Evidence map›Paper›PMID 36929309›Full record

ArticleDigestive diseases and sciences2023

Patient Attitudes and Barriers to Endoscopy During the COVID-19 Pandemic.

Gulchin A Ergun, Shaadi Abughazaleh, Kerri Glassner, Suzanne Kuhlman, Adriana Ordonez

Open access · bronzeAbstract read
In one paragraph

Article in Digestive diseases and sciences, 2023. 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
0.2field-weighted citation impact, top 34% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

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

5 authors at 1 institution in 1 country.

Gulchin A ErgunDivision of Gastroenterology, Department of Medicine, Houston Methodist Lynda K. and David M. Underwood Center for Digestive Disorders, Houston Methodist, 6550 Fannin, Smith Tower Suite 1201, Houston, TX, 77030, USA. gergun@houstonmethodist.org.ORCID http://orcid.org/0000-0002-3235-0713
Shaadi AbughazalehDivision of Gastroenterology, Department of Medicine, Houston Methodist Lynda K. and David M. Underwood Center for Digestive Disorders, Houston Methodist, 6550 Fannin, Smith Tower Suite 1201, Houston, TX, 77030, USA.
Kerri GlassnerDivision of Gastroenterology, Department of Medicine, Houston Methodist Lynda K. and David M. Underwood Center for Digestive Disorders, Houston Methodist, 6550 Fannin, Smith Tower Suite 1201, Houston, TX, 77030, USA.
Suzanne KuhlmanDivision of Gastroenterology, Department of Medicine, Houston Methodist Lynda K. and David M. Underwood Center for Digestive Disorders, Houston Methodist, 6550 Fannin, Smith Tower Suite 1201, Houston, TX, 77030, USA.
Adriana OrdonezCenter for Outcomes Research, Houston Methodist, 6565 Fannin Street, Houston, TX, 77030, USA.
Houston Methodist · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter COVID-19 restrictions on nonessential procedures were lifted and safety protocols established, utilization rates of endoscopic procedures remained reduced.

aimsThis study assessed patient attitudes and barriers to scheduling endoscopy during the pandemic.

methodsA survey was administered to patients with ordered procedures at a hospital-based setting (7/21/2020-2/19/2021) collecting demographic data, body mass index, COVID-19 relevant comorbidities, level of procedural urgency (defined by recommended scheduling window), scheduling and attendance, concerns, and awareness of safety measures.

resultsThe average respondent was female (63.8%), age 57.6 ± 14, White (72.3%), married (76.7%), insured (99.3%), affluent English speakers (92.3%) and highly educated (at least college 90.2%). Most reported moderate to excellent COVID-19 knowledge (96.6%). Of 1039 procedures scheduled, emergent cases accounted for 5.1%, urgent 55.3% and elective 39.4%. Respondents identified appointment convenience (48.53%) as the most frequent factor impacting scheduling, also noting concern for results (28.4%). Age (p = .022), native language (p = .04), education (p = .007), self-reported COVID knowledge (p = .002), and a desire to be COVID tested pre-procedure (p = .023) were associated with arrival, more commonly in an ambulatory surgical center than hospital (p = .008). Diabetes mellitus (p = .004) and an immunocompromised state (p = .009) were adversely related to attendance. Attitudes towards safety protocols did not affect scheduling. Multivariate analysis demonstrated age, education and COVID knowledgeability were associated with procedure completion.

conclusionsSafety protocols and urgency levels were not associated with procedure completion. Pre-pandemic barriers to endoscopy persisted as dominant factors amid pandemic concerns.

Indexed as

COVID-19AdultAgedAmbulatory Care FacilitiesAppointments and SchedulesEndoscopyEndoscopy, GastrointestinalFemaleHumansMiddle AgedPandemicsAppointments and schedulesCOVID-19EndoscopyGastrointestinalHealth care utilizationSelf ReportSurveys and Questionnaires

Identifiers

PMID36929309
PMCPMC10018624
OpenAlexW4327683945

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.