Subscribe to RSS
Impact of coronavirus pandemic crisis in endoscopic clinical practice: Results from a national survey in Brazil
Background and study aims In March 2020, the World Health Organization declared coronavirus disease of 2019 (COVID-19) as a pandemic, mobilizing all countries to contain the disease spread. Activity in endoscopy centers globally was severely affected. We conducted a national survey aiming to assess the impact of the COVID-19 outbreak on endoscopic clinical practice in Brazil.
Methods In April 2020, 3,719 associate members of SOBED (Brazilian Society of Digestive Endoscopy) were invited to respond to an electronic survey. An Internet link was established to provide access to the online questionnaire with 40 questions regarding personal profile, endoscopy unit logistics and schedule, availability and use of personal protective equipment (PPE), financial impact, and exposure to COVID-19.
Results A total of 2,131 individuals (67 %) accessed the questionnaire and 1155 responses were received. After review, 980 responses were considered valid. According to almost 90 % of respondents, endoscopy activity was restricted to urgent procedures, in both public and private hospitals. All respondents increased PPE use after the outbreak, however, institutions provided adequate PPE to only 278 responders (28.7 %). Significant income loss was universally reported. A total of 10 practitioners (1 %) reported COVID-19 infection and attributed the contamination to endoscopic procedures.
Conclusions Based on this nationwide survey with almost 1,000 respondents, the COVID-19 pandemic substantially reduced the activity of endoscopy units in private and public settings. The pandemic increased awareness of PPE use, but its availability was not universal and 1 % of the respondents became infected with COVID-19, allegedly due to exposure during endoscopic procedures.
Received: 12 May 2020
Accepted: 19 May 2020
10 June 2020 (online)
© 2020. Owner and Copyright ©
© Georg Thieme Verlag KG
Stuttgart · New York
- 1 Li Q, Guan X, Wu P. et al. Early transmission dynamics in Wuhan, China, of Novel coronavirus-infected pneumonia. N Engl J Med 2020; 382: 1199-207
- 2 WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19
- 3 Ye F, Xu S, Rong Z. et al. Delivery of infection from asymptomatic carriers of COVID-19 in a familial cluster. Int J Infect Dis 2020; 94: 133-138
- 4 Li C, Ji F, Wang L. et al. Asymptomatic and human-to-human transmission of SARS-CoV-2 in a 2-family cluster, Xuzhou, China. Emerg Infect Dis 2020; 26 DOI: 10.3201/eid2607.200718.
- 5 Li R, Pei S, Chen B. et al. Substantial undocumented infection facilitates the rapid dissemination of novel coronavirus (SARS-CoV2). Science 2020; 368: 489-493
- 6 Chan JFW, Yuan S, Kok KH. et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet 2020; 395: 514-523
- 7 World Endoscopy Organization. WEO recommendations on digestive endoscopy and the COVID-19 pandemic | World Endoscopy Organization (WEO). Im Internet (cited 2020 Apr 22): http://www.worldendo.org/2020/03/24/weo-advice-on-digestive-endoscopy-and-the-covid-19-pandemic/
- 8 Sociedade Brasileira de Endoscopia Digestiva (SOBED). Recomendações SOBED para Endoscopia Segura durante a pandemia por Coronavirus - Sobed. https://www.sobed.org.br/sobed-comunica/noticias/single/nid/recomendacoes-sobed-para-endoscopia-segura-durante-a-pandemia-por-coronavirus/
- 9 Lui RN, Wong SH, Sánchez-Luna SA. et al. Overview of guidance for endoscopy during the coronavirus disease 2019 (COVID-19) pandemic. J Gastroenterol Hepatol 2020; 35: 749-759
- 10 Joint GI Society. Message on COVID-19 - American College of Gastroenterology. https://gi.org/2020/03/15/joint-gi-society-message-on-covid-19/
- 11 Considerations for Australian endoscopy units during the COVID-19 pandemic. https://www.gesa.org.au/resources/covid-19
- 12 Gralnek IM, Hassan C, Beilenhoff U. et al. ESGE and ESGENA Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic. Endoscopy 2020; DOI: 10.1055/a-1155-6229.
- 13 The British Society of Gastroenterology. Endoscopy activity and COVID-19: BSG and JAG guidance – update 03.04.20. https://www.bsg.org.uk/covid-19-advice/endoscopy-activity-and-covid-19-bsg-and-jag-guidance
- 14 Repici A, Maselli R, Colombo M. et al. Coronavirus (COVID-19) outbreak: what the department of endoscopy should know. Gastrointest Endosc 2020; DOI: 10.1016/j.gie.2020.03.019.
- 15 Agencia Nacional de Vigilancia Sanitaria (ANVISA). NOTA TÉCNICA No 04/2020 GVIMS/GGTES/ANVISA – ATUALIZADA EM 21/03/2020. https://www20.anvisa.gov.br/segurancadopaciente/index.php/alertas/item/nota-tecnica-n-04-2020-gvims-ggtes-anvisa-atualizada-em-21-03-2020?category_id=244
- 16 Sociedade Brasileira de Endoscopia Digestiva (SOBED). Noticias covid19 - Sobed. https://www.sobed.org.br/sobed-comunica/noticias-covid19/
- 17 Ponchon T, Chaussade S. COVID-19: How to select patients for endoscopy and how to reschedule the procedures?. Endosc Int Open 2020; 08: E699-E700
- 18 Repici A, Pace F, Gabbiadini R. et al. Endoscopy units and the COVID-19 outbreak: a multi-center experience from Italy. Gastroenterology 2020; DOI: 10.1053/j.gastro.2020.04.003.
- 19 Remuzzi A, Remuzzi G. COVID-19 and Italy: what next?. Lancet 2020; 395: 1225-1228
- 20 Perisetti A, Gajendran M, Boregowda U. et al. COVID-19 and gastrointestinal endoscopies: current insights and emergent strategies. Dig Endosc 2020; DOI: 10.1111/den.13693.