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Showing content from https://pubmed.ncbi.nlm.nih.gov/37794293/ below:

Patient Decisions Regarding Rescheduling Colonoscopies Postponed Due to the COVID-19 Pandemic

Affiliations

• ¹ Digestive Health Research Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106-5066, USA.
• ² Comprehensive Cancer Center (GSC), Case Western Reserve University School of Medicine, 10900 Euclid Ave., Cleveland, OH, 44106-5066, USA.
• ³ Department of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, 10900 Euclid Ave., Cleveland, OH, 44106-5066, USA.
• ⁴ University Hospitals Quality Care Network, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106-5066, USA.
• ⁵ Digestive Health Research Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106-5066, USA. Gregory.Cooper@UHhospitals.org.
• ⁶ Comprehensive Cancer Center (GSC), Case Western Reserve University School of Medicine, 10900 Euclid Ave., Cleveland, OH, 44106-5066, USA. Gregory.Cooper@UHhospitals.org.

• PMID: 37794293
• DOI: 10.1007/s10620-023-08119-5

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Marguerite O Linz et al. Dig Dis Sci. 2023 Dec.

• ¹ Digestive Health Research Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106-5066, USA.
• ² Comprehensive Cancer Center (GSC), Case Western Reserve University School of Medicine, 10900 Euclid Ave., Cleveland, OH, 44106-5066, USA.
• ³ Department of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, 10900 Euclid Ave., Cleveland, OH, 44106-5066, USA.
• ⁴ University Hospitals Quality Care Network, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106-5066, USA.
• ⁵ Digestive Health Research Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106-5066, USA. Gregory.Cooper@UHhospitals.org.
• ⁶ Comprehensive Cancer Center (GSC), Case Western Reserve University School of Medicine, 10900 Euclid Ave., Cleveland, OH, 44106-5066, USA. Gregory.Cooper@UHhospitals.org.

• PMID: 37794293
• DOI: 10.1007/s10620-023-08119-5

Item in Clipboard

Background: Due to the COVID-19 pandemic, elective colonoscopies were postponed in Ohio from 3/17/2020 to 5/1/2020. When the ban was lifted, canceled patients determined whether to reschedule their colonoscopy in the midst of the ongoing pandemic.

Aims: We aim to determine whether demographic, colorectal cancer (CRC) risk, and COVID-19 morbidity and mortality risk factors are associated with rescheduling of colonoscopies canceled by the COVID-19 pandemic.

Methods: A medical record review of 420 participants ages 40-74 at a midwestern academic health system with elective colonoscopies canceled from 3/17/2020 to 5/1/2020 due to the COVID-19 pandemic was performed.

Results: More than half of participants (71.0%) rescheduled their colonoscopy within the next 8 months. Indication for colonoscopy being 'surveillance following adenoma', colonoscopy ordered by primary care provider rather than gastroenterologist, and dyslipidemia were independently associated with rescheduling colonoscopy. Higher body mass index, indication for colonoscopy being simply 'screening for CRC,' and stool testing were associated with not rescheduling. Diagnoses associated with colorectal cancer risk such as adenomas, personal or family history of colorectal cancer, and inflammatory bowel disease were not associated with rescheduling, nor were other comorbidities associated with increased COVID-19 severity. 4.5% (19/420) opted for stool fecal immunochemical test or Cologuard testing.

Conclusions: Most patients rescheduled their colonoscopy despite the risk of virus exposure, suggesting that concern of missed colorectal cancer diagnosis outweighed coronavirus concerns. Patient trust in referring providers may be important for rescheduling, and colonoscopy indications were independently associated with rescheduling status.

Keywords: COVID-19; Colonoscopy; Colorectal neoplasms; Coronavirus; Mass screening.

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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• Cross-sectional Survey Examining Patient Attitudes and Preferences for Rescheduling Screening Colonoscopies Canceled due to the COVID-19 Pandemic.

  Valentine KD, Leavitt L, Atlas SJ, Chen E, Ha J, Percac-Lima S, Fairfield KM, Korsen N, Han PKJ, Richter JM, Simmons L, Sepucha KR. Valentine KD, et al. MDM Policy Pract. 2022 Dec 12;7(2):23814683221141377. doi: 10.1177/23814683221141377. eCollection 2022 Jul-Dec. MDM Policy Pract. 2022. PMID: 36532296 Free PMC article.

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  Mazidimoradi A, Tiznobaik A, Salehiniya H. Mazidimoradi A, et al. J Gastrointest Cancer. 2022 Sep;53(3):730-744. doi: 10.1007/s12029-021-00679-x. Epub 2021 Aug 18. J Gastrointest Cancer. 2022. PMID: 34406626 Free PMC article. Review.

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