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10.3390/healthcare9010100

http://scihub22266oqcxt.onion/10.3390/healthcare9010100
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33477942!7833369!33477942
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suck abstract from ncbi


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pmid33477942      Healthcare+(Basel) 2021 ; 9 (1): ä
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  • The Impact of the COVID-19 Pandemic on Gastrointestinal Endoscopy Activity in a Tertiary Care Center from Northeastern Romania #MMPMID33477942
  • Chiriac S; Stanciu C; Cojocariu C; Sfarti C; Singeap AM; Girleanu I; Cuciureanu T; Huiban L; David D; Zenovia S; Nastasa R; Balan GG; Trifan A
  • Healthcare (Basel) 2021[Jan]; 9 (1): ä PMID33477942show ga
  • BACKGROUND: The outbreak of the coronavirus disease 2019 (COVID-19) has led to significant changes in endoscopy units worldwide, with potential impact on patients' welfare as well as on endoscopy training. We aimed to assess the real-life impact of COVID-19 on the endoscopy unit in a tertiary care center from Romania. METHODS: A 6.5-month period during the COVID-19 pandemic was compared to a similar period from 2019. RESULTS: A 6.2-fold decrease of endoscopic procedures was noted. Colonoscopies were reduced from 916 to 42, p < 0.001; flexible sigmoidoscopies from 189 to 14, p = 0.009; upper gastrointestinal (GI) endoscopies from 2269 to 401, p = 0.006; and ERCP from 234 to 125, p < 0.001. The percentage of emergency procedures increased (38.8% vs. 26.2%, p < 0.001), as well as the rate of endoscopies performed for upper GI bleeding (42.5% vs. 24.4%, respectively, p < 0.001). The detection of cancers was considerably reduced (57 compared to 249, p = 0.001). There were fewer complications and higher success rates (7.6% vs. 19.2%, p < 0.001, and 94.2% vs. 90.7%, respectively). Fellows participation was also reduced from 90% to 40.9% (p < 0.001). CONCLUSIONS: The COVID-19 pandemic has significantly altered the workflow of the endoscopy unit, lowering the number of procedures performed and potentially compromising the early detection of cancers.
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