Improvement in appropriateness and diagnostic yield of fast-track endoscopy during the COVID-19 pandemic in Northern Italy.
Endoscopy
; 53(2): 162-165, 2021 02.
Article
in English
| MEDLINE | ID: covidwho-780072
ABSTRACT
BACKGROUND:
During the COVID-19 outbreak in Italy, only fast-track endoscopic procedures have been performed; nevertheless, a significant drop in their number has been reported. We evaluated whether the pandemic has impacted the appropriateness and diagnostic yield of fast-track endoscopic procedures compared with those performed in 2019.METHODS:
This retrospective study involved endoscopy services in Northern Italy. We compared data regarding endoscopic procedures performed in March and April 2020 with those performed during the same period in 2019.RESULTS:
In 2020, there was a 53.6â% reduction in the number of fast-track endoscopic procedures compared with 2019. Patients undergoing endoscopy in 2020 were younger than in 2019.âBoth appropriate referral and diagnostic yield increased in 2020 for both upper and lower endoscopy. A higher rate of cancer was diagnosed in 2020 by upper endoscopy (3.6â% vs. 6.6â%; Pâ=â0.04).CONCLUSIONS:
The high level of inappropriate endoscopy referrals registered in 2019 significantly improved during the COVID-19 outbreak of 2020, with an increase in the diagnostic yield.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Endoscopy
/
Pandemics
/
COVID-19
/
Neoplasms
Type of study:
Experimental Studies
/
Observational study
Limits:
Humans
Country/Region as subject:
Europa
Language:
English
Journal:
Endoscopy
Year:
2021
Document Type:
Article
Affiliation country:
A-1265-3315
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