Browse by author
Lookup NU author(s): Professor John LeedsORCiD, Dr Christian Dipper, Dr Manu Nayar, Dr David Nylander
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
© 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.
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
Volume: 15
Issue: 4
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
Altmetrics provided by Altmetric
