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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-9917822 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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