Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from https://pubmed.ncbi.nlm.nih.gov/32690602/ below:

Impact of the COVID-19 pandemic on UK endoscopic activity and cancer detection: a National Endoscopy Database Analysis

Affiliations

• ¹ Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, UK matt.rutter@nhs.net.
• ² Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
• ³ Department of Gastroenterology, New Cross Hospital, Wolverhampton, UK.
• ⁴ Research Institute in Healthcare Science (RIHS), University of Wolverhampton, Wolverhampton, UK.
• ⁵ Gastroenterology Research, Northumbria Healthcare NHS Foundation Trust, North Shields, UK.
• ⁶ Weblogik, Ipswich, UK.

• PMID: 32690602
• DOI: 10.1136/gutjnl-2020-322179

Item in Clipboard

Matthew D Rutter et al. Gut. 2021 Mar.

• ¹ Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, UK matt.rutter@nhs.net.
• ² Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
• ³ Department of Gastroenterology, New Cross Hospital, Wolverhampton, UK.
• ⁴ Research Institute in Healthcare Science (RIHS), University of Wolverhampton, Wolverhampton, UK.
• ⁵ Gastroenterology Research, Northumbria Healthcare NHS Foundation Trust, North Shields, UK.
• ⁶ Weblogik, Ipswich, UK.

• PMID: 32690602
• DOI: 10.1136/gutjnl-2020-322179

Item in Clipboard

Objective: The COVID-19 pandemic has had a major global impact on endoscopic services. This reduced capacity, along with public reluctance to undergo endoscopy during the pandemic, might result in excess mortality from delayed cancer diagnosis. Using the UK's National Endoscopy Database (NED), we performed the first national analysis of the impact of the pandemic on endoscopy services and endoscopic cancer diagnosis.

Design: We developed a NED COVID-19 module incorporating procedure-level data on all endoscopic procedures. Three periods were designated: pre-COVID (6 January 2020 to 15 March), transition (16-22 March) and COVID-impacted (23 March-31 May). National, regional and procedure-specific analyses were performed. The average weekly number of cancers, proportion of missing cancers and cancer detection rates were calculated.

Results: A weekly average of 35 478 endoscopy procedures were performed in the pre-COVID period. Activity in the COVID-impacted period reduced to 12% of pre-COVID levels; at its low point, activity was only 5%, recovering to 20% of pre-COVID activity by study end. Although more selective vetting significantly increased the per-procedure cancer detection rate (pre-COVID 1.91%; COVID-impacted 6.61%; p<0.001), the weekly number of cancers detected decreased by 58%. The proportion of missing cancers ranged from 19% (pancreatobiliary) to 72% (colorectal).

Conclusion: This national analysis demonstrates the remarkable impact that the pandemic has had on endoscopic services, which has resulted in a substantial and concerning reduction in cancer detection. Major, urgent efforts are required to restore endoscopy capacity to prevent an impending cancer healthcare crisis.

Keywords: gastrointesinal endoscopy; gastrointestinal cancer; health service research.

© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

PubMed Disclaimer

Competing interests: None declared.

• COVID-19 and its impact on endoscopy services: what is the threshold for missed malignant diagnosis?

  He T, MacIsaac MB, Hume SJ, Thompson AJ, Schulberg JD. He T, et al. Gut. 2021 Jul;70(7):1414-1415. doi: 10.1136/gutjnl-2020-322769. Epub 2020 Aug 26. Gut. 2021. PMID: 32847844 No abstract available.

• Colorectal screening: We have not caught up. A surge of colorectal cancer after the coronavirus disease 2019 (COVID-19) pandemic?

  Challine A, Lazzati A, Dousset B, Voron T, Parc Y, Lefevre JH. Challine A, et al. Surgery. 2021 Apr;169(4):991-993. doi: 10.1016/j.surg.2020.12.021. Epub 2021 Jan 21. Surgery. 2021. PMID: 33485642 Free PMC article. No abstract available.

• Intraductal bile duct stents should be prioritised for removal during the pandemic.

  Ahmed W, Joshi D, Harrison P, Reffitt D, Devlin J. Ahmed W, et al. Gut. 2021 Dec;70(12):2397. doi: 10.1136/gutjnl-2021-324105. Epub 2021 Feb 1. Gut. 2021. PMID: 33526436 No abstract available.

• COVID-19 and endoscopic services: the impact of delays in therapeutic colonoscopies on patients.

  Samani S, Mir N, Naumann DN, Ding M, Karandikar S, Goh J, Iacucci M, Mottershead M, Giljaca V. Samani S, et al. Gut. 2021 Oct;70(10):2019-2020. doi: 10.1136/gutjnl-2021-324112. Epub 2021 Feb 4. Gut. 2021. PMID: 33541864 No abstract available.

• COVID-19 Disruptions to Endoscopic Surveillance in Lynch Syndrome.

