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Статья
Recovery of endoscopy services in the era of COVID-19: Recommendations from an international Delphi consensus
2021
The COVID-19 pandemic has had a profound impact on provision of endoscopy services globally as staff and real estate were repurposed. As we begin to recover from the pandemic, a cohesive international approach is needed, and guidance on how to resume endoscopy services safely to avoid unintended harm from diagnostic delays. The aim of these guidelines is to provide consensus recommendations that clinicians can use to facilitate the swift and safe resumption of endoscopy services. An evidence-based literature review was carried out on the various strategies used globally to manage endoscopy during the COVID-19 pandemic and control infection. A modified Delphi process involving international endoscopy experts was used to agree on the consensus statements. A threshold of 80% agreement was used to establish consensus for each statement. 27 of 30 statements achieved consensus after two rounds of voting by 34 experts. The statements were categorised as pre-endoscopy, during endoscopy and postendoscopy addressing relevant areas of practice, such as screening, personal protective equipment, appropriate environments for endoscopy and infection control precautions, particularly in areas of high disease prevalence. Recommendations for testing of patients and for healthcare workers, appropriate locations of donning and doffing areas and social distancing measures before endoscopy are unique and not dealt with by any other guidelines. This international consensus using a modified Delphi method to produce a series of best practice recommendations to aid the safe resumption of endoscopy services globally in the era of COVID-19. ©
Цитирование
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Версии
- 1. Version of Record от 2021-04-27
Метаданные
Название журнала
- Gut
Том
- 69
Выпуск
- 11
Страницы
- 1915-1924
Ключевые слова
- clinical practice; cohort analysis; coronavirus disease 2019; digestive tract endoscopy; evidence based practice; health care personnel; human; infection control; pandemic; practice guideline; priority journal; Review; safety procedure; social distancing; consensus; Coronavirus infection; cross infection; Delphi study; digestive tract endoscopy; female; follow up; incidence; international cooperation; male; occupational health; pandemic; patient safety; practice guideline; procedures; risk assessment; time factor; United States; virus pneumonia; Consensus; Coronavirus Infections; Cross Infection; Delphi Technique; Endoscopy, Digestive System; Female; Follow-Up Studies; Humans; Incidence; Internationality; Male; Occupational Health; Pandemics; Patient Safety; Pneumonia, Viral; Practice Guidelines as Topic; Risk Assessment; Time Factors; United States
Издатель
- BMJ Publishing Group
Тип документа
- Review
Тип лицензии Creative Commons
- CC BY
Правовой статус документа
- Свободная лицензия
Источник
- scopus
