Evidence map›Paper›PMID 34488657›Full record

ArticleBMC gastroenterology2021

Restarting elective endoscopy safely amidst an evolving pandemic and the impact of patient perception.

Christopher Nguyen, Kevin T Kline, Shehzad Merwat, Sheharyar Merwat, Gurinder Luthra, Sreeram Parupudi, Steven Cohn

Abstract read
In one paragraph

Article in BMC gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Christopher NguyenDepartment of Internal Medicine, University of Texas Medical Branch, John Sealy Annex, 301 University BoulevardRoom 4.108, Galveston, TX, 77555, USA. chmnguye@utmb.edu.ORCID http://orcid.org/0000-0002-7673-4700
Kevin T KlineDivision of Gastroenterology and Hepatology, University of Texas Medical Branch, Galveston, TX, USA.
Shehzad MerwatDivision of Gastroenterology and Hepatology, University of Texas Medical Branch, Galveston, TX, USA.
Sheharyar MerwatDivision of Gastroenterology and Hepatology, University of Texas Medical Branch, Galveston, TX, USA.
Gurinder LuthraDivision of Gastroenterology and Hepatology, University of Texas Medical Branch, Galveston, TX, USA.
Sreeram ParupudiDivision of Gastroenterology and Hepatology, University of Texas Medical Branch, Galveston, TX, USA.
Steven CohnDivision of Gastroenterology and Hepatology, University of Texas Medical Branch, Galveston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has led to disruptions in elective and outpatient procedures. Guidance from the Centers for Medicare and Medicaid Services provided a framework for gradual reopening of outpatient clinical operations. As the infrastructure to restart endoscopy has been more clearly described, patient concerns regarding viral transmission during the procedure have been identified. Moreover, the efficacy of the measures in preventing transmission have not been clearly delineated.

methodsWe identified patients with pandemic-related procedure cancellations from 3/16/2020 to 4/20/2020. Patients were stratified into tier groups (1-4) by urgency. Procedures were performed using our hospital risk mitigation strategies to minimize transmission risk. Patients who subsequently developed symptoms or tested for COVID-19 were recorded.

resultsAmong patients requiring emergent procedures, 57.14% could be scheduled at their originally intended interval. COVID-19 concerns represented the most common rescheduling barrier. No patients who underwent post-procedure testing were positive for COVID-19. No cases of endoscopy staff transmission were identified.

conclusionsNon-COVID-19 related patient care during the pandemic is a challenging process that evolved with the spread of infection, requiring dynamic monitoring and protocol optimization. We describe our successful model for reopening endoscopy suites using a tier-based system for safe reintroduction of elective procedures while minimizing transmission to patients and staff. Important barriers included financial and transmission concerns that need to be addressed to enable the return to pre-pandemic utilization of elective endoscopic procedures.

Indexed as

COVID-19PandemicsAgedEndoscopyHumansMedicarePerceptionSARS-CoV-2United StatesCOVID-19EndoscopyPandemicPatient perceptionRe-opening

Identifiers

PMID34488657
PMCPMC8420139

What OpenQuestion holds

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LicenceCC BY
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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.