Impact of COVID-19 Pandemic on Performance of Gastrointestinal Endoscopy.

Youn Kyung Kim, Su Bee Park, Moonhyung Lee, Jin Young Youn, Min Seob Kwak, Jae Myung Cha
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Abstract

Background/aims: Non-time-sensitive gastrointestinal endoscopy was deferred because of the risk of exposure to coronavirus disease 2019 (COVID-19), but no population-based studies have quantified the adverse impact on gastrointestinal procedures. This study examined the impact of the COVID-19 pandemic on the performance of esophagogastroduodenoscopy (EGD), colonoscopy, ERCP, and abdominal ultrasonography (US) in South Korea.

Methods: This nationwide, population-based study compared the claim data of EGD, colonoscopy, ERCP, and abdominal US in 2020 and 2021 (COVID-19 era) with those in 2019 (before the COVID-19 era).

Results: During the first year (2020) of the COVID-19 pandemic, the annual claim data of EGD and colonoscopy were reduced by 6.3% and 6.9%, respectively, but those of ERCP and abdominal US were increased by 1.0% and 2.9%, compared to those in 2019. During the first surge (March and April 2020) of COVID-19, the monthly claim data of EGD, colonoscopy, ERCP, and abdominal US were reduced by 28.8%, 43.8%, 5.1%, and 21.6%, respectively, in March 2020, and also reduced by 17.2%, 32.8%, 4.4%, and 9.5%, respectively, in April 2020, compared to those in March and April 2019. During March and April 2020, the monthly claims of ERCP, compared with those in 2019, declined less significantly than those of EGD and colonoscopy (both p<0.001).

Conclusions: The claims of EGD and colonoscopy were reduced more significantly than those of ERCP and abdominal US during the COVID-19 pandemic because ERCPs are time-sensitive procedures and abdominal USs are non-aerosolized procedures.

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COVID-19大流行对胃肠内镜检查性能的影响
背景/目的:由于暴露于2019冠状病毒病(COVID-19)的风险,非时间敏感的胃肠道内窥镜检查被推迟,但没有基于人群的研究量化了对胃肠道手术的不利影响。本研究考察了COVID-19大流行对韩国食管胃十二指肠镜检查(EGD)、结肠镜检查、ERCP和腹部超声检查(US)的影响。方法:这项基于全国人群的研究将2020年和2021年(COVID-19时代)的EGD、结肠镜检查、ERCP和腹部US的索赔数据与2019年(COVID-19时代之前)的索赔数据进行了比较。结果:新冠肺炎大流行第一年(2020年),EGD和结肠镜年度理赔数据分别较2019年减少6.3%和6.9%,ERCP和腹部US年度理赔数据分别较2019年增加1.0%和2.9%。在2019冠状病毒病第一次高峰(2020年3月和4月)期间,EGD、结肠镜检查、ERCP和腹部US的月度索赔数据分别比2020年3月、4月下降28.8%、43.8%、5.1%和21.6%,与2019年3月和4月相比,2020年4月分别下降17.2%、32.8%、4.4%和9.5%。在2020年3月和4月期间,与2019年相比,ERCP的每月索赔比EGD和结肠镜检查的下降幅度较小。结论:在COVID-19大流行期间,EGD和结肠镜检查的索赔比ERCP和腹部US的索赔减少更为显著,因为ERCP是时间敏感程序,而腹部US是非雾化程序。
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