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Esophagogastroduodenoscopy Outcomes Variated by the Time of the Day: A Single-Center Experience

(1) Background: To assess whether the start time influences the outcomes of esophagogastroduodenoscopy (EGD). (2) Methods: We retrospectively analyzed the clinical data of patients who underwent EGD between January 2021 and December 2021 in our endoscopy center. The EGD were divided into three shift...

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Detalles Bibliográficos
Autores principales: Zhang, Zhang, Chen, Xiaojia, Wang, Haizhou, Nie, Haihang, Wang, Fan, Zhao, Qiu, Fang, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917822/
https://www.ncbi.nlm.nih.gov/pubmed/36769512
http://dx.doi.org/10.3390/jcm12030863
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author Zhang, Zhang
Chen, Xiaojia
Wang, Haizhou
Nie, Haihang
Wang, Fan
Zhao, Qiu
Fang, Jun
author_facet Zhang, Zhang
Chen, Xiaojia
Wang, Haizhou
Nie, Haihang
Wang, Fan
Zhao, Qiu
Fang, Jun
author_sort Zhang, Zhang
collection PubMed
description (1) Background: To assess whether the start time influences the outcomes of esophagogastroduodenoscopy (EGD). (2) Methods: We retrospectively analyzed the clinical data of patients who underwent EGD between January 2021 and December 2021 in our endoscopy center. The EGD were divided into three shifts, according to the start time. The lesion detection rate (LDR) and endoscopy biopsy rate (EBR) were used to evaluate the quality of the EGD. (3) Results: A total of 14,597 procedures were included in this study. The LDR of shift 2 was significantly lower than that of shift 1 (62.4% vs. 58.5%; p < 0.001). The EBR of shift 1 (37.4% vs. 31.5%; p < 0.001) and shift 3 (35.5% vs. 31.5%; p = 0.024) were significantly higher than that of shift 2; the EBR in shift 1 did not differ significantly from shift 3 (p = 0.280). The multivariable analysis for the EGD performed before 14:00 demonstrated a graded decrease in the LDR and EBR after adjusting the confounders (p < 0.001). (4) Conclusion: In a continuous working period, the lesion detection and biopsy submission of EGD are superior to those in the first three hours compared to the last three hours; the LDR and EBR decreased as the day progressed, probably due to the endoscopists’ fatigue.
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spelling pubmed-99178222023-02-11 Esophagogastroduodenoscopy Outcomes Variated by the Time of the Day: A Single-Center Experience Zhang, Zhang Chen, Xiaojia Wang, Haizhou Nie, Haihang Wang, Fan Zhao, Qiu Fang, Jun J Clin Med Article (1) Background: To assess whether the start time influences the outcomes of esophagogastroduodenoscopy (EGD). (2) Methods: We retrospectively analyzed the clinical data of patients who underwent EGD between January 2021 and December 2021 in our endoscopy center. The EGD were divided into three shifts, according to the start time. The lesion detection rate (LDR) and endoscopy biopsy rate (EBR) were used to evaluate the quality of the EGD. (3) Results: A total of 14,597 procedures were included in this study. The LDR of shift 2 was significantly lower than that of shift 1 (62.4% vs. 58.5%; p < 0.001). The EBR of shift 1 (37.4% vs. 31.5%; p < 0.001) and shift 3 (35.5% vs. 31.5%; p = 0.024) were significantly higher than that of shift 2; the EBR in shift 1 did not differ significantly from shift 3 (p = 0.280). The multivariable analysis for the EGD performed before 14:00 demonstrated a graded decrease in the LDR and EBR after adjusting the confounders (p < 0.001). (4) Conclusion: In a continuous working period, the lesion detection and biopsy submission of EGD are superior to those in the first three hours compared to the last three hours; the LDR and EBR decreased as the day progressed, probably due to the endoscopists’ fatigue. MDPI 2023-01-21 /pmc/articles/PMC9917822/ /pubmed/36769512 http://dx.doi.org/10.3390/jcm12030863 Text en © 2023 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
Zhang, Zhang
Chen, Xiaojia
Wang, Haizhou
Nie, Haihang
Wang, Fan
Zhao, Qiu
Fang, Jun
Esophagogastroduodenoscopy Outcomes Variated by the Time of the Day: A Single-Center Experience
title Esophagogastroduodenoscopy Outcomes Variated by the Time of the Day: A Single-Center Experience
title_full Esophagogastroduodenoscopy Outcomes Variated by the Time of the Day: A Single-Center Experience
title_fullStr Esophagogastroduodenoscopy Outcomes Variated by the Time of the Day: A Single-Center Experience
title_full_unstemmed Esophagogastroduodenoscopy Outcomes Variated by the Time of the Day: A Single-Center Experience
title_short Esophagogastroduodenoscopy Outcomes Variated by the Time of the Day: A Single-Center Experience
title_sort esophagogastroduodenoscopy outcomes variated by the time of the day: a single-center experience
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917822/
https://www.ncbi.nlm.nih.gov/pubmed/36769512
http://dx.doi.org/10.3390/jcm12030863
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