Monday Morning Blues: The Risk of No Show for out-Patient Endoscopy by Time of Day and Day of the Week

Badurdeen, Dilhana; Sanderson, Andrew; Jack, Momodu; Mekasha, Getachew; Begum, Rehana; Smoot, Duane T.; Laiyemo, Adeyinka O.

doi:10.1016/s0016-5085(11)61721-6

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“…Perhaps there needs to be a greater emphasis on informing patients to call in advance and cancel their appointment if they are ill. Moreover, Badurdeen et al suggest that the timing of appointments can affect compliance, with attendance decreasing in the morning and as the week progresses [ 7 ]. We did not find any difference in rates of attendance between morning and afternoon appointments or based on distance from the clinic.…”

Section: Discussionmentioning

confidence: 99%

“…Others promote the notion of apathy suggesting that patients forget their appointments or forget to cancel [ 1 , 6 ]. Patient adherence to scheduled outpatient colonoscopy has been found to improve as the week progresses and worsen in the afternoons, highlighting the influence of timing on compliance [ 7 ]. Bowel preparation schedules can also impact colonoscopy completion rates by causing a loss of working hours or sleep disturbance [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Comorbid Illness, Bowel Preparation, and Logistical Constraints Are Key Reasons for Outpatient Colonoscopy Nonattendance

Chopra

Hookey

2016

Canadian Journal of Gastroenterology and Hepatology

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Background. Colonoscopy nonattendance is a challenge for outpatient clinics globally. Absenteeism results in a potential delay in disease diagnosis and loss of hospital resources. This study aims to determine reasons for colonoscopy nonattendance from a Canadian perspective. Design. Demographic data, reasons for nonattendance, and patient suggestions for improving compliance were elicited from 49 out of 144 eligible study participants via telephone questionnaire. The 49 nonattenders were compared to age and sex matched controls for several potential contributing factors. Results. Nonattendance rates were significantly higher in winter months; the OR of nonattendance was 5.2 (95% CI, 1.6 to 17.0, p < 0.001) in winter versus other months. Being married was positively associated with attendance. There was no significant association between nonattendance and any of the other variables examined. The top 3 reasons for nonattendance were being too unwell to attend the procedure, being unable to complete bowel preparation, or experiencing logistical challenges. Conclusions. Colonoscopy attendance rates appear to vary significantly by season and it may be beneficial to book more colonoscopies in the summer or overbook in the winter. Targets for intervention include more tailored teaching sessions, reminders, taxi chits, and developing a hospital specific colonoscopy video regarding procedure and bowel preparation requirements.

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Section: Discussionmentioning

confidence: 99%