The impact of the coronavirus disease 2019 pandemic on gastroenterologists in Southeast Asia: A mixed‐methods study

Ong, John; Ong, Andrew Ming-Liang; Ong, Sim‐Heng; Xin, Xiaohui; Lee, Yeong Yeh; Pausawasdi, Nonthalee; Lusong, Mark Anthony De; Makmun, Dadang; Chong, Vui Heng; Ho, Shiaw Hooi; Lim, Wan Yen; Ong, David; Dan, Yock Young; Khor, Christopher J.

doi:10.1111/jgh.15594

Cited by 9 publications

(12 citation statements)

References 32 publications

(39 reference statements)

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“…26 Being a trainee increased the risk for pandemic-related burnout. 27 During the first 7 months of the pandemic, over 400,000 fewer colonoscopies and nearly 80,000 fewer EGDs were reported than would be expected from prepandemic levels, representing approximately 2.7 and 2.4 months of lost colonoscopy and EGD productivity, respectively. We would expect this loss of productivity to result in a backlog of patients awaiting procedures.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Utilization of EGD and Colonoscopy in the United States: An Analysis of the GIQuIC Registry

Calderwood

Williams³

et al. 2021

Techniques and Innovations in Gastrointestinal Endoscopy

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BACKGROUND AND AIMS:The coronavirus disease 2019 (COVID-19) pandemic has limited the ability to perform endoscopy. The aim of this study was to quantify the impact of the pandemic on endoscopy volumes and indications in the United States. METHODS:We performed a retrospective analysis of data from the GI Quality Improvement Consortium (GIQuIC) registry. We compared volumes of colonoscopy and esophagogastroduodenoscopy (EGD) during the pandemic (March-September 2020) to before the pandemic (January 2019-February 2020). The primary outcome was change in monthly volumes. Secondary outcomes included changes in the distribution of procedure indications and in procedure volume by region of United States, patient characteristics, trainee involvement, and practice setting, as well as colorectal cancer diagnoses.RESULTS: Among 451 sites with 3514 endoscopists, the average monthly volume of colonoscopies and EGDs dropped by 38.5% and 33.4%, respectively. There was regional variation, with the greatest and least decline in procedures in the Northeast and South, respectively. There was a modest shift in procedure indications from prevention to diagnostic, an initial increase in performance in the hospital setting, and a decrease in procedures with trainees. The decline in volume of colonoscopy and EGD during the first 7 months of the pandemic was equivalent to approximately 2.7 and 2.4 months of prepandemic productivity, respectively. Thirty percent fewer colorectal cancers were diagnosed compared to expected.CONCLUSIONS: These data on actual endoscopy utilization nationally during the pandemic can help in anticipating impact of delays in care on outcomes and planning for the recovery phase.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Utilization of EGD and Colonoscopy in the United States: An Analysis of the GIQuIC Registry

Calderwood

Williams³

et al. 2021

Techniques and Innovations in Gastrointestinal Endoscopy

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“…17 In a survey study investigating the impact of the COVID-19 pandemic on gastroenterologists in Southeast Asia, it was stated that the majority of gastroenterologists were under stress and experienced burnout syndrome in a pandemic, but more than half were unaware of psychological support. 18 …”

Section: Discussionmentioning

confidence: 99%

Effects of COVID-19 Pandemic and Post-Vaccination Period on Gastroenterology Practice in Turkey

