Evidence map›Paper›PMID 33436482›Full record

ArticleBMJ open gastroenterology2021

Adherence to recommendations for endoscopy practice during COVID-19 pandemic in Latin America: how are we doing it?

Enrique Murcio-Pérez, Raúl Antonio Zamarripa-Mottú, Gustavo Andrade-DePaulo, Octavio Aguilar-Nájera, Jorge Asadur Tchekmedyian, Gerardo Blanco-Velasco, Omar Michel Solórzano-Pineda, Oscar Victor Hernández-Mondragón, Felix Tellez-Avila

Abstract read
In one paragraph

Article in BMJ open gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Enrique Murcio-PérezEndoscopy Department, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Mexican Social Security Institute, Mexico City, Mexico murcio@hotmail.com felixtelleza@gmail.com.ORCID 0000-0001-6751-9171
Raúl Antonio Zamarripa-MottúEndoscopy Department, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Mexican Social Security Institute, Mexico City, Mexico.
Gustavo Andrade-DePauloEndoscopy Department, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Octavio Aguilar-NájeraGastrointestinal Endoscopy Department, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Tlalpan, Mexico.
Jorge Asadur TchekmedyianDigestive Endoscopy Department, Spanish First Health Association, Montevideo, Uruguay.
Gerardo Blanco-VelascoEndoscopy Department, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Mexican Social Security Institute, Mexico City, Mexico.
Omar Michel Solórzano-PinedaEndoscopy Department, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Mexican Social Security Institute, Mexico City, Mexico.
Oscar Victor Hernández-MondragónEndoscopy Department, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Mexican Social Security Institute, Mexico City, Mexico.
Felix Tellez-AvilaGastrointestinal Endoscopy Department, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Tlalpan, Mexico murcio@hotmail.com felixtelleza@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsDigestive endoscopy is considered a high-risk procedure for COVID-19. Recommendations have been made for its practice during the pandemic. This study was conducted to determine adherence to recommendations for endoscopy practice during the COVID-19 pandemic in Latin America (LA).

methodsA survey was conducted of endoscopists from LA consisting of 43 questions for the evaluation of four items: general and sociodemographic features, and preprocedure, intraprocedure and postprocedure aspects.

resultsA response was obtained from 338 endoscopists (response rate 34.5%) across 15 countries in LA. In preprocedure aspects (hand washing, use of face masks for patients, respiratory triage area, training for the placement/removal of personal protective equipment (PPE) and availability of specific area for the placement/removal of PPE), there was adherence in <75%. Regarding postprocedure aspects, 77% (261/338) had reused PPE, mainly the N95 respirator or higher, and this was with a standardised decontamination procedure only in 32% (108/338) of the time. Postprocedure room decontamination was carried out by 47% on >75% of occasions. In relationship to intraprocedure aspects (knowledge of risk and type of endoscopic procedures, use of PPE, airway management in patients and infrastructure), there was adherence in >75% for all the parameters and 78% of endoscopists only performed emergencies or time-sensitive procedures.

conclusionsAdherence to the recommendations for endoscopy practice during the COVID-19 pandemic is adequate in the intraprocedure aspect. However, it is deficient in the preprocedure and postprocedure aspects.

Indexed as

COVID-19Endoscopy, GastrointestinalGuideline AdherencePractice Guidelines as TopicAdultFemaleHealth Care SurveysHumansInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalLatin AmericaMaleMiddle AgedPandemicsPersonal Protective EquipmentProspective Studiesendoscopygastrointestinal endoscopygeneral practice

Identifiers

PMID33436482
PMCPMC7804823

What OpenQuestion holds

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LicenceCC BY-NC
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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.