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The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea

Background and Objectives: The coronavirus disease 2019 (COVID-19) pandemic has affected medical practice in diverse ways. We aimed to investigate the change in trends of lower gastrointestinal (LGI) endoscopy conducted in children and adolescents after the COVID-19 outbreak in Korea. Material and M...

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Autores principales: Lee, Sang Woo, Kang, Ben, Choi, Sujin, Choe, Byung-Ho, Kim, Yu Bin, Lee, Kyung Jae, Kim, Hyun Jin, Jang, Hyo-Jeong, Choi, So Yoon, Yi, Dae Yong, Choi, You Jin, Kim, Ju Young, Lee, Eun Hye, Lee, Yoo Min
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9608561/
https://www.ncbi.nlm.nih.gov/pubmed/36295539
http://dx.doi.org/10.3390/medicina58101378
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author Lee, Sang Woo
Kang, Ben
Choi, Sujin
Choe, Byung-Ho
Kim, Yu Bin
Lee, Kyung Jae
Kim, Hyun Jin
Jang, Hyo-Jeong
Choi, So Yoon
Yi, Dae Yong
Choi, You Jin
Kim, Ju Young
Lee, Eun Hye
Lee, Yoo Min
author_facet Lee, Sang Woo
Kang, Ben
Choi, Sujin
Choe, Byung-Ho
Kim, Yu Bin
Lee, Kyung Jae
Kim, Hyun Jin
Jang, Hyo-Jeong
Choi, So Yoon
Yi, Dae Yong
Choi, You Jin
Kim, Ju Young
Lee, Eun Hye
Lee, Yoo Min
author_sort Lee, Sang Woo
collection PubMed
description Background and Objectives: The coronavirus disease 2019 (COVID-19) pandemic has affected medical practice in diverse ways. We aimed to investigate the change in trends of lower gastrointestinal (LGI) endoscopy conducted in children and adolescents after the COVID-19 outbreak in Korea. Material and Methods: This was a multicenter, retrospective study conducted in Korea. We included children and adolescents aged <19 years who had undergone their first LGI endoscopy between 2016 and 2020. We compared clinicodemographic and endoscopic factors between groups divided according to the pre- and postCOVID-19 era in Korea. Results: We included 1307 patients in this study. Colonoscopies, instead of sigmoidoscopies, were conducted in most patients in the postCOVID-19 era compared to those in the preCOVID-19 era (86.9% vs. 78.5%, p = 0.007). The diagnosis of inflammatory bowel disease (IBD) was also significantly higher in the postCOVID-19 era compared to the preCOVID-19 era (47.2% vs. 28.5%, p < 0.001). According to multivariate logistic regression analysis, age at LGI endoscopy, LGI bleeding indication, and IBD diagnosis were independently associated with the use of a colonoscopy over a sigmoidoscopy (odds ratio (OR) 1.19, 95% confidence interval (CI) 1.12–1.27, p < 0.001; OR 0.56, 95% CI 0.37–0.83, p = 0.005; OR 1.80, 95% CI 1.20–2.77, p = 0.006, respectively). Conclusions: The COVID-19 pandemic has changed LGI endoscopy practice trends of pediatric gastroenterologists in Korea, who tended to perform lesser LGI endoscopies compared to previous years while conducting significantly more colonoscopies than sigmoidoscopies in the postCOVID-19 era. Furthermore, these colonoscopies were significantly associated with the diagnosis of IBD, as well as a significant increase in IBD diagnosis in the postCOVID-19 era.
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spelling pubmed-96085612022-10-28 The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea Lee, Sang Woo Kang, Ben Choi, Sujin Choe, Byung-Ho Kim, Yu Bin Lee, Kyung Jae Kim, Hyun Jin Jang, Hyo-Jeong Choi, So Yoon Yi, Dae Yong Choi, You Jin Kim, Ju Young Lee, Eun Hye Lee, Yoo Min Medicina (Kaunas) Article Background and Objectives: The coronavirus disease 2019 (COVID-19) pandemic has affected medical practice in diverse ways. We aimed to investigate the change in trends of lower gastrointestinal (LGI) endoscopy conducted in children and adolescents after the COVID-19 outbreak in Korea. Material and Methods: This was a multicenter, retrospective study conducted in Korea. We included children and adolescents aged <19 years who had undergone their first LGI endoscopy between 2016 and 2020. We compared clinicodemographic and endoscopic factors between groups divided according to the pre- and postCOVID-19 era in Korea. Results: We included 1307 patients in this study. Colonoscopies, instead of sigmoidoscopies, were conducted in most patients in the postCOVID-19 era compared to those in the preCOVID-19 era (86.9% vs. 78.5%, p = 0.007). The diagnosis of inflammatory bowel disease (IBD) was also significantly higher in the postCOVID-19 era compared to the preCOVID-19 era (47.2% vs. 28.5%, p < 0.001). According to multivariate logistic regression analysis, age at LGI endoscopy, LGI bleeding indication, and IBD diagnosis were independently associated with the use of a colonoscopy over a sigmoidoscopy (odds ratio (OR) 1.19, 95% confidence interval (CI) 1.12–1.27, p < 0.001; OR 0.56, 95% CI 0.37–0.83, p = 0.005; OR 1.80, 95% CI 1.20–2.77, p = 0.006, respectively). Conclusions: The COVID-19 pandemic has changed LGI endoscopy practice trends of pediatric gastroenterologists in Korea, who tended to perform lesser LGI endoscopies compared to previous years while conducting significantly more colonoscopies than sigmoidoscopies in the postCOVID-19 era. Furthermore, these colonoscopies were significantly associated with the diagnosis of IBD, as well as a significant increase in IBD diagnosis in the postCOVID-19 era. MDPI 2022-10-01 /pmc/articles/PMC9608561/ /pubmed/36295539 http://dx.doi.org/10.3390/medicina58101378 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Sang Woo
Kang, Ben
Choi, Sujin
Choe, Byung-Ho
Kim, Yu Bin
Lee, Kyung Jae
Kim, Hyun Jin
Jang, Hyo-Jeong
Choi, So Yoon
Yi, Dae Yong
Choi, You Jin
Kim, Ju Young
Lee, Eun Hye
Lee, Yoo Min
The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea
title The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea
title_full The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea
title_fullStr The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea
title_full_unstemmed The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea
title_short The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea
title_sort changes in trends of lower gastrointestinal endoscopy conducted in children and adolescents after the covid-19 outbreak in korea
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9608561/
https://www.ncbi.nlm.nih.gov/pubmed/36295539
http://dx.doi.org/10.3390/medicina58101378
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