Evidence map›Paper›PMID 32942316›Full record

ArticleEndoscopy2021

Improvement in appropriateness and diagnostic yield of fast-track endoscopy during the COVID-19 pandemic in Northern Italy.

Gianpiero Manes, Simone Saibeni, Lucienne Pellegrini, Desiree Picascia, Fabio Pace, Mario Schettino, Cristina Bezzio, Germana de Nucci, Cesare Hassan, Alessandro Repici and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Endoscopy · 2021
    Article
4 · The record

Corrections and comments

  • Commented on by
    2021
5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Gianpiero ManesASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy.
Simone SaibeniASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy.
Lucienne PellegriniASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy.
Desiree PicasciaASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy.
Fabio PaceBolognini Hospital, Gastroenterology Unit, Seriate, Italy.
Mario SchettinoASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy.
Cristina BezzioASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy.
Germana de NucciASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy.
Cesare HassanGastroenterology Unit, Nuovo Regina Margherita Hospital, Rome, Italy.
Alessandro RepiciHumanitas University, Department of Biomedical Sciences, Rozzano, Milan, Italy.
The Fast-Track Endoscopy Study Group
Aziende Socio Sanitaria Territoriale RhodenseAzienda Ospedaliera Bolognini Seriate · ITHumanitas University · ITOspedale Regina Margherita · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the COVID-19 outbreak in Italy, only fast-track endoscopic procedures have been performed; nevertheless, a significant drop in their number has been reported. We evaluated whether the pandemic has impacted the appropriateness and diagnostic yield of fast-track endoscopic procedures compared with those performed in 2019.

methodsThis retrospective study involved endoscopy services in Northern Italy. We compared data regarding endoscopic procedures performed in March and April 2020 with those performed during the same period in 2019.

resultsIn 2020, there was a 53.6 % reduction in the number of fast-track endoscopic procedures compared with 2019. Patients undergoing endoscopy in 2020 were younger than in 2019. Both appropriate referral and diagnostic yield increased in 2020 for both upper and lower endoscopy. A higher rate of cancer was diagnosed in 2020 by upper endoscopy (3.6 % vs. 6.6 %;

conclusionsThe high level of inappropriate endoscopy referrals registered in 2019 significantly improved during the COVID-19 outbreak of 2020, with an increase in the diagnostic yield.

Indexed as

COVID-19PandemicsEndoscopyHumansItalyNeoplasmsRetrospective Studies

Identifiers

PMID32942316
PMCPMC7869040
OpenAlexW3087001671

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.