Department of Gastroenterology, Newcastle Upon Tyne Hospitals NHS Foundation Trust Newcastle upon Tyne UK.
Expert Rev Gastroenterol Hepatol. 2021 Apr;15(4):459-464. doi: 10.1080/17474124.2021.1857239. Epub 2020 Dec 7.
: There are limited data on the impact of the pandemic upon endoscopy service provision and quality indicators.: Analysis of number and type of procedure, in-room time (minutes), key performance indicators, and list utilization was performed over three periods; pre-lockdown, lockdown, and early recovery and compared with the previous year.: Endoscopy activity reduced to 13.3% of the same period in 2019 with the largest drops in colonoscopy and flexible sigmoidoscopy numbers. In-room time increased significantly for gastroscopy (35 vs. 24, p < 0.0001), flexible sigmoidoscopy (20 vs. 15, p < 0.0001), endoscopic ultrasound (40 vs. 32, p = 0.0009), and ERCP (59 vs. 45, p = 0.0041). There was no increase for colonoscopy (35 vs 35, p = 0.129). There was a significant reduction in in-room time for gastroscopy alone (44.5 vs. 30.0, p = 0.0002) over the study period. There was no significant difference in cecal intubation rate, polyp detection rate, or biliary cannulation rate compared to the previous year.: The pandemic has profoundly reduced the number of endoscopies performed with some recovery. In-room time has significantly increased but with the preservation of key performance indicators. List utilization remains a significant problem and resources need to be adequately aligned to improve this.
: 关于大流行对内镜服务提供和质量指标的影响，数据有限。: 在三个时期（锁定前、锁定后和早期恢复）对程序数量和类型、室内时间（分钟）、关键绩效指标和清单使用率进行了分析，并与前一年进行了比较。: 内镜检查活动减少到 2019 年同期的 13.3%，结肠镜检查和乙状结肠镜检查数量降幅最大。胃镜检查（35 对 24，p < 0.0001）、乙状结肠镜检查（20 对 15，p < 0.0001）、内镜超声（40 对 32，p = 0.0009）和 ERCP（59 对 45，p = 0.0041）的室内时间显著增加。结肠镜检查没有增加（35 对 35，p = 0.129）。研究期间，胃镜检查的室内时间明显减少（44.5 对 30.0，p = 0.0002）。与前一年相比，盲肠插管率、息肉检出率或胆管插管率没有显著差异。: 大流行极大地减少了内镜检查的数量，但有所恢复。室内时间显著增加，但关键绩效指标得以保持。清单利用率仍然是一个重大问题，需要充分调整资源以改善这一点。
