The influence of the COVID-19 epidemic on the gastrointestinal endoscopy practice in China: a national survey

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and Other Interventional Techniques

The influence of the COVID‑19 epidemic on the gastrointestinal endoscopy practice in China: a national survey Ningli Chai1 · Xiaowei Tang1   · Enqiang Linghu1 · Jiancong Feng1 · Lu Ye1 · Qingzhen Wu1 · Xin Zhao1 · Runxiang Du1 · Longsong Li1 · Wengang Zhang1 · Jingyuan Xiang1 · for the COVID19 Working Group of the Chinese Society of Digestive Endoscopy Received: 6 August 2020 / Accepted: 3 November 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Background and Aim  With the worldwide spread of coronavirus disease 2019 (COVID-19), it has devastated the economy and taken a toll on people’ life in every aspects. In this study, we aimed to evaluate the influence of the COVID-19 epidemic on the GI endoscopy practice in China. Methods  The nationwide survey conducted from 13 to 19 April, 2020. A predesigned standard structured questionnaire was sent to all members of the Chinese Society of Digestive Endoscopy (CSDE) in mainland China by email. Number of various GI endoscopic procedures and participants getting endoscopic training from January 1 to April 10, 2020 (the COVID-19 period) and the same period of 2019 were collected and analyzed. Results  A total of 468 hospitals responded to this survey, and most of them (85.4%) were tertiary referral hospitals. The sum number of GI endoscopic procedures deceased significantly from 3,203,594 in 2019 to 1,512,619 in 2020, including 2,996,779 to 1,401,665 of diagnostic procedures and 206,815 to 110,954 of therapeutic procedures. More than half of centers (57.1%) reduced about 1,000-5,000 endoscopic activities. Of 271 hospitals (57.9%) providing endoscopic training, the total number of participants decreased from 2,977 in 2019 to 1,131 in 2020. Most of hospitals (93.8%) adhered to the recommendation of endoscopy practice issued by CSDE during the outbreak of COVID-19, and there was no cases of infection in endoscopic departments of all surveyed hospitals. Conclusion  With the influence of the COVID-19 epidemic, there has been significant decease of GI endoscopy practice in mainland China. Keywords  COVID-19 · Gastrointestinal endoscopy · Influence · China Since coronavirus disease 2019 (COVID-19) initially emerged in Wuhan, China in early December 2019 [1], it has become a global pandemic, and posed a severe threat to human health and lives. According to the World Health Ningli Chai and Xiaowei Tang have contributed equally to this study. Electronic Supplementary Material  The online version of this article (https​://doi.org/10.1007/s0046​4-020-08149​-4) contains supplementary material, which is available to authorized users. * Enqiang Linghu [email protected] 1



Department of Gastroenterology, The First Medical Center of Chinese PLA General Hospital, No. 28, Fuxing Road, Haidian District, Beijing 100853, China

Organization (WHO), COVID-19 is estimated to have resulted in 2,203,927 cases in 213 countries with 148,749 deaths as of April 19, 2020, among which highest confirmed cases were detected