Analysis of patients attitude to undergo urgent endoscopic procedures during COVID-19 outbreak in Italy
We conducted a survey to investigate to what extent the fear of COVID-19 has influenced the patients decision to undergo or to cancel endoscopic procedures. We collected data from 847 patients from 13 centres. The main indication for endoscopy was anemia, followed by pain and unexplained weight loss...
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| Veröffentlicht in: | Digestive and liver disease 2020-07, Vol.52 (7), p.695-699 |
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| creator | Armellini, E. Repici, A. Alvisi, C. Dinelli, M. Gambitta, P. Manes, G. Mutignani, M. Orlando, S. Radaelli, F. Salerno, R. Venezia, G. Verna, C. Penagini, R. Pace, F. |
| description | We conducted a survey to investigate to what extent the fear of COVID-19 has influenced the patients decision to undergo or to cancel endoscopic procedures. We collected data from 847 patients from 13 centres. The main indication for endoscopy was anemia, followed by pain and unexplained weight loss. The percentage of not presenters progressively increased throughout the three weeks of study, from 15.1% at the beginning to 48.2% at the end. 37 (34.2%) upper GI endoscopies and 112 (56.3 %) colonoscopies showed an organic cause explaining the symptoms presented by the patients, respectively; 5 cases of gastric cancer (4.6%) and 16 cases of colorectal cancer (CRC) (6.0%), respectively, were detected; during the second week the percentage of organic diseases found at upper endoscopy was 19 (33.3%) with 5 cancer (8.7%), and 61 (49.1% ) at colonoscopy, with 2 CRC (1.6%); finally, during the third week the corresponding figures were 19 (48.7%) for upper GI examinations, with 3 gastric cancers (7.7%), and 43 (60.5%) with 4 (6.5%) CRC cases found.We conclude that patients weighted the fear of having a clinically relevant disease with the fear of becoming infected by coronavirus, and a relevant percentage of them (29.4%) decided not to attend the endoscopy suites at the scheduled date. |
| doi_str_mv | 10.1016/j.dld.2020.05.015 |
| format | Article |
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We collected data from 847 patients from 13 centres. The main indication for endoscopy was anemia, followed by pain and unexplained weight loss. The percentage of not presenters progressively increased throughout the three weeks of study, from 15.1% at the beginning to 48.2% at the end. 37 (34.2%) upper GI endoscopies and 112 (56.3 %) colonoscopies showed an organic cause explaining the symptoms presented by the patients, respectively; 5 cases of gastric cancer (4.6%) and 16 cases of colorectal cancer (CRC) (6.0%), respectively, were detected; during the second week the percentage of organic diseases found at upper endoscopy was 19 (33.3%) with 5 cancer (8.7%), and 61 (49.1% ) at colonoscopy, with 2 CRC (1.6%); finally, during the third week the corresponding figures were 19 (48.7%) for upper GI examinations, with 3 gastric cancers (7.7%), and 43 (60.5%) with 4 (6.5%) CRC cases found.We conclude that patients weighted the fear of having a clinically relevant disease with the fear of becoming infected by coronavirus, and a relevant percentage of them (29.4%) decided not to attend the endoscopy suites at the scheduled date.</description><identifier>ISSN: 1590-8658</identifier><identifier>EISSN: 1878-3562</identifier><identifier>DOI: 10.1016/j.dld.2020.05.015</identifier><identifier>PMID: 32425732</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Attitude to Health ; Betacoronavirus - isolation & purification ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - epidemiology ; Colorectal Neoplasms - physiopathology ; Colorectal Neoplasms - psychology ; Coronavirus Infections - epidemiology ; Coronavirus Infections - psychology ; Coronavirus Infections - transmission ; COVID-19 ; COVID-19 outbreak ; Disease Outbreaks ; Endoscopy, Gastrointestinal - psychology ; Endoscopy, Gastrointestinal - statistics & numerical data ; Fear ; Female ; Humans ; Italy - epidemiology ; Male ; Middle Aged ; No-Show Patients - psychology ; No-Show Patients - statistics & numerical data ; Outcome Assessment, Health Care ; Pandemics ; Pneumonia, Viral - epidemiology ; Pneumonia, Viral - psychology ; Pneumonia, Viral - transmission ; Psychological barriers ; SARS-CoV-2 ; Stomach Neoplasms - diagnosis ; Stomach Neoplasms - epidemiology ; Stomach Neoplasms - physiopathology ; Stomach Neoplasms - psychology ; Surveys and Questionnaires ; Urgent endoscopy</subject><ispartof>Digestive and liver disease, 2020-07, Vol.52 (7), p.695-699</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier Ltd.</rights><rights>2020 Published by Elsevier Ltd on behalf of Editrice Gastroenterologica Italiana S.r.l. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-73bd82b08223f4a9fe4e2af27945900042e15cc4a62b1651c36bfb8ea97c42883</citedby><cites>FETCH-LOGICAL-c451t-73bd82b08223f4a9fe4e2af27945900042e15cc4a62b1651c36bfb8ea97c42883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.dld.2020.05.015$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,778,782,883,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32425732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Armellini, E.</creatorcontrib><creatorcontrib>Repici, A.</creatorcontrib><creatorcontrib>Alvisi, C.</creatorcontrib><creatorcontrib>Dinelli, M.</creatorcontrib><creatorcontrib>Gambitta, P.</creatorcontrib><creatorcontrib>Manes, G.</creatorcontrib><creatorcontrib>Mutignani, M.</creatorcontrib><creatorcontrib>Orlando, S.</creatorcontrib><creatorcontrib>Radaelli, F.</creatorcontrib><creatorcontrib>Salerno, R.</creatorcontrib><creatorcontrib>Venezia, G.</creatorcontrib><creatorcontrib>Verna, C.</creatorcontrib><creatorcontrib>Penagini, R.</creatorcontrib><creatorcontrib>Pace, F.</creatorcontrib><creatorcontrib>the Fast Track Endoscopy Study Group</creatorcontrib><creatorcontrib>Fast Track Endoscopy Study Group</creatorcontrib><title>Analysis of patients attitude to undergo urgent endoscopic procedures during COVID-19 outbreak in Italy</title><title>Digestive and liver disease</title><addtitle>Dig Liver Dis</addtitle><description>We conducted a survey to investigate to what extent the fear of COVID-19 has influenced the patients decision to undergo or to cancel endoscopic procedures. We collected data from 847 patients from 13 centres. The main indication for endoscopy was anemia, followed by pain and unexplained weight loss. The percentage of not presenters progressively increased throughout the three weeks of study, from 15.1% at the beginning to 48.2% at the end. 37 (34.2%) upper GI endoscopies and 112 (56.3 %) colonoscopies showed an organic cause explaining the symptoms presented by the patients, respectively; 5 cases of gastric cancer (4.6%) and 16 cases of colorectal cancer (CRC) (6.0%), respectively, were detected; during the second week the percentage of organic diseases found at upper endoscopy was 19 (33.3%) with 5 cancer (8.7%), and 61 (49.1% ) at colonoscopy, with 2 CRC (1.6%); finally, during the third week the corresponding figures were 19 (48.7%) for upper GI examinations, with 3 gastric cancers (7.7%), and 43 (60.5%) with 4 (6.5%) CRC cases found.We conclude that patients weighted the fear of having a clinically relevant disease with the fear of becoming infected by coronavirus, and a relevant percentage of them (29.4%) decided not to attend the endoscopy suites at the scheduled date.</description><subject>Attitude to Health</subject><subject>Betacoronavirus - isolation & purification</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Colorectal Neoplasms - physiopathology</subject><subject>Colorectal Neoplasms - psychology</subject><subject>Coronavirus Infections - epidemiology</subject><subject>Coronavirus Infections - psychology</subject><subject>Coronavirus Infections - transmission</subject><subject>COVID-19</subject><subject>COVID-19 outbreak</subject><subject>Disease Outbreaks</subject><subject>Endoscopy, Gastrointestinal - psychology</subject><subject>Endoscopy, Gastrointestinal - statistics & numerical data</subject><subject>Fear</subject><subject>Female</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>No-Show Patients - psychology</subject><subject>No-Show Patients - statistics & numerical data</subject><subject>Outcome Assessment, Health Care</subject><subject>Pandemics</subject><subject>Pneumonia, Viral - epidemiology</subject><subject>Pneumonia, Viral - psychology</subject><subject>Pneumonia, Viral - transmission</subject><subject>Psychological barriers</subject><subject>SARS-CoV-2</subject><subject>Stomach Neoplasms - diagnosis</subject><subject>Stomach Neoplasms - epidemiology</subject><subject>Stomach Neoplasms - physiopathology</subject><subject>Stomach Neoplasms - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Urgent endoscopy</subject><issn>1590-8658</issn><issn>1878-3562</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi0EoqXwA7ggH7kk2BM7cYSEVG35WKlSL8DVcuxJ8JKNg-1U6r_H1ZYKLlw8luaddz4eQl5zVnPG23eH2s2uBgasZrJmXD4h51x1qmpkC0_LX_asUq1UZ-RFSgfGgLeSPSdnDQiQXQPnZLpczHyXfKJhpKvJHpecqMnZ580hzYFui8M4lRinkqO4uJBsWL2lawwW3RYx0fL6ZaK7m-_7q4r3NGx5iGh-Ur_QfS4dXpJno5kTvnqIF-Tbp49fd1-q65vP-93ldWWF5LnqmsEpGJgCaEZh-hEFghmh60XZhTEByKW1wrQwlF24bdphHBSavrMClGouyIeT77oNR3S2jBzNrNfojybe6WC8_jez-B96Cre6A-h7yYvB2weDGH5tmLI--mRxns2CYUsaBBOt4I1oi5SfpDaGlCKOj2040_eA9EEXQPoekGZSF0Cl5s3f8z1W_CFSBO9PAixXuvUYdbIFSjm0j2izdsH_x_43vyyiXw</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Armellini, E.</creator><creator>Repici, A.</creator><creator>Alvisi, C.</creator><creator>Dinelli, M.</creator><creator>Gambitta, P.</creator><creator>Manes, G.</creator><creator>Mutignani, M.</creator><creator>Orlando, S.</creator><creator>Radaelli, F.</creator><creator>Salerno, R.</creator><creator>Venezia, G.</creator><creator>Verna, C.</creator><creator>Penagini, R.</creator><creator>Pace, F.</creator><general>Elsevier Ltd</general><general>Published by Elsevier Ltd on behalf of Editrice Gastroenterologica Italiana S.r.l</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200701</creationdate><title>Analysis of patients attitude to undergo urgent endoscopic procedures during COVID-19 outbreak in Italy</title><author>Armellini, E. ; Repici, A. ; Alvisi, C. ; Dinelli, M. ; Gambitta, P. ; Manes, G. ; Mutignani, M. ; Orlando, S. ; Radaelli, F. ; Salerno, R. ; Venezia, G. ; Verna, C. ; Penagini, R. ; Pace, F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-73bd82b08223f4a9fe4e2af27945900042e15cc4a62b1651c36bfb8ea97c42883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Attitude to Health</topic><topic>Betacoronavirus - isolation & purification</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Colorectal Neoplasms - physiopathology</topic><topic>Colorectal Neoplasms - psychology</topic><topic>Coronavirus Infections - epidemiology</topic><topic>Coronavirus Infections - psychology</topic><topic>Coronavirus Infections - transmission</topic><topic>COVID-19</topic><topic>COVID-19 outbreak</topic><topic>Disease Outbreaks</topic><topic>Endoscopy, Gastrointestinal - psychology</topic><topic>Endoscopy, Gastrointestinal - statistics & numerical data</topic><topic>Fear</topic><topic>Female</topic><topic>Humans</topic><topic>Italy - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>No-Show Patients - psychology</topic><topic>No-Show Patients - statistics & numerical data</topic><topic>Outcome Assessment, Health Care</topic><topic>Pandemics</topic><topic>Pneumonia, Viral - epidemiology</topic><topic>Pneumonia, Viral - psychology</topic><topic>Pneumonia, Viral - transmission</topic><topic>Psychological barriers</topic><topic>SARS-CoV-2</topic><topic>Stomach Neoplasms - diagnosis</topic><topic>Stomach Neoplasms - epidemiology</topic><topic>Stomach Neoplasms - physiopathology</topic><topic>Stomach Neoplasms - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Urgent endoscopy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Armellini, E.</creatorcontrib><creatorcontrib>Repici, A.</creatorcontrib><creatorcontrib>Alvisi, C.</creatorcontrib><creatorcontrib>Dinelli, M.</creatorcontrib><creatorcontrib>Gambitta, P.