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INDEX SCREENING COLONOSCOPY QUALITY METRICS HAVE NOT DIMINISHED DURING THE PANDEMIC
Gastroenterology ; 162(7):S-307, 2022.
Article in English | EMBASE | ID: covidwho-1967295
ABSTRACT

Introduction:

The ongoing coronavirus-2019 (COVID-19) pandemic has seen a decrease in the overall number of screening colonoscopies performed with the suspension of elective outpatient procedures. We sought to evaluate whether screening colonoscopy quality parameters such as adenoma detection rate (ADR) and withdrawal times have been affected now that such elective procedures have resumed in greater numbers.

Methods:

This is a singlecenter observational study comparing patients who underwent index screening colonoscopies since our outpatient facilities reopened (7/1/2021 through 9/30/2021) with a pre-pandemic cohort (7/1/2018-9/30/2018). We collected demographic information including patient age, sex, comorbidities, among others, and we tabulated the number of polyps detected, the number of tubular adenomas, and the withdrawal times. We used Chi-square testing to determine significance among our categorical variables and used t-tests to compare means for our numerical variables. All statistical analysis was done in R (R Core Team, 2020).

Results:

We identified and included 159 patients in the 2018 cohort and another 244 patients in the 2021 cohort (Table 1). The pre-pandemic group included 78 women (49.1%) and had an overall ADR of 29.6% (20.5% for women, 38.3% for men). The 2021 group was larger and included 133 women (54.5%) and had an overall ADR of 32.0% (27.1% for women, 37.8% for men). We found no statistically significant differences in patient characteristics, number of polyps detected, or ADR between the two groups (Tables 1 and 2). There was no significant difference in the odds of detecting an adenoma based on day of the week, morning versus afternoon session, or involvement of a fellow. We found an increase in mean withdrawal time in the 2021 cohort (16.2 minutes vs. 13.6 minutes, p= 0.005) compared to pre-pandemic.

Conclusion:

The pandemic has not adversely affected the quality of screening colonoscopies performed at our institution, regardless of when the procedure was done or whether a trainee was involved. We are undertaking further data collection to ensure that our findings are stable over a longer time period. (Table Presented) (Table Presented)
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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Gastroenterology Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Gastroenterology Year: 2022 Document Type: Article