Evidence map›Paper›PMID 33948056›Full record

ArticleAnnals of gastroenterology2021

The impact of COVID-19 pandemic on gastrointestinal diseases: a single-center cross-sectional study in central Greece.

Apostolis Papaefthymiou, Apostolos Koffas, Jannis Kountouras, Michael Doulberis, Agoritsa Kaltsa, Fotis Tsiopoulos, Grigorios Christodoulidis, Andreas Kapsoritakis, Spyros Potamianos

Open access · diamondAbstract read
In one paragraph

Article in Annals of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% 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, 7 citations in OpenAlex.

  1. Article
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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

9 authors at 1 institution in 2 countries.

Apostolis PapaefthymiouDepartment of Gastroenterology, University Hospital of Larissa, Thessaly, Greece (Apostolis Papaefthymiou, Apostolos Koffas, Agoritsa Kaltsa, Fotis Tsiopoulos, Andreas Kapsoritakis, Spyros Potamianos).
Apostolos KoffasDepartment of Gastroenterology, University Hospital of Larissa, Thessaly, Greece (Apostolis Papaefthymiou, Apostolos Koffas, Agoritsa Kaltsa, Fotis Tsiopoulos, Andreas Kapsoritakis, Spyros Potamianos).
Jannis KountourasDepartment of Internal Medicine, Second Medical Clinic, Ippokration Hospital, Aristotle University of Thessaloniki, Macedonia, Greece (Apostolis Papaefthymiou, Jannis Kountouras, Michael Doulberis).
Michael DoulberisDepartment of Internal Medicine, Second Medical Clinic, Ippokration Hospital, Aristotle University of Thessaloniki, Macedonia, Greece (Apostolis Papaefthymiou, Jannis Kountouras, Michael Doulberis).
Agoritsa KaltsaDepartment of Gastroenterology, University Hospital of Larissa, Thessaly, Greece (Apostolis Papaefthymiou, Apostolos Koffas, Agoritsa Kaltsa, Fotis Tsiopoulos, Andreas Kapsoritakis, Spyros Potamianos).
Fotis TsiopoulosDepartment of Gastroenterology, University Hospital of Larissa, Thessaly, Greece (Apostolis Papaefthymiou, Apostolos Koffas, Agoritsa Kaltsa, Fotis Tsiopoulos, Andreas Kapsoritakis, Spyros Potamianos).
Grigorios ChristodoulidisDepartment of Surgery, University Hospital of Larissa, Thessaly, Greece (Grigorios Christodoulidis).
Andreas KapsoritakisDepartment of Gastroenterology, University Hospital of Larissa, Thessaly, Greece (Apostolis Papaefthymiou, Apostolos Koffas, Agoritsa Kaltsa, Fotis Tsiopoulos, Andreas Kapsoritakis, Spyros Potamianos).
Spyros PotamianosDepartment of Gastroenterology, University Hospital of Larissa, Thessaly, Greece (Apostolis Papaefthymiou, Apostolos Koffas, Agoritsa Kaltsa, Fotis Tsiopoulos, Andreas Kapsoritakis, Spyros Potamianos).
University Hospital of Larissa · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current COVID-19 pandemic induced a suppressive environment for healthcare professionals and patients, especially during the lockdown period. Except for the direct burden of the COVID-19, collateral damage has been identified concerning other diseases. The aim of this study was to evaluate the potential impact of the lockdown on the non-COVID-19 patients' outcome in a tertiary gastroenterology department.

methodsPatients admitted to our department during the lockdown period (23 March- 4 May 2020) and during the respective previous year's timeframe were recruited. Sex, age, comorbidities, presenting symptoms, final diagnosis, therapeutic management, duration of hospitalization, and outcome were evaluated. A direct comparison was performed to investigate the potential impact of the lockdown on the duration of hospitalization and the final outcome.

resultsA total of 161 patients were included to our analysis with 1:1 male:female ratio and mean age 70.86 years. Most of the cases experienced gastrointestinal tract bleeding, biliary stone disease manifestations, or gastrointestinal malignancy complications, and 85.1% were discharged. Fewer patients were hospitalized during the lockdown period (40%), whereas the duration of hospitalization was significantly longer (7.69±4.55 vs. 5.76±4.36 days). Binary logistic regression analysis and sensitivity analysis demonstrated that the quarantine was associated with increased prevalence of negative outcomes (odds ratio 5.21, 95% confidence interval 1.66-16.34; P=0.005), especially in cases with gastrointestinal malignancy and acute pancreatitis (P=0.045 and P=0.041, respectively).

conclusionThe increase in the negative outcomes of common gastrointestinal diseases and the duration of hospitalization during the lockdown raise reasonable concerns regarding healthcare policies against further outbreaks.

Indexed as

COVID-19gastrointestinal diseaseshospitalizationprognosis

Identifiers

PMID33948056
PMCPMC8079870
OpenAlexW3134384745

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.