  McKenna DB, Dudzik CM, Kumar S, Mahmud N, Katona BW. McKenna DB, et al. Cancer Prev Res (Phila). 2021 May;14(5):521-526. doi: 10.1158/1940-6207.CAPR-20-0565. Epub 2021 Feb 24. Cancer Prev Res (Phila). 2021. PMID: 33627398 Free PMC article.

• Pre-endoscopy SARS-CoV-2 testing strategy during COVID-19 pandemic: the care must go on.

  Casper M, Reichert MC, Rissland J, Smola S, Lammert F, Krawczyk M. Casper M, et al. Eur J Med Res. 2022 Mar 18;27(1):41. doi: 10.1186/s40001-022-00672-5. Eur J Med Res. 2022. PMID: 35303954 Free PMC article.

• Real-World Data on the Impact of COVID-19 on Endoscopic Procedural Delays.

  Issaka RB, Feld LD, Kao J, Hegarty E, Snailer B, Kalra G, Tomizawa Y, Strate L. Issaka RB, et al. Clin Transl Gastroenterol. 2021 Jun 1;12(6):e00365. doi: 10.14309/ctg.0000000000000365. Clin Transl Gastroenterol. 2021. PMID: 34060496 Free PMC article.

• Upper Gastrointestinal Cancer Management in the COVID-19 Era: Risk of Infection, Adapted Role of Endoscopy, and Potential Treatment Algorithm Alterations.

  Apostolou K, Vogli S, Frountzas M, Syllaios A, Tolia M, Papanikolaou IS, Schizas D. Apostolou K, et al. J Gastrointest Cancer. 2021 Jun;52(2):407-413. doi: 10.1007/s12029-020-00557-y. Epub 2020 Nov 26. J Gastrointest Cancer. 2021. PMID: 33244705 Free PMC article. Review.

• The use of personal protective equipment in endoscopy: what should the endoscopist wear during a pandemic?

  Jayasena H, Abeynayake D, De Silva A, Niriella M, de Silva HJ. Jayasena H, et al. Expert Rev Gastroenterol Hepatol. 2021 Dec;15(12):1349-1359. doi: 10.1080/17474124.2021.2011213. Epub 2021 Dec 20. Expert Rev Gastroenterol Hepatol. 2021. PMID: 34821190 Review.

• AGA Rapid Review and Guideline for SARS-CoV2 Testing and Endoscopy Post-Vaccination: 2021 Update.

  Sultan S, Siddique SM, Singh S, Altayar O, Caliendo AM, Davitkov P, Feuerstein JD, Kaul V, Lim JK, Mustafa RA, Falck-Ytter Y, Inadomi JM; American Gastroenterological Association. Sultan S, et al. Gastroenterology. 2021 Sep;161(3):1011-1029.e11. doi: 10.1053/j.gastro.2021.05.039. Epub 2021 May 21. Gastroenterology. 2021. PMID: 34029569 Free PMC article.

• Collateral Casualties of COVID-19.

  Koulaouzidis G, Charisopoulou D, Koulaouzidis A. Koulaouzidis G, et al. J Am Coll Cardiol. 2021 May 25;77(20):2621-2622. doi: 10.1016/j.jacc.2021.01.058. J Am Coll Cardiol. 2021. PMID: 34016275 Free PMC article. No abstract available.

• The recovery of endoscopic activity and cancer detection after the COVID-19 pandemic.

  Zhou F, Fu J, Wu N, Liu Y, Xie Y, Zhou X. Zhou F, et al. Heliyon. 2024 Jul 25;10(15):e35076. doi: 10.1016/j.heliyon.2024.e35076. eCollection 2024 Aug 15. Heliyon. 2024. PMID: 39157353 Free PMC article.

• The COLO-COHORT (Colorectal Cancer Cohort) study: Protocol for a multi-centre, observational research study and development of a consent-for-contact research platform.

  Hampton JS, Koo S, Dobson C, Stewart CJ, Neilson LJ, Montague K, Mitra S, Whelpton J, Addison C, Kelly P, Rushton S, Hull MA, Sharp L, Rees CJ. Hampton JS, et al. Colorectal Dis. 2022 Oct;24(10):1216-1226. doi: 10.1111/codi.16160. Epub 2022 Jun 3. Colorectal Dis. 2022. PMID: 35470953 Free PMC article.

• Prioritisation of lower gastrointestinal endoscopy during the COVID-19 pandemic: outcomes of a novel triage pathway.

  Archer T, Aziz I, Kurien M, Knott V, Ball A. Archer T, et al. Frontline Gastroenterol. 2021 Jun 8;13(3):225-230. doi: 10.1136/flgastro-2021-101825. eCollection 2022. Frontline Gastroenterol. 2021. PMID: 35479850 Free PMC article.

RetroSearch is an open source project built by @garambo | Open a GitHub Issue

Search and Browse the WWW like it's 1997 | Search results from DuckDuckGo

HTML: 3.2 | Encoding: UTF-8 | Version: 0.7.3