Impact of COVID-19 pandemic on pediatric endoscopy: A multicenter study on behalf of the SIGENP Endoscopy Working Group

doi:10.1016/j.dld.2022.02.010

Multicenter Study

. 2022 May;54(5):572-579.

doi: 10.1016/j.dld.2022.02.010. Epub 2022 Mar 9.

Impact of COVID-19 pandemic on pediatric endoscopy: A multicenter study on behalf of the SIGENP Endoscopy Working Group

Sara Renzo¹, Luca Scarallo¹, Luca Maria Antoniello², Matteo Bramuzzo³, Andrea Chiaro⁴, Fabio Cisarò⁵, Anna Chiara Iolanda Contini⁶, Gian Luigi De Angelis⁷, Paola De Angelis⁶, Giovanni Di Nardo⁸, Enrico Felici⁹, Silvia Iuliano⁷, Francesco Macchini¹⁰, Cecilia Mantegazza¹¹, Stefano Martelossi¹², Salvatore Oliva¹³, Flavia Parrinello⁴, Francesca Rea⁶, Antonio Pizzol¹², Claudio Romano¹⁴, Giusy Russo¹³, Naire Sansotta¹⁵, Paolo Lionetti¹⁶; SIGENP Endoscopy Working Group

Collaborators, Affiliations

Collaborators

SIGENP Endoscopy Working Group:
Emanuele Dabizzi, Marco Deganello Saccomani, Michele Di Toma, Simona Gatti, Maria Teresa Illiceto, Sara Isoldi, Marta Maino, Maristella Pellegrino, Caterina Strisciuglio

Affiliations

¹ Gastroenterology and Nutrition Unit, Meyer Children's Hospital, Florence, Italy.
² Pediatric Surgery Unit and Pediatric Gastroenterology Unit, Department of Women's and Children's Health, University of Padua, Padova, Italy.
³ Pediatric Gastroenterology, Digestive Endoscopy and Clinical Nutrition Unit, Department of Pediatric, Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.
⁴ Pediatric Gastroenterology and Endoscopy Unit, Institute Giannina Gaslini, Genoa, Italy.
⁵ Pediatric Gastroenterology Unit, Regina Margherita Children's Hospital, Azienda Ospedaliera-Universitaria, Città della Salute e della Scienza di Torino, Turin, Italy.
⁶ Digestive Surgery and Endoscopy Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
⁷ Gastroenterology and Endoscopy Unit, University Hospital of Parma, University of Parma, Parma, Italy.
⁸ Sapienza University of Rome, NESMOS Department, Pediatric Unit, Sant'Andrea University Hospital, Italy.
⁹ Pediatric and Pediatric Emergency Unit, "Umberto Bosio" Center for Digestive Diseases, The Children Hospital, AO SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
¹⁰ Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
¹¹ Digestive Endoscopic Unit, Department of Pediatrics and Pediatric Surgery, University of Milan, Buzzi Children's hospital, Italy.
¹² Pediatric Department, Ospedale Ca' Foncello, Treviso, Italy.
¹³ Maternal and Child Health Department, Pediatric Gastroenterology and Liver Unit, Sapienza - University of Rome, Rome, Italy.
¹⁴ Pediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology, University of Messina, Italy.
¹⁵ Pediatric Hepatology Gastroenterology and Transplantation, ASST Papa Giovanni XXIII, Bergamo, Italy.
¹⁶ Gastroenterology and Nutrition Unit, Meyer Children's Hospital, Florence, Italy; Department NEUROFARBA, University of Florence, Florence, Italy. Electronic address: paolo.lionetti@unifi.it.

PMID: 35361566
PMCID: PMC8904157
DOI: 10.1016/j.dld.2022.02.010

Multicenter Study

Impact of COVID-19 pandemic on pediatric endoscopy: A multicenter study on behalf of the SIGENP Endoscopy Working Group

Sara Renzo et al. Dig Liver Dis. 2022 May.

. 2022 May;54(5):572-579.

doi: 10.1016/j.dld.2022.02.010. Epub 2022 Mar 9.

Authors

Collaborators

SIGENP Endoscopy Working Group:
Emanuele Dabizzi, Marco Deganello Saccomani, Michele Di Toma, Simona Gatti, Maria Teresa Illiceto, Sara Isoldi, Marta Maino, Maristella Pellegrino, Caterina Strisciuglio

Affiliations

¹ Gastroenterology and Nutrition Unit, Meyer Children's Hospital, Florence, Italy.
² Pediatric Surgery Unit and Pediatric Gastroenterology Unit, Department of Women's and Children's Health, University of Padua, Padova, Italy.
³ Pediatric Gastroenterology, Digestive Endoscopy and Clinical Nutrition Unit, Department of Pediatric, Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.
⁴ Pediatric Gastroenterology and Endoscopy Unit, Institute Giannina Gaslini, Genoa, Italy.
⁵ Pediatric Gastroenterology Unit, Regina Margherita Children's Hospital, Azienda Ospedaliera-Universitaria, Città della Salute e della Scienza di Torino, Turin, Italy.
⁶ Digestive Surgery and Endoscopy Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
⁷ Gastroenterology and Endoscopy Unit, University Hospital of Parma, University of Parma, Parma, Italy.
⁸ Sapienza University of Rome, NESMOS Department, Pediatric Unit, Sant'Andrea University Hospital, Italy.
⁹ Pediatric and Pediatric Emergency Unit, "Umberto Bosio" Center for Digestive Diseases, The Children Hospital, AO SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
¹⁰ Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
¹¹ Digestive Endoscopic Unit, Department of Pediatrics and Pediatric Surgery, University of Milan, Buzzi Children's hospital, Italy.
¹² Pediatric Department, Ospedale Ca' Foncello, Treviso, Italy.
¹³ Maternal and Child Health Department, Pediatric Gastroenterology and Liver Unit, Sapienza - University of Rome, Rome, Italy.
¹⁴ Pediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology, University of Messina, Italy.
¹⁵ Pediatric Hepatology Gastroenterology and Transplantation, ASST Papa Giovanni XXIII, Bergamo, Italy.
¹⁶ Gastroenterology and Nutrition Unit, Meyer Children's Hospital, Florence, Italy; Department NEUROFARBA, University of Florence, Florence, Italy. Electronic address: paolo.lionetti@unifi.it.

