COVID-19 大流行对儿科内镜的影响：代表 SIGENP 内镜工作组开展的一项多中心研究。
Impact of COVID-19 pandemic on pediatric endoscopy: A multicenter study on behalf of the SIGENP Endoscopy Working Group.
机构信息
Gastroenterology and Nutrition Unit, Meyer Children's Hospital, Florence, Italy.
Pediatric Surgery Unit and Pediatric Gastroenterology Unit, Department of Women's and Children's Health, University of Padua, Padova, Italy.
出版信息
Dig Liver Dis. 2022 May;54(5):572-579. doi: 10.1016/j.dld.2022.02.010. Epub 2022 Mar 9.
BACKGROUND
Aim of the present report was to investigate the repercussions of COVID-19 pandemic on the procedural volumes and on the main indications of pediatric digestive endoscopy in Italy.
METHODS
An online survey was distributed at the beginning of December 2020 to Italian digestive endoscopy centers. Data were collected comparing two selected time intervals: the first from 1st of February 2019 to 30th June 2019 and the second from 1st February 2020 to 30th June 2020.
RESULTS
Responses to the survey came from 24 pediatric endoscopy Units. Globally, a reduction of 37.2% was observed between 2019 and 2020 periods with a significant decrease in median number of procedures (111 vs 57, p < 0.001). Both the median number of procedures performed for new diagnoses and those for follow-up purposes significantly decreased in 2020 (63 vs 36, p < 0.001 and 42 vs 21, p< 0.001, respectively). We reported a drastic reduction of procedures performed for suspected Celiac Disease and Functional Gastrointestinal Disorders (55.1% and 58.0%, respectively). Diagnostic endoscopies for suspected IBD decreased of 15.5%, whereas procedures for Mucosal Healing (MH) assessment reduced of 48.3%.
CONCLUSIONS
Our study provides real-world data outlining the meaningful impact of COVID-19 on pediatric endoscopy practice in Italy.
背景
本报告的目的是研究 COVID-19 大流行对意大利儿科消化内镜程序量和主要适应证的影响。
方法
2020 年 12 月初，向意大利消化内镜中心分发了在线调查。通过比较两个选定的时间间隔收集数据：第一个时间间隔为 2019 年 2 月 1 日至 6 月 30 日，第二个时间间隔为 2020 年 2 月 1 日至 6 月 30 日。
结果
该调查的回复来自 24 个儿科内镜单位。总体而言，2019 年至 2020 年期间观察到 37.2%的下降，中位数操作数量显著减少（111 比 57，p < 0.001）。新诊断和随访目的的中位数操作数量在 2020 年均显著减少（63 比 36，p < 0.001 和 42 比 21，p< 0.001）。我们报告了疑似乳糜泻和功能性胃肠病（分别为 55.1%和 58.0%）的操作数量急剧减少。疑似 IBD 的诊断性内镜检查减少了 15.5%，而黏膜愈合（MH）评估的程序减少了 48.3%。
结论
本研究提供了真实世界的数据，概述了 COVID-19 对意大利儿科内镜实践的重大影响。
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