Evidence map›Paper›PMID 32930898›Full record

ArticleDigestive diseases and sciences2021

Characteristics and Outcomes of Patients Undergoing Endoscopy During the COVID-19 Pandemic: A Multicenter Study from New York City.

John W Blackett, Nikhil A Kumta, Rebekah E Dixon, Yakira David, Satish Nagula, Christopher J DiMaio, David Greenwald, Reem Z Sharaiha, Kartik Sampath, David Carr-Locke and 9 more

Abstract readMulticenter Study
In one paragraph

Article in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Up-to-date literature review and issues of sedation during digestive endoscopy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Review
  6. Gastrointestinal Bleeding in COVID-19-Infected Patients.Gastroenterology clinics of North America · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
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

19 authors.

John W BlackettDivision of Digestive and Liver Diseases, Columbia University Medical Center, New York, NY, USA.
Nikhil A KumtaDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Rebekah E DixonDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Yakira DavidDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Satish NagulaDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Christopher J DiMaioDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
David GreenwaldDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Reem Z SharaihaDivision of Gastroenterology and Hepatology, Weill Cornell Medical Center, 1305 York Ave, 4th Floor, New York, NY, 10065, USA.
Kartik SampathDivision of Gastroenterology and Hepatology, Weill Cornell Medical Center, 1305 York Ave, 4th Floor, New York, NY, 10065, USA.
David Carr-LockeDivision of Gastroenterology and Hepatology, Weill Cornell Medical Center, 1305 York Ave, 4th Floor, New York, NY, 10065, USA.
Arcelia Guerson-GilDivision of Gastroenterology and Liver Diseases, Montefiore Medical Center, New York, NY, USA.
Sammy HoDivision of Gastroenterology and Liver Diseases, Montefiore Medical Center, New York, NY, USA.
Benjamin LebwohlDivision of Digestive and Liver Diseases, Columbia University Medical Center, New York, NY, USA.
Reuben Garcia-CarrasquilloDivision of Digestive and Liver Diseases, Columbia University Medical Center, New York, NY, USA.
Anjana RajanDivision of Gastroenterology and Hepatology, Weill Cornell Medical Center, 1305 York Ave, 4th Floor, New York, NY, 10065, USA.
Vasantham AnnaduraiDivision of Digestive and Liver Diseases, Columbia University Medical Center, New York, NY, USA.
Tamas A GondaDivision of Digestive and Liver Diseases, Columbia University Medical Center, New York, NY, USA.
Daniel E FreedbergDivision of Digestive and Liver Diseases, Columbia University Medical Center, New York, NY, USA.
Srihari MahadevDivision of Gastroenterology and Hepatology, Weill Cornell Medical Center, 1305 York Ave, 4th Floor, New York, NY, 10065, USA. srm9005@med.cornell.edu.ORCID 0000-0002-4123-3922

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 (COVID-19) pandemic has significantly impacted the practice of endoscopy, but characteristics of COVID patients undergoing endoscopy have not been adequately described.

aimsTo compare findings, clinical outcomes, and patient characteristics of endoscopies performed during the pandemic in patients with and without COVID-19.

methodsThis was a retrospective multicenter study of adult endoscopies at six academic hospitals in New York between March 16 and April 30, 2020. Patient and procedure characteristics including age, sex, indication, findings, interventions, and outcomes were compared in patients testing positive, negative, or untested for COVID-19.

resultsSix hundred and five endoscopies were performed on 545 patients during the study period. There were 84 (13.9%), 255 (42.2%), and 266 (44.0%) procedures on COVID-positive, negative, and untested patients, respectively. COVID patients were more likely to undergo endoscopy for gastrointestinal bleeding or gastrostomy tube placement, and COVID patients with gastrointestinal bleeding more often required hemostatic interventions on multivariable logistic regression. COVID patients had increased length of stay, intensive care unit admission, and intubation rate. Twenty-seven of 521 patients (5.2%) with no or negative COVID testing prior to endoscopy later tested positive, a median of 13.5 days post-procedure.

conclusionsEndoscopies in COVID patients were more likely to require interventions, due either to more severe illness or a higher threshold to perform endoscopy. A significant number of patients endoscoped without testing were subsequently found to be COVID-positive. Gastroenterologists in areas affected by the pandemic must adapt to changing patterns of endoscopy practice and ensure pre-endoscopy COVID testing.

Indexed as

AgedCOVID-19COVID-19 TestingEndoscopyFemaleHumansMaleMiddle AgedNew York CityPandemicsRetrospective StudiesTreatment OutcomeCoronavirusCOVID-19EndoscopyGastrointestinal bleeding

Identifiers

PMID32930898
PMCPMC7490780

What OpenQuestion holds

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Registered trials

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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.