由于COVID-19大流行,关于重新安排结肠镜检查的患者决定被推迟
Marguerite O Linz1,2, Noah Lorincz-Comi3, Abigail A Kuwatch4
1Digestive Health Research Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106-5066, USA.
Digestive diseases and sciences
|October 4, 2023
概括
大多数患者重新安排了在COVID-19大流行期间推迟的结肠镜检查,优先考虑癌症查而不是病毒问题. 诸如先前的腺瘤监测和提供者类型等因素影响了重新安排的决定.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 由于COVID-19大流行,俄俄州的选择性结肠镜检查从2020年3月17日推迟到2020年5月1日.
- 被取消手术的患者在持续的流行病风险中面临重新安排的决定.
研究的目的:
- 调查人口因素,结肠直肠癌 (CRC) 风险和COVID-19风险因素与取消结肠镜检查重新安排之间的关联.
- 了解患者在疫情期间对结肠镜重新安排的决策.
主要方法:
- 进行了回顾性医疗记录审查.
- 包括420名40-74岁的参与者,他们在2020年3月17日至2020年5月1日期间取消了选择性结肠镜检查.
- 分析的数据包括人口统计,CRC风险因素,COVID-19风险因素和重新安排状态.
主要成果:
- 71.0%的参与者在8个月内重新安排了他们的结肠镜检查.
- 重定时间与"腺瘤后的监测"指示,初级保健提供者转诊和脂质失调症有关.
- 不重新安排与更高的体重指数,"查CRC"指示和便检测有关.
- 结肠直肠癌风险诊断 (腺瘤,家族病史) 和COVID-19严重性并发症并没有显著影响重新安排.
结论:
- 大多数患者优先考虑了可能错过的结直肠癌诊断,而不是COVID-19暴露风险.
- 结肠镜指示和患者对转诊提供者的信任似乎对重新安排至关重要.
- 对重新安排的决策是复杂的,受到特定临床因素的影响,而不是一般癌症风险或COVID-19严重性风险.
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