Sargın¹,

Dusunceli²,

Çelik³

2023

Turk J Gastroenterol

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Background: The sudden and intense burden due to the novel coronavirus (coronavirus disease 2019) pandemic has changed the priority of many health services. The highly contagious new variants and vaccination services have greatly impacted the daily practice of gastroenterologists. In the present study, we tried to evaluate the change in the daily practice of Turkish gastroenterologists in the coronavirus disease 2019 pandemic and the post-vaccination periods. Methods: A questionnaire was prepared using Google forms and sent online to 214 gastroenterologists registered with the Turkish Gastroenterology Association. Results: Approximately half of the gastroenterologists moved their endoscopy unit or gastroenterology clinic to another location in the hospital during the pandemic and about one-third of the endoscopy units were completely closed. About 56% of the respondents reported the interruption of endoscopic procedures and inpatient services. In total, 85% of gastroenterologists thought that follow-up and treatment of chronic patients were disrupted due to patients obtaining their medicine directly from pharmacies. After the first case in Turkey, 74% of gastroenterologists worked in coronavirus disease 2019 patient care services, 28% of gastroenterologists were infected with coronavirus disease 2019, and 3% believed they had a cross-infected patient(s). A total of 78% of gastroenterologists reported that patient management became difficult due to the change in the priority of other departments, and 60% of gastroenterologists confirmed that they experienced a decrease in income. In the post-vaccination period, 70% of gastroenterologists returned to their pre-pandemic working schedule and 31% noticed an increase in endoscopic cancer detection. Conclusion: Prolongation of the pandemic has seriously damaged the practice of gastroenterology and multidisciplinary patient management.

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“…24,25 In addition to correlation, an association was also found between burnout and depression. 26 British researchers have investigated the correlation between well-being and burnout among doctors. They have found a medium negative correlation between the two factors.…”

Section: Discussionmentioning

confidence: 99%

Burnout among European IBD specialists: a survey supported by ECCO

Dávid,

Volosin,

Farkas

et al. 2023

Therap Adv Gastroenterol

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Background: Burnout remains a significant health concern within the healthcare sector. Numerous studies have explored burnout among gastroenterologists. However, as far as we are aware, there is currently no documented research specifically focused on burnout for specialists in the field of inflammatory bowel disease (IBD). Objective: The aim of our study was to assess the extent of burnout, its determinants, and to analyze potential risk factors among European healthcare professionals who provide care to patients with IBD. Methods: We carried out a cross-sectional pilot study involving healthcare professionals responsible for the treatment of patients with IBD. A total of 102 participants (56.9% male, average age 48 ± 10.6) completed the anonymous multiple question open web survey. The survey consisted of four distinct psychological constructs (burnout, depression, somatization, and well-being), along with inquiries associated with sociodemographic, health-related, and work-related factors. Results: In our study, we observed that 47.1% of professionals specializing in IBD experienced burnout. When considering all three factors of burnout simultaneously, 5.9% of participants fell within the moderate range. Among these, depersonalization (DP) was the most prevalent factor, with 48% at a medium level and 47.1% at a high level. Depression, somatization, and well-being correlated with emotional exhaustion (EE) and DP, while only depression correlated with personal accomplishment (PA). Furthermore, age, physical activity, total time spent in healthcare, and time spent as an IBD specialist were correlated with EE. Multiple linear regression analysis revealed that depression was the most dominant predictor of both PA and DP. In terms of work-related factors, we observed that having endoscopic access had a detrimental impact on burnout, while the presence of a dedicated IBD outpatient unit and opportunities to participate in multidisciplinary meetings had a positive effect on mitigating burnout. Conclusions: Our pilot study underscores the importance of burnout among IBD professionals in Europe, with a specific emphasis on DP. Subsequent studies may help to uncover the way underlying factors contribute to burnout, potentially laying the foundation for international support and prevention initiative programs.

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The impact of the coronavirus disease 2019 pandemic on gastroenterologists in Southeast Asia: A mixed‐methods study

Cited by 9 publications

References 32 publications

Impact of the COVID-19 Pandemic on Utilization of EGD and Colonoscopy in the United States: An Analysis of the GIQuIC Registry

Impact of the COVID-19 Pandemic on Utilization of EGD and Colonoscopy in the United States: An Analysis of the GIQuIC Registry

Effects of COVID-19 Pandemic and Post-Vaccination Period on Gastroenterology Practice in Turkey

Burnout among European IBD specialists: a survey supported by ECCO

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