Evidence map›Paper›PMID 32535193›Full record

ArticleGastrointestinal endoscopy2020

Impact of COVID-19 on endoscopy trainees: an international survey.

Katarzyna M Pawlak, Jan Kral, Rishad Khan, Sunil Amin, Mohammad Bilal, Rashid N Lui, Dalbir S Sandhu, Almoutaz Hashim, Steven Bollipo, Aline Charabaty and 7 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Gastrointestinal endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 4 pooled it
8.4field-weighted citation impact, top 2% 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

70 citing papers in PubMed, 4 syntheses or guidelines pooled it, 108 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Article
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  11. COVID-19: Has the Liver Been Spared?International journal of molecular sciences · 2023
    Review
  12. Article
  13. Burnout in healthcare - the Emperor's New Clothes.Przeglad gastroenterologiczny · 2023
    Review
  14. Review
  15. Article
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  17. Article
  18. Article
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 16 institutions in 10 countries.

Katarzyna M PawlakDepartment of Internal Medicine, Cardiology, Gastroenterology and Endocrinology, Hospital of the Ministry of Interior and Administration, Szczecin, Poland.
Jan KralHepatogastroenterology Department, Institution for Clinical and Experimental Medicine, Prague, Czech Republic.
Rishad KhanDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada.
Sunil AminDivision of Digestive Health and Liver Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida, USA.
Mohammad BilalDivision of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Rashid N LuiDivision of Gastroenterology and Hepatology, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong, China.
Dalbir S SandhuCase Western Reserve University, Division of Gastroenterology, Hepatology & Nutrition, Cleveland Clinic, Cleveland, Ohio, USA.
Almoutaz HashimThe University Of Jeddah, Jeddah, Saudi Arabia.
Steven BollipoGastroenterology & Endoscopy, John Hunter Hospital, Newcastle, Australia; University of Newcastle, Australia.
Aline CharabatyDivision of Gastroenterology, Johns Hopkins School of Medicine, Johns Hopkins-Sibley Memorial Hospital, Washington DC, USA.
Enrique de-MadariaGastroenterology Department, Alicante University General Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.
Andrés F Rodríguez-ParraGeneral Hospital Dr. Manuel Gea González, National Autonomous University of Mexico, Mexico City, Mexico.
Sergio A Sánchez-LunaDivision of Gastroenterology and Hepatology, The University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Michał ŻorniakDepartment of Gastroenterology, Medical University of Silesia, Katowice, Poland and Department of Medicine II, Ludwig-Maximillian's Univeristy, Munich, Germany.
Catharine M WalshDivision of Gastroenterology, Hepatology and Nutrition and the Research and Learning Institutes, Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto, Toronto, Ontario, Canada.
Samir C GroverDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada; Division of Gastroenterology, University of Toronto, Toronto, Ontario, Canada.
Keith SiauMedical and Dental Sciences, University of Birmingham, Birmingham, UK; Liver Unit, University Hospitals Birmingham, Birmingham, UK.
University of Toronto · CABeth Israel Deaconess Medical Center · USChinese University of Hong Kong · HKCleveland Clinic · USHospital General Dr. Manuel Gea Gonzalez · MXHospital General Universitario de Alicante Doctor Balmis · ESInstitute of Clinical and Experimental Medicine · CZJohn Hunter Hospital · AUMedical University of Silesia · PLMinistry of Interior and Administration · PLNIHR Birmingham Liver Biomedical Research Unit · GBSibley Memorial Hospital · USSt. Michael's Hospital · CAUniversity of Jeddah · SAUniversity of Miami · USUniversity of New Mexico · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsAlthough coronavirus disease 2019 (COVID-19) has affected endoscopy services globally, the impact on trainees has not been evaluated. We aimed to assess the impact of COVID-19 on procedural volumes and on the emotional well-being of endoscopy trainees worldwide.

methodsAn international survey was disseminated over a 3-week period in April 2020. The primary outcome was the percentage reduction in monthly procedure volume before and during COVID-19. Secondary outcomes included potential variation of COVID-19 impact between different continents and rates and predictors of anxiety and burnout among trainees.

resultsAcross 770 trainees from 63 countries, 93.8% reported a reduction in endoscopy case volume. The median percentage reduction in total procedures was 99% (interquartile range, 85%-100%), which varied internationally (P < .001) and was greatest for colonoscopy procedures. Restrictions in case volume and trainee activity were common barriers. A total of 71.9% were concerned that the COVID-19 pandemic could prolonged training. Anxiety was reported in 52.4% of respondents and burnout in 18.8%. Anxiety was independently associated with female gender (odds ratio [OR], 2.15; P < .001), adequacy of personal protective equipment (OR, 1.75; P = .005), lack of institutional support for emotional health (OR, 1.67; P = .008), and concerns regarding prolongation of training (OR, 1.60; P = .013). Modifying existing national guidelines to support adequate endoscopy training during the pandemic was supported by 68.9%.

conclusionsThe COVID-19 pandemic has led to restrictions in endoscopic volumes and endoscopy training, with high rates of anxiety and burnout among endoscopy trainees worldwide. Targeted measures by training programs to address these key issues are warranted to improve trainee well-being and support trainee education.

Indexed as

BetacoronavirusInternationalityAdultAnxietyBurnout, ProfessionalCoronavirus InfectionsCOVID-19EndoscopyFemaleHumansMalePandemicsPneumonia, ViralSARS-CoV-2Surveys and Questionnaires

Identifiers

PMID32535193
PMCPMC7287420
OpenAlexW3035653623

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.