The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea
<i>Background and Objectives:</i> The coronavirus disease 2019 (COVID-19) pandemic has affected medical practice in diverse ways. We aimed to investigate the change in trends of lower gastrointestinal (LGI) endoscopy conducted in children and adolescents after the COVID-19 outbreak in Ko...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/10/1378 |
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| author | Sang Woo Lee Ben Kang Sujin Choi Byung-Ho Choe Yu Bin Kim Kyung Jae Lee Hyun Jin Kim Hyo-Jeong Jang So Yoon Choi Dae Yong Yi You Jin Choi Ju Young Kim Eun Hye Lee Yoo Min Lee |
| author_facet | Sang Woo Lee Ben Kang Sujin Choi Byung-Ho Choe Yu Bin Kim Kyung Jae Lee Hyun Jin Kim Hyo-Jeong Jang So Yoon Choi Dae Yong Yi You Jin Choi Ju Young Kim Eun Hye Lee Yoo Min Lee |
| author_sort | Sang Woo Lee |
| collection | DOAJ |
| description | <i>Background and Objectives:</i> The coronavirus disease 2019 (COVID-19) pandemic has affected medical practice in diverse ways. We aimed to investigate the change in trends of lower gastrointestinal (LGI) endoscopy conducted in children and adolescents after the COVID-19 outbreak in Korea. <i>Material and Methods:</i> This was a multicenter, retrospective study conducted in Korea. We included children and adolescents aged <19 years who had undergone their first LGI endoscopy between 2016 and 2020. We compared clinicodemographic and endoscopic factors between groups divided according to the pre- and postCOVID-19 era in Korea. <i>Results:</i> We included 1307 patients in this study. Colonoscopies, instead of sigmoidoscopies, were conducted in most patients in the postCOVID-19 era compared to those in the preCOVID-19 era (86.9% vs. 78.5%, <i>p</i> = 0.007). The diagnosis of inflammatory bowel disease (IBD) was also significantly higher in the postCOVID-19 era compared to the preCOVID-19 era (47.2% vs. 28.5%, <i>p</i> < 0.001). According to multivariate logistic regression analysis, age at LGI endoscopy, LGI bleeding indication, and IBD diagnosis were independently associated with the use of a colonoscopy over a sigmoidoscopy (odds ratio (OR) 1.19, 95% confidence interval (CI) 1.12–1.27, <i>p</i> < 0.001; OR 0.56, 95% CI 0.37–0.83, <i>p</i> = 0.005; OR 1.80, 95% CI 1.20–2.77, <i>p</i> = 0.006, respectively). <i>Conclusions</i>: The COVID-19 pandemic has changed LGI endoscopy practice trends of pediatric gastroenterologists in Korea, who tended to perform lesser LGI endoscopies compared to previous years while conducting significantly more colonoscopies than sigmoidoscopies in the postCOVID-19 era. Furthermore, these colonoscopies were significantly associated with the diagnosis of IBD, as well as a significant increase in IBD diagnosis in the postCOVID-19 era. |
| first_indexed | 2024-03-09T19:51:00Z |
| format | Article |
| id | doaj.art-2e3dc0be0a5443c08b66fbb0da9726fd |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T19:51:00Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-2e3dc0be0a5443c08b66fbb0da9726fd2023-11-24T01:10:06ZengMDPI AGMedicina1010-660X1648-91442022-10-015810137810.3390/medicina58101378The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in KoreaSang Woo Lee0Ben Kang1Sujin Choi2Byung-Ho Choe3Yu Bin Kim4Kyung Jae Lee5Hyun Jin Kim6Hyo-Jeong Jang7So Yoon Choi8Dae Yong Yi9You Jin Choi10Ju Young Kim11Eun Hye Lee12Yoo Min Lee13Department of Pediatrics, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu 41944, KoreaDepartment of Pediatrics, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu 41944, KoreaDepartment of Pediatrics, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu 41944, KoreaDepartment of Pediatrics, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu 41944, KoreaDepartment of Pediatrics, Ajou University School of Medicine, 164, World Cup-ro, Yeongtong-gu, Suwon 16499, KoreaDepartment of Pediatrics, Hallym University College of Medicine, 1 Hallymdaehak-gil, Chuncheon 24252, KoreaDepartment of Pediatrics, Chungnam