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10.17235/reed.2020.7375/2020 http://scihub22266oqcxt.onion/10.17235/reed.2020.7375/2020 32954775!?!32954775 Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=32954775&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215       Rev+Esp+Enferm+Dig 2020 ; 112 (10): 748-755 Nephropedia Template TP {{tp|p=32954775|t=2020. Evaluation of endoscopy requests in the resumption of activity during the SARS-CoV-2 pandemic: denial of nonindicated requests and prioritization of accepted requests |pdf=|usr=}}{{32954775}} gab.com Text Evaluation of endoscopy requests in the resumption of activity during the SARS-CoV-2 pandemic: denial of nonindicated requests and prioritization of accepted requests JO: Rev Esp Enferm Dig http://www.kidney.de/pget.php?&tw=1&pmid=32954775 #FOAvip INTRODUCTION: the global SARS-CoV-2 pandemic forced the closure of endoscopy units. Before resuming endoscopic activity, we designed a protocol to evaluate gastroscopies and colonoscopies cancelled during the pandemic, denying inappropriate requests and prioritizing appropriate ones. METHODS: two types of inappropriate request were established: a) COVID-19 context, people aged </= 50 years without alarm symptoms and a low probability of relevant endoscopic findings; and b) inappropriate context, requests not in line with clinical guidelines or protocols. Denials were filed in the medical record. Appropriate requests were classified into priority, conventional and follow-up. Requests denied by specialty were compared and the findings of priority requests were evaluated. RESULTS: between March 16th and June 30th 2020, 1,658 requests (44 % gastroscopies and 56 % colonoscopies) were evaluated, of which 1,164 (70 %) were considered as appropriate (priority 8.5 %, conventional 48 %, follow-up 43 % and non-evaluable 0.5 %) and 494 (30 %) as inappropriate (20 % COVID-19 context, 80 % inappropriate context). The reasons for denial of gastroscopy were follow-up of lesions (33 %), insufficiently studied symptoms (20 %) and relapsing symptoms after a previous gastroscopy (18 %). The reasons for denial of colonoscopies were post-polypectomy surveillance (25 %), colorectal cancer after surgery (21 %) and a family history of cancer (13 %). There were significant differences in denied requests according to specialty: General Surgery (52 %), Hematology (37 %) and Primary Care (29 %); 31 % of priority cases showed relevant findings. CONCLUSIONS: according to our study, 24 % of endoscopies were discordant with scientific recommendations. Therefore, their denial and the prioritization of appropriate ones optimize the use of resources. Twit Text FOAVip Evaluation of endoscopy requests in the resumption of activity during the SARS-CoV-2 pandemic: denial of nonindicated requests and prioritization of accepted requests ????Rev Esp Enferm Dig http://www.kidney.de/pget.php?&tw=1&pmid=32954775 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32954775 #FOAvip English Wikipedia <ref>{{Cite pmid|32954775}}</ref> Evaluation of endoscopy requests in the resumption of activity during the SARS-CoV-2 pandemic: denial of nonindicated requests and prioritization of accepted requests #MMPMID32954775 Diez Redondo P; Nunez Rodriguez M feminineH; Fuentes Valenzuela E; Najera Munoz R; Perez-Miranda M Rev Esp Enferm Dig 2020[Oct]; 112 (10): 748-755 PMID32954775show ga INTRODUCTION: the global SARS-CoV-2 pandemic forced the closure of endoscopy units. Before resuming endoscopic activity, we designed a protocol to evaluate gastroscopies and colonoscopies cancelled during the pandemic, denying inappropriate requests and prioritizing appropriate ones. METHODS: two types of inappropriate request were established: a) COVID-19 context, people aged |*Betacoronavirus[MESH] |Adolescent[MESH] |Adult[MESH] |Aged[MESH] |Aged, 80 and over[MESH] |COVID-19[MESH] |Clinical Protocols[MESH] |Colonoscopy/*standards/trends[MESH] |Coronavirus Infections/*prevention & control[MESH] |Female[MESH] |Gastroscopy/*standards/trends[MESH] |Health Care Rationing/*standards/trends[MESH] |Health Services Accessibility/*standards/trends[MESH] |Hospitals, Public/standards/trends[MESH] |Humans[MESH] |Infection Control/*methods/standards/trends[MESH] |Male[MESH] |Middle Aged[MESH] |Pandemics/*prevention & control[MESH] |Pneumonia, Viral/*prevention & control[MESH] |Practice Guidelines as Topic[MESH] |SARS-CoV-2[MESH] |Spain[MESH] |Tertiary Care Centers/standards/trends[MESH]Evaluation of endoscopy requests in the resumption of activity during (epmc).pdf DeepDyve Pubget Overpricing