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Racial Disparities in Endoscopy Cancellations During the COVID-19 Pandemic

Connie W Wang1, Richard Mclean I2, Yao-Wen Cheng2

  • 1Division of Gastroenterology and Hepatology, Department of Medicine, University of California San Francisco, 513 Parnassus Avenue, Room S-357, San Francisco, CA, 94143, USA. connie.wang@ucsf.edu.

Digestive Diseases and Sciences
|June 22, 2022
PubMed

Insights

The COVID-19 pandemic led to a 32% increase in endoscopy cancellations, with Black patients facing higher risks due to testing logistics and fear. These findings highlight disparities in healthcare access amplified by the pandemic.

Area of Science:

  • Gastroenterology
  • Public Health
  • Health Services Research

Background:

  • The COVID-19 pandemic significantly disrupted healthcare services, including elective endoscopic procedures.
  • Understanding the impact on endoscopy cancellations is crucial for assessing healthcare access during public health crises.

Purpose of the Study:

  • To determine the prevalence of endoscopy cancellations during the COVID-19 pandemic.
  • To identify patient characteristics associated with these cancellations, particularly those related to COVID-19.

Main Methods:

  • A retrospective review of adult outpatient endoscopic procedure cancellations from May 2020 to August 2020.
  • Logistic regression analysis was used to assess the association between patient characteristics and cancellation due to COVID-19.

Main Results:

  • Out of 652 cancellations, 32% were COVID-19 related. Black patients had higher odds of COVID-19 related cancellations (OR 2.04).
  • Cancellations due to COVID-19 testing logistics were higher among Black patients (OR 3.12) and those with Medi-Cal insurance (OR 2.89).
  • Patients undergoing esophagogastroduodenoscopy (EGD) or advanced endoscopy had lower odds of cancellation.

Conclusions:

  • Black race is linked to increased risk of COVID-19 related endoscopy cancellations, especially due to testing logistics.
  • Socioeconomic factors like Medi-Cal insurance also correlate with higher cancellation risks related to testing.
  • The pandemic may exacerbate existing racial and socioeconomic disparities in endoscopy access, necessitating further investigation.
Abstract

Keywords:
Endoscopy accessHealth disparitiesHealth equityHealthcare delivery

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