Background. Coronavirus Disease 2019 (COVID-19) has affected many facets of the practice of medicine including screening colonoscopies. Aims. Our study looks to observe if there has been an effect on the quality of colonoscopies, as indicated by quality measures such as the cecal intubation rate (CIR), cecal intubation time (CIT), scope withdrawal time (SWT), and adenoma detection rate (ADR) with the adoption of standard COVID-19 precautions. Methods. We conducted a retrospective chart review to analyze the effects of the COVID-19 pandemic on screening colonoscopies. The study utilized data on CIR, CIT, SWT, and ADR from outpatient, nonemergent procedures conducted at 3 endoscopy suites of St. Luke’s University Health Network. All inpatient and emergent procedures were excluded. Results. Our study demonstrated that the total number of screening colonoscopies was decreased between 2019 and 2020 (318 in 2019 vs. 157 in 2020, ). CIT ( seconds in 2019 vs. seconds in 2020, ) and SWT ( seconds in 2019 vs. seconds in 2020, ) were increased while CIR (98.2% in 2019 vs. 96.6% in 2020, ) was decreased between 2019 and 2020 likely due to PPE introduction. ADR was similar between the two groups (38.23 (12.50-66.66) in 2019 vs. 38.18 (16.66-66.00) in 2020, ). Conclusion. Our study showed that quality indices for screening colonoscopies like CIR, CIT, and SWT were negatively impacted during the COVID-19 time period. ADR, however, was similar. Thus, the efficiency of the procedures was affected by the use of PPE but it did not affect the colonoscopy’s clinical benefit.

中文翻译：

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在 COVID-19 大流行期间使用个人防护设备对筛查结肠镜检查质量指标的影响

背景。2019 年冠状病毒病 (COVID-19) 影响了医学实践的许多方面，包括结肠镜检查。目标。我们的研究旨在观察结肠镜检查的质量是否会受到影响，如盲肠插管率 (CIR)、盲肠插管时间 (CIT)、范围退出时间 (SWT) 和腺瘤检出率等质量指标所示(ADR) 采用标准的 COVID-19 预防措施。方法. 我们进行了回顾性图表审查，以分析 COVID-19 大流行对结肠镜检查筛查的影响。该研究利用了在圣卢克大学健康网络的 3 个内窥镜检查室进行的门诊非紧急程序的 CIR、CIT、SWT 和 ADR 数据。所有住院和急诊手术都被排除在外。结果。我们的研究表明，从 2019 年到 2020 年，结肠镜检查的总数有所减少（2019 年为 318 次，2020 年为 157 次，）。企业所得税 (2019 年的秒数对比2020 年的秒数，)和 SWT (2019 年的秒数对比2020 年的秒数，）增加，而 CIR（2019 年为 98.2%，2020 年为 96.6%，)在 2019 年至 2020 年期间有所下降，这可能是由于引入了 PPE。两组的 ADR 相似（2019 年为 38.23（12.50-66.66），2020 年为 38.18（16.66-66.00），）。 结论。我们的研究表明，CIR、CIT 和 SWT 等结肠镜检查的质量指标在 COVID-19 期间受到了负面影响。然而，ADR 是相似的。因此，程序的效率受到使用 PPE 的影响，但不影响结肠镜检查的临床益处。