 2, pp. 166-170, Endoscopy, 53(2), 166-170. Georg Thieme Verlag, Endoscopy, 53, 166-170, Endoscopy
- Accession number :
- edsair.doi.dedup.....7a4e066cd7c2a5f723eb21e79fc7c083