Alimentary Tract
Impact of the COVID-19 pandemic on Gastroenterology Divisions in Italy: A national survey

https://doi.org/10.1016/j.dld.2020.05.017Get rights and content

ABSTRACT

Background

In Italy, the spread of the COVID-19 pandemic has stressed the entire healthcare system and required a huge re-organization of many Divisions, including those of Gastroenterology.

Aims

to assess the impact of COVID-19 pandemic on Gastroenterology Divisions across Italy.

Methods

All members of the Italian Society of Gastroenterology (SIGE) were invited to answer a web-based survey.

Results

Data of 121 hospitals from all 20 Italian regions were analyzed. Overall, 10.7% Gastroenterology Divisions have been converted to Covid Units. Outpatients consultations, endoscopic and ultrasound procedures were limited to urgencies and oncology indications in 85.1%, 96.2% and 72.2% of Units, respectively, and 46.7% of them suspended the screening for colorectal cancer.

Moreover, 72.2% of the staff received a training for use of personal protective equipment, although 45.5% did not have sufficient devices for adequate replacement. Overall, 132 healthcare workers in 41 Gastroenterology Divisions were found to be infected.

Conclusion

This is the first study to evaluate, at a country level, the impact of COVID-19 outbreak on Gastroenterology Divisions. Substantial changes of practice and reduction of procedures have been recorded in the entire country. The long-term impact of such modifications is difficult to estimate but potentially very risky for many digestive diseases.

Keywords

SARS-CoV-2
COVID-19
Pandemic
Gastroenterology
Impact
Survey

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