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Impact of the COVID-19 pandemic on gastrointestinal endoscopy in the Netherlands: analysis of a prospective endoscopy database.
Lantinga, Marten A; Theunissen, Felix; Ter Borg, Pieter C J; Bruno, Marco J; Ouwendijk, Rob J T; Siersema, Peter D.
  • Lantinga MA; Department of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Theunissen F; Department of Gastroenterology and Hepatology, Erasmus Medical Center, Rotterdam, The Netherlands.
  • Ter Borg PCJ; Department of Gastroenterology and Hepatology, Ikazia Ziekenhuis, Rotterdam, The Netherlands.
  • Bruno MJ; Department of Gastroenterology and Hepatology, Erasmus Medical Center, Rotterdam, The Netherlands.
  • Ouwendijk RJT; Department of Gastroenterology and Hepatology, Bravis Ziekenhuis, Roosendaal, The Netherlands.
  • Siersema PD; Department of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen, The Netherlands.
Endoscopy ; 53(2): 166-170, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-882959
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 < 0.001). After lifting of lockdown, endoscopy volumes started to return to normal, except for colorectal cancer screening.

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.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Endoscopy, Gastrointestinal / Pandemics / COVID-19 / Neoplasms Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Endoscopy Year: 2021 Document Type: Article Affiliation country: A-1272-3788

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Endoscopy, Gastrointestinal / Pandemics / COVID-19 / Neoplasms Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Endoscopy Year: 2021 Document Type: Article Affiliation country: A-1272-3788