Evidence map›Paper›PMID 32738060›Full record

Observational studyJournal of gastroenterology and hepatology2021

Impact of COVID-19 outbreak on the care of patients with inflammatory bowel disease: A comparison before and after the outbreak in South China.

Ying-Fan Zhang, Yun Qiu, Jin-Shen He, Jin-Yu Tan, Xiao-Zhi Li, Liang-Ru Zhu, Yan Chen, Zhan-Ju Liu, Marietta Iacucci, Bai-Li Chen and 7 more

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of gastroenterology and hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Models of outpatient care delivery in inflammatory bowel disease: a scoping review.Journal of the Canadian Association of Gastroenterology · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Critical appraisal of the mechanisms of gastrointestinal and hepatobiliary infection by COVID-19.American journal of physiology. Gastrointestinal and liver physiology · 2021
    Article
  13. Article
  14. Observational
  15. Article
  16. COVID-19 and Endoscopy.Gastroenterology & hepatology · 2020
    Article
  17. Review
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

17 authors.

Ying-Fan ZhangDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Yun QiuDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Jin-Shen HeDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Jin-Yu TanDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xiao-Zhi LiDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Liang-Ru ZhuDivision of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Yan ChenCenter for Inflammatory Bowel Diseases, Department of Gastroenterology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Zhan-Ju LiuDepartment of Gastroenterology, Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.
Marietta IacucciNIHR Biomedical Research Institute, Institute of Translational Medicine, University of Birmingham, University, Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Bai-Li ChenDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Yao HeDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Shomron Ben-HorinDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Bo ShenCenter for Inflammatory Bowel Disease, Columbia University Irving Medical Center/NewYork-Presbyterian Hospital, New York, New York, USA.
Zhi-Rong ZengDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Subrata GhoshNIHR Biomedical Research Institute, Institute of Translational Medicine, University of Birmingham, University, Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Min-Hu ChenDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Ren MaoDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.ORCID https://orcid.org/0000-0002-5523-8185

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsEpidemics pose a great challenge to health care of patients. However, the impact of unprecedented situation of COVID-19 outbreak on health care of inflammatory bowel disease (IBD) patients in real-world setting has seldom been investigated.

methodsWe performed an observational study in a tertiary referral IBD center in China. The mode of health care and medication use was compared before and after COVID-19 outbreak. Electronic questionnaire surveys were performed among gastroenterologists and IBD patients to investigate the impact of COVID-19 outbreak on their attitudes towards telemedicine.

resultsCOVID-19 outbreak resulted in substantial decrease of patients participating in standard face-to-face visit during 1 month post-outbreak (n = 51) than pre-outbreak (n = 249), whereas the participation in telemedicine was significantly higher than comparable period in 2019 (414 vs 93). During the 1 month after COVID-19 outbreak, 39 (39/56, 69.6%) patients had their infliximab infusion postponed with the mean delay of 3 weeks. The immunomodulator use was similar between pre-outbreak and post-outbreak. Six elective surgeries were postponed for a median of 43 days. In post-outbreak period, 193 (193/297, 64.98%) of the surveyed physicians have used telemedicine with an increase of 18.9% compared with 46.13% (137/292) in the pre-outbreak period (P < 0.001); 331 (331/505, 65.54%) of the surveyed IBD patients supported that the use of telemedicine should be increased in future health care.

conclusionCOVID-19 outbreak resulted in a great change in health-care access among IBD patients including decrease in standard face-to-face visit and delay of biologics use. There was an increased use and need of telemedicine after COVID-19 outbreak.

Indexed as

Attitude of Health PersonnelAttitude to HealthCOVID-19ChinaDisease OutbreaksHealth Care RationingHealth Services AccessibilityHumansInflammatory Bowel DiseasesPractice Patterns, Physicians'Retrospective StudiesTelemedicineCOVID-19health careinflammatory bowel disease

Identifiers

PMID32738060
PMCPMC7436411

What OpenQuestion holds

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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.