Evolution of International Pediatric Endoscopic Practice Changes During the Coronavirus Disease 2019 Pandemic

Authors

Wenly Ruan
Douglas S Fishman
Diana G Lerner
Raoul I Furlano
Mike Thomson
Catharine M Walsh

Publication Date

6-1-2022

Journal

Journal of Pediatric Gastroenterology and Nutrition

DOI

10.1097/MPG.0000000000003416

PMID

35185114

PMCID

PMC9172578

PubMedCentral® Posted Date

2-17-2022

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

COVID-19, Child, Endoscopy, Gastrointestinal, Follow-Up Studies, Humans, Pandemics, SARS-CoV-2, Surveys and Questionnaires, coronavirus disease 2019, gastrointestinal endoscopy, severe acute respiratory syndrome coronavirus 2

Abstract

OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic has drastically altered endoscopic practices. We initially reported the international impact of COVID-19 on pediatric endoscopic practice. This follow-up study aimed to assess changes 7 months following the initial survey to delineate practice change patterns as the pandemic evolved.

METHODS: Pediatric gastroenterologists who responded to the initial survey were re-surveyed seven months later using Research Electronic Data Capture (REDCap). The survey recorded information on changes in pediatric endoscopic practice patterns, including COVID-19 screening and testing processes and personal protective equipment (PPE) utilization. Additionally, endoscopists' risk tolerance of COVID-19 transmission was evaluated.

RESULTS: Seventy-five unique institutions from 21 countries completed surveys from the 145 initial responses (51.7% response rate). Procedural volumes increased at most institutions (70.7%) and most were performing previously postponed cases (90.7%). Ninety-seven percent of institutions were performing pre-endoscopy screening with 78.7% testing all patients. Many institutions (34.7%) have performed procedures on COVID-19 positive patients. There was significantly less PPE reuse (P  < 0.05) and fewer institutions recommending full PPE for all endoscopies (43.2% vs 59.2%, P = 0.013). Overall, pediatric endoscopists' risk tolerance of COVID-19 transmission is low.

CONCLUSIONS: This is the first survey to highlight the evolution of pediatric endoscopic practices related to the COVID-19 pandemic, underscoring the need for ongoing pandemic-related guidance for pediatric endoscopic practice.