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Patient Attitudes and Barriers to Endoscopy During the COVID-19 Pandemic.
Ergun, Gulchin A; Abughazaleh, Shaadi; Glassner, Kerri; Kuhlman, Suzanne; Ordonez, Adriana.
  • Ergun GA; Division of Gastroenterology, Department of Medicine, Houston Methodist Lynda K. and David M. Underwood Center for Digestive Disorders, Houston Methodist, 6550 Fannin, Smith Tower Suite 1201, Houston, TX, 77030, USA. gergun@houstonmethodist.org.
  • Abughazaleh S; Weill-Cornell Medical School, New York, NY, USA. gergun@houstonmethodist.org.
  • Glassner K; Division of Gastroenterology, Department of Medicine, Houston Methodist Lynda K. and David M. Underwood Center for Digestive Disorders, Houston Methodist, 6550 Fannin, Smith Tower Suite 1201, Houston, TX, 77030, USA.
  • Kuhlman S; Division of Gastroenterology, Department of Medicine, Houston Methodist Lynda K. and David M. Underwood Center for Digestive Disorders, Houston Methodist, 6550 Fannin, Smith Tower Suite 1201, Houston, TX, 77030, USA.
  • Ordonez A; Weill-Cornell Medical School, New York, NY, USA.
Dig Dis Sci ; 68(6): 2303-2314, 2023 06.
Article in English | MEDLINE | ID: covidwho-2258330
ABSTRACT

BACKGROUND:

After COVID-19 restrictions on nonessential procedures were lifted and safety protocols established, utilization rates of endoscopic procedures remained reduced.

AIMS:

This study assessed patient attitudes and barriers to scheduling endoscopy during the pandemic.

METHODS:

A survey was administered to patients with ordered procedures at a hospital-based setting (7/21/2020-2/19/2021) collecting demographic data, body mass index, COVID-19 relevant comorbidities, level of procedural urgency (defined by recommended scheduling window), scheduling and attendance, concerns, and awareness of safety measures.

RESULTS:

The average respondent was female (63.8%), age 57.6 ± 14, White (72.3%), married (76.7%), insured (99.3%), affluent English speakers (92.3%) and highly educated (at least college 90.2%). Most reported moderate to excellent COVID-19 knowledge (96.6%). Of 1039 procedures scheduled, emergent cases accounted for 5.1%, urgent 55.3% and elective 39.4%. Respondents identified appointment convenience (48.53%) as the most frequent factor impacting scheduling, also noting concern for results (28.4%). Age (p = .022), native language (p = .04), education (p = .007), self-reported COVID knowledge (p = .002), and a desire to be COVID tested pre-procedure (p = .023) were associated with arrival, more commonly in an ambulatory surgical center than hospital (p = .008). Diabetes mellitus (p = .004) and an immunocompromised state (p = .009) were adversely related to attendance. Attitudes towards safety protocols did not affect scheduling. Multivariate analysis demonstrated age, education and COVID knowledgeability were associated with procedure completion.

CONCLUSIONS:

Safety protocols and urgency levels were not associated with procedure completion. Pre-pandemic barriers to endoscopy persisted as dominant factors amid pandemic concerns.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Observational study Limits: Adult / Aged / Female / Humans / Middle aged Language: English Journal: Dig Dis Sci Year: 2023 Document Type: Article Affiliation country: S10620-023-07911-7

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Observational study Limits: Adult / Aged / Female / Humans / Middle aged Language: English Journal: Dig Dis Sci Year: 2023 Document Type: Article Affiliation country: S10620-023-07911-7