National University Hospital, 282 Munhwa-ro, Jung-gu, Daejeon 35015, KoreaDepartment of Pediatrics, Dongsan Medical Center, Keimyung University School of Medicine, 1035, Dalgubeol-daero, Dalseo-gu, Daegu 42601, KoreaDepartment of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine, 262 Gamcheon-ro, Seo-gu, Busan 49267, KoreaDepartment of Pediatrics, Chung-Ang University Hospital, Chung-Ang University College of Medicine, 102, Heukseok-ro, Dongjak-gu, Seoul 06973, KoreaDepartment of Pediatrics, Inje University Ilsan Paik Hospital, Juhwa-ro 170, Ilsanseo-gu, Goyang 10380, KoreaDepartment of Pediatrics, Eulji University Hospital, 95, Dunsanseo-ro, Seo-gu, Daejeon 35233, KoreaDepartment of Pediatrics, Nowon Eulji Medical Center, Eulji University School of Medicine, 68, Hangeulbiseok-ro, Nowon-gu, Seoul 01830, KoreaDepartment of Pediatrics, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, 170, Jomaru-ro, Bucheon 14584, Korea<i>Background and Objectives:</i> The coronavirus disease 2019 (COVID-19) pandemic has affected medical practice in diverse ways. We aimed to investigate the change in trends of lower gastrointestinal (LGI) endoscopy conducted in children and adolescents after the COVID-19 outbreak in Korea. <i>Material and Methods:</i> This was a multicenter, retrospective study conducted in Korea. We included children and adolescents aged <19 years who had undergone their first LGI endoscopy between 2016 and 2020. We compared clinicodemographic and endoscopic factors between groups divided according to the pre- and postCOVID-19 era in Korea. <i>Results:</i> We included 1307 patients in this study. Colonoscopies, instead of sigmoidoscopies, were conducted in most patients in the postCOVID-19 era compared to those in the preCOVID-19 era (86.9% vs. 78.5%, <i>p</i> = 0.007). The diagnosis of inflammatory bowel disease (IBD) was also significantly higher in the postCOVID-19 era compared to the preCOVID-19 era (47.2% vs. 28.5%, <i>p</i> < 0.001). According to multivariate logistic regression analysis, age at LGI endoscopy, LGI bleeding indication, and IBD diagnosis were independently associated with the use of a colonoscopy over a sigmoidoscopy (odds ratio (OR) 1.19, 95% confidence interval (CI) 1.12–1.27, <i>p</i> < 0.001; OR 0.56, 95% CI 0.37–0.83, <i>p</i> = 0.005; OR 1.80, 95% CI 1.20–2.77, <i>p</i> = 0.006, respectively). <i>Conclusions</i>: The COVID-19 pandemic has changed LGI endoscopy practice trends of pediatric gastroenterologists in Korea, who tended to perform lesser LGI endoscopies compared to previous years while conducting significantly more colonoscopies than sigmoidoscopies in the postCOVID-19 era. Furthermore, these colonoscopies were significantly associated with the diagnosis of IBD, as well as a significant increase in IBD diagnosis in the postCOVID-19 era.https://www.mdpi.com/1648-9144/58/10/1378colitis ulcerativecolonoscopyCOVID-19Crohn’s diseaseinflammatory bowel diseases |
| spellingShingle | Sang Woo Lee Ben Kang Sujin Choi Byung-Ho Choe Yu Bin Kim Kyung Jae Lee Hyun Jin Kim Hyo-Jeong Jang So Yoon Choi Dae Yong Yi You Jin Choi Ju Young Kim Eun Hye Lee Yoo Min Lee The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea Medicina colitis ulcerative colonoscopy COVID-19 Crohn’s disease inflammatory bowel diseases |
| title | The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea |
| title_full | The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea |
| title_fullStr | The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea |
| title_full_unstemmed | The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea |
| title_short | The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea |
| title_sort | changes in trends of lower gastrointestinal endoscopy conducted in children and adolescents after the covid 19 outbreak in korea |
| topic | colitis ulcerative colonoscopy COVID-19 Crohn’s disease inflammatory bowel diseases |
| url | https://www.mdpi.com/1648-9144/58/10/1378 |
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