ArticleiGIE : innovation, investigation and insights2023
Impact of the coronavirus disease 2019 pandemic on trends and healthcare disparities in use of screening colonoscopy and adenoma detection rates.
Article in iGIE : innovation, investigation and insights, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
8 authors.
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Abstract
Background and Aims: At the onset of the coronavirus disease 2019 (COVID-19) pandemic, all elective outpatient procedures were halted by Ohio public health authorities between March 2020 and June 2020, leading to limited screening colonoscopies. In this study, we studied the impact of COVID-19 on trends and disparities on screening colonoscopy use. Methods: We identified all patients who underwent colonoscopy at Cleveland Clinic Ohio facilities in 2019, 2020, and 2021 from July 1 to December 31 in each year. We then calculated rates of screening colonoscopy and factors associated with colonoscopy use during the study periods. Results: Among 68,206 colonoscopies, 23,316 (34.2%) were screening colonoscopies. In whites, the rate of colonoscopy use increased in 2021 (76.9%) over 2019 (46%) levels, whereas use of colonoscopy in African Americans decreased to even less than 2019 rates (16.5%) in 2021 (15.9%) ( Conclusions: The pandemic exacerbated pre-existing healthcare disparities in colonoscopy use, which have continued to persist in 2021. These data will assist current and future efforts to increase uptake of colorectal cancer screening, especially in historically marginalized ethnic and low socioeconomic communities.
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