{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T12:55:14Z","timestamp":1781528114081,"version":"3.54.1"},"reference-count":17,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>We evaluated changes in paediatric endoscopy patterns in New York City (NYC) before, during, and after the COVID\u201019 pandemic to see the effects on paediatric procedures, medical utilisation, and medical trainees over 4\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Clinical data on gastroenterology procedures performed on patients under 21\u2009years old were collected from five NYC hospitals via the INSIGHT Clinical Research Network. We reviewed data from March to February for 4\u2009years: 2019\u20132020 as baseline, 2020\u20132021 as the pandemic, and 2021\u20132022 and 2022\u20132023 as post\u2010pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 40\u2009218 paediatric GI procedures were performed on 18\u2009362 patients. Yearly changes in procedures differed by subcategory, with a significant decrease in invasive procedures during the pandemic compared to the year prior: liver biopsies (43.3% decrease, 95% CI 26.4, 56.7), motility (26.0% decrease, 95% CI 2.89, 43.88), and suction rectal biopsies (48.6% decrease, 95% CI 5.7, 73.1). Urgent procedures such as endoscopic retrograde cholangiopancreatography (ERCP) and foreign body removal continued at a similar rate during the pandemic. In the 2021\u20132022 post\u2010pandemic year, overall paediatric GI procedures significantly increased by 33.0% (95% CI 19.1, 48.6) compared to pre\u2010pandemic rates in 2019, and remained significantly increased in 2022 by 41.8% (95% CI 27.2, 58.2) compared to 2019. This trend was true for both urgent and non\u2010urgent procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>During the COVID\u201019 pandemic, urgent procedures continued at similar rates. However, post\u2010pandemic procedural volumes were higher than pre\u2010pandemic numbers, suggesting the pandemic led to delays in paediatric endoscopic care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70166","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T12:31:08Z","timestamp":1754915468000},"page":"1655-1661","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Paediatric Gastrointestinal Procedural Patterns in New York City During the\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4141-275X","authenticated-orcid":false,"given":"Caitlin","family":"Cain\u2010Trivette","sequence":"first","affiliation":[{"name":"Department of Surgery, NewYork\u2010Presbyterian\/Weill Cornell Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Dilwali","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Department of Pediatrics, Johns Hopkins Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Will","family":"Simmons","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Population Health Sciences, Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika L.","family":"Abramson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Population Health Sciences, Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6705-0932","authenticated-orcid":false,"given":"Zachary","family":"Grinspan","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurology, Department of Pediatrics, NewYork\u2010Presbyterian\/Weill Cornell Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Rose","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Department of Pediatrics, NewYork\u2010Presbyterian\/Weill Cornell Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"World Health Organization \u201cWHO Director\u2010General's Opening Remarks at the Media Briefing on COVID\u201019\u201411 January 2021 \u201d(2020) https:\/\/www.who.int\/director\u2010general\/speeches\/detail\/who\u2010director\u2010general\u2010s\u2010opening\u2010remarks\u2010at\u2010the\u2010media\u2010briefing\u2010on\u2010covid\u201019\u2010\u2010\u201011\u2010march\u20102020."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6946a2"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002750"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v26.i36.5387"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2022.02.010"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2020.05.017"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.750717"},{"key":"e_1_2_10_9_1","unstructured":"Surgeons A \u201cCOVID\u201019: Recommendations on Management of Elective Surgical Procedures \u201d2020(2020) https:\/\/www.facs.org\/covid\u201019\/clinical\u2010guidance\/elective\u2010surgery."},{"key":"e_1_2_10_10_1","unstructured":"A.Surgeons \u201cCOVID\u201019: Executive Orders by State on Dental Medical and Surgical Procedures \u201d(2020) https:\/\/www.facs.org\/for\u2010medical\u2010professionals\/covid\u201019\/legislative\u2010regulatory\/executive\u2010orders\/."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gore.2022.100997"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6936a4"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2021.306160"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl\u20102014\u2010002764"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2022.09.019"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20101264\u20107599"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333794X221100948"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2020.05.068"}],"container-title":["Journal of Paediatrics and Child 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