Evidence map›Paper›PMID 32447019›Full record

ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2020

Plans to Reactivate Gastroenterology Practices Following the COVID-19 Pandemic: A Survey of North American Centers.

Vladimir M Kushnir, Tyler M Berzin, B Joseph Elmunzer, Robin B Mendelsohn, Vaishali Patel, Swati Pawa, Zachary L Smith, Rajesh N Keswani, North American Alliance for the Study of Digestive Manifestations of COVID-19

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  6. [COVID-19 and endoscopy services].Der Gastroenterologe : Zeitschrift fur Gastroenterologie und Hepatologie · 2022
    Review
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  9. Open-access colonoscopy quality indicators and patient perception using split-dose bowel preparation.JGH open : an open access journal of gastroenterology and hepatology · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 8 institutions in 1 country.

Vladimir M KushnirDivision of Gastroenterology, John T. Milliken Department of Medicine, Washington University School of Medicine in St. Louis, St. Louis, Missouri. Electronic address: vkushnir@wustl.edu.
Tyler M BerzinCenter for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
B Joseph ElmunzerDivision of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, South Carolina.
Robin B MendelsohnDepartment of Medicine, Division of Gastroenterology, Memorial Sloan Kettering Hospital, New York, New York.
Vaishali PatelDivision of Digestive Diseases, Emory University School of Medicine, Atlanta, Georgia.
Swati PawaDivision of Gastroenterology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Zachary L SmithDivision of Gastroenterology and Liver Disease, University Hospitals/Case Western Reserve University School of Medicine, Cleveland, Ohio.
Rajesh N KeswaniDivision of Gastroenterology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
North American Alliance for the Study of Digestive Manifestations of COVID-19
Beth Israel Deaconess Medical Center · USCase Western Reserve University · USEmory University · USMedical University of South Carolina · USMemorial Sloan Kettering Cancer Center · USNorthwestern University · USWake Forest University · USWashington University in St. Louis · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DON C. ROCKEY · 2020 to 2026
$8.8M
NCI NIH HHS P30 CA008748NIDDK NIH HHS P30 DK123704
6 · The paper itself

Abstract

BACKGROUND &

aimsPractices dramatically reduced endoscopy services due to the COVID-19 pandemic. Because practices now are considering reintroduction of elective endoscopy, we conducted a survey of North American practices to identify reactivation barriers and strategies.

methodsWe designed and electronically distributed a web-based survey to North American gastroenterologists consisting of 7 domains: institutional demographics, impact of COVID-19 on endoscopy practice, elective endoscopy resumption plans, anesthesia modifications, personal protective equipment policies, fellowship training, and telemedicine use. Responses were stratified by practice type: ambulatory surgery center (ASC) or hospital-based.

resultsIn total, 123 practices (55% ASC-based and 45% hospital-based) responded. At the pandemic's peak (as reported by the respondents), practices saw a 90% decrease in endoscopy volume, with most centers planning to resume elective endoscopy a median of 55 days after initial restrictions. Declining community prevalence of COVID-19, personal protective equipment availability, and preprocedure severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing availability were ranked as the 3 primary factors influencing reactivation timing. ASC-based practices were more likely to identify preprocedure testing availability as a major factor limiting elective endoscopy resumption (P = .001). Preprocedure SARS-CoV-2 testing was planned by only 49.2% of practices overall; when testing is performed and negative, 52.9% of practices will continue to use N95 masks.

conclusionsThis survey highlights barriers and variable strategies for reactivation of elective endoscopy services after the COVID-19 pandemic. Our results suggest that more widespread access to preprocedure SARS-CoV-2 tests with superior performance characteristics is needed to increase provider and patient comfort in proceeding with elective endoscopy.

Indexed as

BetacoronavirusPandemicsCoronavirus InfectionsCOVID-19Cross-Sectional StudiesDigestive System DiseasesDigestive System Surgical ProceduresDisease Transmission, InfectiousGastroenterologyHumansPersonal Protective EquipmentPneumonia, ViralSARS-CoV-2Surveys and QuestionnairesUnited StatesCOVID-19Endoscopy OperationsPersonal Protective EquipmentSafety

Identifiers

PMID32447019
PMCPMC7242181
OpenAlexW3027313367

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.