ASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy.
ASST Rhodense, Gastroenterology and Endoscopy Unit, Rho, Milan, Italy.
Endoscopy. 2021 Feb;53(2):162-165. doi: 10.1055/a-1265-3315. Epub 2020 Nov 4.
During the COVID-19 outbreak in Italy, only fast-track endoscopic procedures have been performed; nevertheless, a significant drop in their number has been reported. We evaluated whether the pandemic has impacted the appropriateness and diagnostic yield of fast-track endoscopic procedures compared with those performed in 2019.
This retrospective study involved endoscopy services in Northern Italy. We compared data regarding endoscopic procedures performed in March and April 2020 with those performed during the same period in 2019.
In 2020, there was a 53.6 % reduction in the number of fast-track endoscopic procedures compared with 2019. Patients undergoing endoscopy in 2020 were younger than in 2019. Both appropriate referral and diagnostic yield increased in 2020 for both upper and lower endoscopy. A higher rate of cancer was diagnosed in 2020 by upper endoscopy (3.6 % vs. 6.6 %; = 0.04).
The high level of inappropriate endoscopy referrals registered in 2019 significantly improved during the COVID-19 outbreak of 2020, with an increase in the diagnostic yield.
在意大利的 COVID-19 疫情期间，仅开展了快速通道内镜检查；然而，据报道，其数量显著下降。我们评估了与 2019 年相比，大流行是否会影响快速通道内镜检查的适宜性和诊断率。
本回顾性研究涉及意大利北部的内镜服务。我们比较了 2020 年 3 月和 4 月与 2019 年同期进行的内镜检查数据。
与 2019 年相比，2020 年快速通道内镜检查数量减少了 53.6%。2020 年接受内镜检查的患者比 2019 年轻。上消化道内镜和下消化道内镜的适宜转诊率和诊断率在 2020 年均有所提高。2020 年通过上消化道内镜诊断的癌症比例更高（3.6%对 6.6%；=0.04）。
2019 年登记的大量不适当的内镜转诊在 2020 年 COVID-19 疫情期间显著改善，诊断率提高。
