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Barriers for resuming endoscopy service in the context of COVID-19 pandemic: A multicenter survey from Egypt #MMPMID33268968
Elshaarawy O; Lashen SA; Makhlouf NA; Abdeltawab D; Zaghloul MS; Ahmed RM; Fathy H; Afifi S; Abdel-Gawad M; Abdelsameea E; Abd-Elsalam S; Mohamed SY; Tag-Adeen M; Tharwat M; Alzamzamy A; Bekhit AN; Eid AM; Awad A; Aamr M; Dayem WAAE; Wifi MN; Alboraie M
World J Gastroenterol 2020[Nov]; 26 (43): 6880-6890 PMID33268968show ga
BACKGROUND: The current coronavirus disease 2019 (COVID-19) pandemic has affected routine endoscopy service across the gastroenterology community. This led to the suspension of service provision for elective cases. AIM: To assess the potential barriers for resuming the endoscopy service in Egypt. METHODS: A national online survey, four domains, was disseminated over a period of 4 wk in August 2020. The primary outcome of the survey was to determine the impact of the COVID-19 pandemic on the endoscopy service and barriers to the full resumption of a disabled center(s). RESULTS: A hundred and thirteen Egyptian endoscopy centers participated in the survey. The waiting list was increased by >/= 50% in 44.9% of areas with clusters of COVID-19 cases (n = 49) and in 35.5% of areas with sporadic cases (n = 62). Thirty nine (34.8%) centers suffered from staff shortage, which was considered a barrier against service resumption by 86.4% of centers in per-protocol analysis. In multivariate analysis, the burden of cases in the unit locality, staff shortage/recovery and the availability of separate designated rooms for COVID-19 cases could markedly affect the resumption of endoscopy practice (P = 0.029, < 0.001 and 0.02, respectively) and Odd's ratio (0.15, 1.8 and 0.16, respectively). CONCLUSION: The COVID-19 pandemic has led to restrictions in endoscopic volumes. The staff shortage/recovery and the availability of COVID-19 designed rooms are the most important barriers against recovery. Increasing working hours and dividing endoscopy staff into teams may help to overcome the current situation.
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World+J+Gastroenterol 2020 ; 26 (43): 6880-6890
