Evidence map›Paper›PMID 32788129›Full record

ArticleClinics and research in hepatology and gastroenterology2020

Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area.

Aymeric Becq, Benedicte Jais, Clémence Fron, Hugo Rotkopf, Guillaume Perrod, Marika Rudler, Dominique Thabut, Abdellah Hedjoudje, Maxime Palazzo, Aurélien Amiot and 4 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinics and research in hepatology and gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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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

14 authors.

Aymeric BecqSorbonne Université, Endoscopy Unit, AP-HP, Hôpital Saint-Antoine, 75012 Paris, France. Electronic address: aymeric.becq@aphp.fr.
Benedicte JaisEndoscopy Unit, AP-HP, Hôpital Beaujon, 92110 Clichy, France.
Clémence FronSorbonne Université, Endoscopy Unit, AP-HP, Hôpital Pitié Salpêtrière, 75013 Paris, France.
Hugo RotkopfParis 12 Université, APH-HP, Hôpital Henri Mondor, 94010 Créteil, France.
Guillaume PerrodGastroenterology Department, AP-HP, Hôpital Européen Georges Pompidou, Assistance, 75015 Paris, France.
Marika RudlerSorbonne Université, Endoscopy Unit, AP-HP, Hôpital Pitié Salpêtrière, 75013 Paris, France.
Dominique ThabutSorbonne Université, Endoscopy Unit, AP-HP, Hôpital Pitié Salpêtrière, 75013 Paris, France.
Abdellah HedjoudjeEndoscopy Unit, AP-HP, Hôpital Beaujon, 92110 Clichy, France.
Maxime PalazzoEndoscopy Unit, AP-HP, Hôpital Beaujon, 92110 Clichy, France.
Aurélien AmiotParis 12 Université, APH-HP, Hôpital Henri Mondor, 94010 Créteil, France.
Iradj SobhaniParis 12 Université, APH-HP, Hôpital Henri Mondor, 94010 Créteil, France.
Xavier DraySorbonne Université, Endoscopy Unit, AP-HP, Hôpital Saint-Antoine, 75012 Paris, France.
Marine CamusSorbonne Université, Endoscopy Unit, AP-HP, Hôpital Saint-Antoine, 75012 Paris, France.
Parisian On-call Endoscopy Team (POET)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND STUDY

aimsThe coronavirus 2019 (COVID-19) pandemic has significantly affected medical care. We surmise that the number of urgent endoscopies outside regular working hours in the Paris area decreased as a result. The objective of this study was to describe the observed number of acts during the 2020 mandatory period of home isolation, compared to the values in prior years and the expected value for 2020. MATERIAL AND

methodsWe performed a multicenter cohort study to investigate the practice of urgent endoscopy acts, outside regular working hours, in Paris and its surrounding suburbs, in the setting of the COVID-19 pandemic. We collected the number of endoscopies performed between January 17th and April 17th 2018, 2019 and 2020. We then collected clinical, endoscopic and outcome variables from the patients of years 2019 and 2020.

resultsFrom March 17th to April 17th (during home isolation), the number of acts was respectively of 147 in 2018, 137 in 2019, and 79 in 2020, lower that the expected number of 142 (-44.0%). In 2020, the number of endoscopies for suspected gastrointestinal bleeding (GIB), and findings of variceal and non-variceal bleeding decreased by 52.1%, 69.2% and 43.1% respectively, after a month of home isolation. In-hospital death rate were similar.

conclusionsThis study confirms that the urgent endoscopy caseload outside regular hours decreased nearly by half during the pandemic. Our results suggest a decreased number of endoscopies for suspected gastrointestinal bleeding, and findings of variceal and non-variceal bleeding.

Indexed as

BetacoronavirusAfter-Hours CareCohort StudiesCoronavirus InfectionsCOVID-19EmergenciesEndoscopyFemaleHumansMaleMiddle AgedPandemicsParisPneumonia, ViralSARS-CoV-2Time FactorsCOVID-19 pandemicEndoscopy outside regular working hoursUrgent endoscopy

Identifiers

PMID32788129
PMCPMC7402205

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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.