</creatorcontrib><creatorcontrib>Manes, G.</creatorcontrib><creatorcontrib>Mutignani, M.</creatorcontrib><creatorcontrib>Orlando, S.</creatorcontrib><creatorcontrib>Radaelli, F.</creatorcontrib><creatorcontrib>Salerno, R.</creatorcontrib><creatorcontrib>Venezia, G.</creatorcontrib><creatorcontrib>Verna, C.</creatorcontrib><creatorcontrib>Penagini, R.</creatorcontrib><creatorcontrib>Pace, F.</creatorcontrib><creatorcontrib>the Fast Track Endoscopy Study Group</creatorcontrib><creatorcontrib>Fast Track Endoscopy Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Digestive and liver disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Armellini, E.</au><au>Repici, A.</au><au>Alvisi, C.</au><au>Dinelli, M.</au><au>Gambitta, P.</au><au>Manes, G.</au><au>Mutignani, M.</au><au>Orlando, S.</au><au>Radaelli, F.</au><au>Salerno, R.</au><au>Venezia, G.</au><au>Verna, C.</au><au>Penagini, R.</au><au>Pace, F.</au><aucorp>the Fast Track Endoscopy Study Group</aucorp><aucorp>Fast Track Endoscopy Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of patients attitude to undergo urgent endoscopic procedures during COVID-19 outbreak in Italy</atitle><jtitle>Digestive and liver disease</jtitle><addtitle>Dig Liver Dis</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>52</volume><issue>7</issue><spage>695</spage><epage>699</epage><pages>695-699</pages><issn>1590-8658</issn><eissn>1878-3562</eissn><abstract>We conducted a survey to investigate to what extent the fear of COVID-19 has influenced the patients decision to undergo or to cancel endoscopic procedures. We collected data from 847 patients from 13 centres. The main indication for endoscopy was anemia, followed by pain and unexplained weight loss. The percentage of not presenters progressively increased throughout the three weeks of study, from 15.1% at the beginning to 48.2% at the end. 37 (34.2%) upper GI endoscopies and 112 (56.3 %) colonoscopies showed an organic cause explaining the symptoms presented by the patients, respectively; 5 cases of gastric cancer (4.6%) and 16 cases of colorectal cancer (CRC) (6.0%), respectively, were detected; during the second week the percentage of organic diseases found at upper endoscopy was 19 (33.3%) with 5 cancer (8.7%), and 61 (49.1% ) at colonoscopy, with 2 CRC (1.6%); finally, during the third week the corresponding figures were 19 (48.7%) for upper GI examinations, with 3 gastric cancers (7.7%), and 43 (60.5%) with 4 (6.5%) CRC cases found.We conclude that patients weighted the fear of having a clinically relevant disease with the fear of becoming infected by coronavirus, and a relevant percentage of them (29.4%) decided not to attend the endoscopy suites at the scheduled date.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>32425732</pmid><doi>10.1016/j.dld.2020.05.015</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Digestive and liver disease, 2020-07, Vol.52 (7), p.695-699 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Attitude to Health Betacoronavirus - isolation & purification Colorectal Neoplasms - diagnosis Colorectal Neoplasms - epidemiology Colorectal Neoplasms - physiopathology Colorectal Neoplasms - psychology Coronavirus Infections - epidemiology Coronavirus Infections - psychology Coronavirus Infections - transmission COVID-19 COVID-19 outbreak Disease Outbreaks Endoscopy, Gastrointestinal - psychology Endoscopy, Gastrointestinal - statistics & numerical data Fear Female Humans Italy - epidemiology Male Middle Aged No-Show Patients - psychology No-Show Patients - statistics & numerical data Outcome Assessment, Health Care Pandemics Pneumonia, Viral - epidemiology Pneumonia, Viral - psychology Pneumonia, Viral - transmission Psychological barriers SARS-CoV-2 Stomach Neoplasms - diagnosis Stomach Neoplasms - epidemiology Stomach Neoplasms - physiopathology Stomach Neoplasms - psychology Surveys and Questionnaires Urgent endoscopy |
| title | Analysis of patients attitude to undergo urgent endoscopic procedures during COVID-19 outbreak in Italy |
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