https://scholars.lib.ntu.edu.tw/handle/123456789/577744
標題: | Impact of COVID-19 pandemic on fecal immunochemical test screening uptake and compliance to diagnostic colonoscopy | 作者: | SHAO-YI CHENG Chu-Fen Chen Hsien-Chin He LI-CHUN CHANG WEN-FENG HSU MING-SHIANG WU HAN-MO CHIU |
公開日期: | 2021 | 出版社: | Blackwell Publishing | 卷: | 36 | 期: | 6 | 起(迄)頁: | 1614-1619 | 來源出版物: | Journal of Gastroenterology and Hepatology (Australia) | 摘要: | Background and Aim: During this COVID-19 pandemic, Taiwan is one of the few countries where fecal immunochemical test and endoscopic activity for colorectal cancer screening keeps ongoing. We aimed to investigate how screening uptake and colonoscopy rate were affected in one of the biggest screening hubs in Northern Taiwan. Methods: We conducted a prospective observational study tracing and analyzing the screening uptake and the trend of compliance to diagnostic colonoscopy in fecal immunochemical test-positive subjects in the National Taiwan University Hospital screening hub since the outbreak of COVID-19 and compared it with that of the corresponding periods in the past 3?years. Cancellation and rescheduling rates of colonoscopy and related reasons were also explored. Results: Screening uptake during December 2019 to April 2020 was 88.8%, which was significantly lower than that in the corresponding period of the past 3?years (91.2–92.7%, P for trend?0.0001). Colonoscopy rate in this period was 66.1%, which was also significantly lower than that in the past 3?years (70.2–77.5%, P for trend?=?0.017). Rescheduling or cancellation rate was up to 10.9%, which was significantly higher than that in the past 3?years (P for trend?=?0.023), and half of them was due to the fear of being infected. Conclusion: Fecal immunochemical test screening was significantly affected by COVID-19 pandemic. In order to resume the practice in COVID-19 era, screening organizers should consider various approaches to secure timely diagnosis of colorectal cancer. ? 2020 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85097029061&doi=10.1111%2fjgh.15325&partnerID=40&md5=91ef2fc17fc8d310dcefc1f115ef41f6 https://scholars.lib.ntu.edu.tw/handle/123456789/577744 |
ISSN: | 0815-9319 | DOI: | 10.1111/jgh.15325 | SDG/關鍵字: | hemoglobin; adult; Article; cancer diagnosis; cancer screening; colonoscopy; colorectal cancer; coronavirus disease 2019; feces; female; hospital management; human; major clinical study; male; observational study; occult blood test; pandemic; prospective study; reassurance; Taiwan; aged; colonoscopy; colorectal tumor; communicable disease control; early cancer diagnosis; health service; middle aged; occult blood; patient attitude; prevention and control; procedures; psychology; Aged; Colonoscopy; Colorectal Neoplasms; Communicable Disease Control; COVID-19; Early Detection of Cancer; Health Services Misuse; Health Services Needs and Demand; Humans; Male; Middle Aged; Occult Blood; Patient Acceptance of Health Care; Prospective Studies; SARS-CoV-2; Taiwan |
顯示於: | 醫學系 |
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