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Effect of the SARS-CoV2 Pandemic on Endoscopy Provision–The Impact of Compliance with National Guidance

Lookup NU author(s): Dr John Leeds, Dr Christian Dipper, Dr Manu Nayar, Dr David Nylander

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Abstract

© 2020 Informa UK Limited, trading as Taylor & Francis Group.Objective: There are limited data on the impact of the pandemic upon endoscopy service provision and quality indicators. Methods: Analysis of number and type of procedure, in-room time (minutes), key performance indicators, and list utilization was performed over three periods; pre-lockdown, lockdown, and early recovery and compared with the previous year. Results: Endoscopy activity reduced to 13.3% of the same period in 2019 with the largest drops in colonoscopy and flexible sigmoidoscopy numbers. In-room time increased significantly for gastroscopy (35 vs. 24, p < 0.0001), flexible sigmoidoscopy (20 vs. 15, p < 0.0001), endoscopic ultrasound (40 vs. 32, p = 0.0009), and ERCP (59 vs. 45, p = 0.0041). There was no increase for colonoscopy (35 vs 35, p = 0.129). There was a significant reduction in in-room time for gastroscopy alone (44.5 vs. 30.0, p = 0.0002) over the study period. There was no significant difference in cecal intubation rate, polyp detection rate, or biliary cannulation rate compared to the previous year. Conclusions: The pandemic has profoundly reduced the number of endoscopies performed with some recovery. In-room time has significantly increased but with the preservation of key performance indicators. List utilization remains a significant problem and resources need to be adequately aligned to improve this.


Publication metadata

Author(s): Leeds JS, Awadelkarim B, Dipper C, Nayar MK, Oppong KW, Nylander DL

Publication type: Article

Publication status: Published

Journal: Expert Review of Gastroenterology and Hepatology

Year: 2021

Pages: epub ahead of print

Online publication date: 07/12/2020

Acceptance date: 25/11/2020

ISSN (print): 1747-4124

ISSN (electronic): 1747-4132

Publisher: Taylor and Francis Ltd.

URL: https://doi.org/10.1080/17474124.2021.1857239

DOI: 10.1080/17474124.2021.1857239

PubMed id: 33267699


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