PMID: 35361566
PMCID: PMC8904157
DOI: 10.1016/j.dld.2022.02.010

Abstract

Background: Aim of the present report was to investigate the repercussions of COVID-19 pandemic on the procedural volumes and on the main indications of pediatric digestive endoscopy in Italy.

Methods: An online survey was distributed at the beginning of December 2020 to Italian digestive endoscopy centers. Data were collected comparing two selected time intervals: the first from 1st of February 2019 to 30th June 2019 and the second from 1st February 2020 to 30th June 2020.

Results: Responses to the survey came from 24 pediatric endoscopy Units. Globally, a reduction of 37.2% was observed between 2019 and 2020 periods with a significant decrease in median number of procedures (111 vs 57, p < 0.001). Both the median number of procedures performed for new diagnoses and those for follow-up purposes significantly decreased in 2020 (63 vs 36, p < 0.001 and 42 vs 21, p< 0.001, respectively). We reported a drastic reduction of procedures performed for suspected Celiac Disease and Functional Gastrointestinal Disorders (55.1% and 58.0%, respectively). Diagnostic endoscopies for suspected IBD decreased of 15.5%, whereas procedures for Mucosal Healing (MH) assessment reduced of 48.3%.

Conclusions: Our study provides real-world data outlining the meaningful impact of COVID-19 on pediatric endoscopy practice in Italy.

Keywords: COVID-19; Endoscopy; Pediatric Endoscopy.

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Conflict of interest statement

Conflict of interest None declared.

Figures

Fig. 1: — **Fig. 1**
Mean endoscopic procedures performed in 2019 and 2020 period.

See this image and copyright information in PMC

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References

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1. Maida M., Sferrazza S., Savarino E., Ricciardiello L., Repici A., Morisco F., et al. Impact of the COVID-19 pandemic on gastroenterology divisions in Italy: a national survey. Digest Liver Dis. 2020;52:808–815. doi: 10.1016/j.dld.2020.05.017. - DOI - PMC - PubMed

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[1] Wu Z., McGoogan J.M. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;323:1239. doi: 10.1001/jama.2020.2648. - DOI - PubMed

[2] Wu Z., McGoogan J.M. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;323:1239. doi: 10.1001/jama.2020.2648. - DOI - PubMed

[3] Distante C., Piscitelli P., Miani A. Covid-19 outbreak progression in Italian regions: approaching the peak by the end of march in Northern Italy and first week of april in Southern Italy. IJERPH. 2020;17:3025. doi: 10.3390/ijerph17093025. - DOI - PMC - PubMed

[4] Distante C., Piscitelli P., Miani A. Covid-19 outbreak progression in Italian regions: approaching the peak by the end of march in Northern Italy and first week of april in Southern Italy. IJERPH. 2020;17:3025. doi: 10.3390/ijerph17093025. - DOI - PMC - PubMed

[5] Rosenbaum L. Facing Covid-19 in Italy — ethics, logistics, and therapeutics on the epidemic's front line. N Engl J Med. 2020;382:1873–1875. doi: 10.1056/NEJMp2005492. - DOI - PubMed

[6] Rosenbaum L. Facing Covid-19 in Italy — ethics, logistics, and therapeutics on the epidemic's front line. N Engl J Med. 2020;382:1873–1875. doi: 10.1056/NEJMp2005492. - DOI - PubMed

[7] Romani G., Dal Mas F., Massaro M., Cobianchi L., Modenese M., Barcellini A., et al. Population health strategies to support hospital and intensive care unit resiliency during the COVID-19 pandemic: the Italian experience. Popul Health Manag. 2021;24:174–181. doi: 10.1089/pop.2020.0255. - DOI - PubMed

[8] Romani G., Dal Mas F., Massaro M., Cobianchi L., Modenese M., Barcellini A., et al. Population health strategies to support hospital and intensive care unit resiliency during the COVID-19 pandemic: the Italian experience. Popul Health Manag. 2021;24:174–181. doi: 10.1089/pop.2020.0255. - DOI - PubMed

[9] Maida M., Sferrazza S., Savarino E., Ricciardiello L., Repici A., Morisco F., et al. Impact of the COVID-19 pandemic on gastroenterology divisions in Italy: a national survey. Digest Liver Dis. 2020;52:808–815. doi: 10.1016/j.dld.2020.05.017. - DOI - PMC - PubMed

[10] Maida M., Sferrazza S., Savarino E., Ricciardiello L., Repici A., Morisco F., et al. Impact of the COVID-19 pandemic on gastroenterology divisions in Italy: a national survey. Digest Liver Dis. 2020;52:808–815. doi: 10.1016/j.dld.2020.05.017. - DOI - PMC - PubMed

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Impact of COVID-19 pandemic on pediatric endoscopy: A multicenter study on behalf of the SIGENP Endoscopy Working Group

Collaborators

Affiliations

Impact of COVID-19 pandemic on pediatric endoscopy: A multicenter study on behalf of the SIGENP Endoscopy Working Group

Authors

Collaborators

Affiliations

Abstract

Conflict of interest statement

Figures

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Cited by

References

Publication types

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