About: Adoption of Multi-society Guidelines Facilitates Value-Based Reduction in Screening and Surveillance Colonoscopy Volume During COVID-19 Pandemic

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About: Adoption of Multi-society Guidelines Facilitates Value-Based Reduction in Screening and Surveillance Colonoscopy Volume During COVID-19 Pandemic Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Adoption of Multi-society Guidelines Facilitates Value-Based Reduction in Screening and Surveillance Colonoscopy Volume During COVID-19 Pandemic
Creator	Chang, Y Hua, Alexander Keswani, Rajesh Komanduri, Srinadh Pandolfino, John Stephen, · Stevoff, Christian
Source	Medline; PMC
abstract	BACKGROUND: COVID-19 has caused a backlog of endoscopic procedures; colonoscopy must now be prioritized to those who would benefit most. We determined the proportion of screening and surveillance colonoscopies appropriate for rescheduling to a future year through strict adoption of US Multi-Society Task Force (USMSTF) guidelines. METHODS: We conducted a single-center observational study of patients scheduled for “open-access colonoscopy”—ordered by a primary care provider without being seen in gastroenterology clinic—over a 6-week period during the COVID-19 pandemic. Each chart was reviewed to appropriately assign a surveillance year per USMSTF guidelines including demographics, colonoscopy history and family history. When guidelines recommended a range of colonoscopy intervals, both a “conservative” and “liberal” guideline adherence were assessed. RESULTS: We delayed 769 “open-access” screening or surveillance colonoscopies due to COVID-19. Between 14.8% (conservative) and 20.7% (liberal), colonoscopies were appropriate for rescheduling to a future year. Conversely, 415 (54.0%) patients were overdue for colonoscopy. Family history of CRC was associated with being scheduled too early for both screening (OR 3.9; CI 1.9–8.2) and surveillance colonoscopy (OR 2.6, CI 1.0–6.5). The most common reasons a colonoscopy was inappropriately scheduled this year were failure to use new surveillance colonoscopy intervals (28.9%), incorrectly applied family history guidelines (27.2%) and recommending early surveillance colonoscopy after recent normal colonoscopy (19.3%). CONCLUSION: Up to one-fifth of patients scheduled for “open-access” colonoscopy can be rescheduled into a future year based on USMSTF guidelines. Rigorously applying guidelines could judiciously allocate colonoscopy resources as we recover from the COVID-19 pandemic. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10620-020-06539-1) contains supplementary material, which is available to authorized users.
has issue date	2020-08-16(xsd:dateTime)
bibo:doi	10.1007/s10620-020-06539-1
bibo:pmid	32803460
has license	no-cc
sha1sum (hex)	73d390eb84d906eef90c55e55daabd88a5f00ad3
schema:url	https://doi.org/10.1007/s10620-020-06539-1
resource representing a document's title	Adoption of Multi-society Guidelines Facilitates Value-Based Reduction in Screening and Surveillance Colonoscopy Volume During COVID-19 Pandemic
has PubMed Central identifier	PMC7429116
has PubMed identifier	32803460
schema:publication	Dig Dis Sci
resource representing a document's body	covid:73d390eb84d906eef90c55e55daabd88a5f00ad3#body_text
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