Repeat offenders: non-attenders! A review of elective orthopaedic clinics

Colgan, G; Lundon, P.; Molony, David; Murphy, Paul; Barry, O T

doi:10.1007/s00590-010-0738-x

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…The proportion of patients who claimed that they were unaware of their appointment was lower than in other studies (Colgan et al, ; Corfield et al, ) but is a well‐recognized problem. Most other attempts at reducing non‐attendance rates have revolved around reminder systems, either by telephone (Lee and McCormick, ; Salama et al, ), text message (Koshy et al, ) or regular post (Hardy et al, ).…”

Section: Discussioncontrasting

confidence: 59%

“…The present small study was limited in its application due to the sample size but provides useful information for the development of this service. The rate of non‐attendance was lower than in some other non‐orthopaedic studies, despite the extended period between the primary surgery and the arthroplasty surveillance clinic appointment (Colgan et al, ; West and McKibbin, ). This seems to contradict the historic view in the orthopaedic community that annual appointments are necessary in order to maintain patient contact for long‐term follow‐up.…”

Section: Discussionmentioning

confidence: 57%

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Arthroplasty Surveillance: What Does Non‐Attendance Indicate?

Teo

Smith

2014

Musculoskeletal Care

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Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 57%

Arthroplasty Surveillance: What Does Non‐Attendance Indicate?

Teo

Smith

2014

Musculoskeletal Care

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“…Single NA events were defined as failure to attend to one geriatric medicine clinic appointment without prior notification during the study period. Failure to attend to ≥2 appointments without prior notice was defined as repeated NA as previously proposed by Colgan et al [15].…”

Section: Methodsmentioning

confidence: 99%

Factors Associated with Nonattendance to a Geriatric Clinic among Mexican Older Adults

et al. 2021

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Introduction: Outpatient appointment nonattendance (NA) represents a public health problem, increasing the risk of unfavorable health-related outcomes. Although NA is significant among older adults, little is known regarding its correlates. This study aimed to identify the correlates (including several domains from the geriatric assessment) of single and repeated NA episodes in a geriatric medicine outpatient clinic, in general and in the context of specific comorbidities. Methods: This is a cross-sectional study including data from 3,034 older adults aged ≥60 years with ≥1 scheduled appointments between January 1, 2016, and December 31, 2016. Appointment characteristics as well as sociodemographic, geographical, and environmental information were obtained. Univariate and multivariate multinomial regression analyses were carried out. Results: The mean age was 81.8 years (SD 7.19). Over a third (37.4%) of participants missed one scheduled appointment, and 14.4% missed ≥2. Participants with a history of stroke (OR 1.336, p = 0.041) and those with a greater number of scheduled appointments during the study time frame (OR 1.182, p < 0.001) were more likely to miss one appointment, while those with Parkinson’s disease (OR 0.346, p < 0.001), other pulmonary diseases (OR 0.686, p = 0.008), and better functioning for activities of daily living (ADL) (OR 0.883, p < 0.001) were less likely to do so. High socioeconomic level (OR 2.235, p < 0.001), not having a partner (OR 1.410, p = 0.006), a history of fractures (OR 1.492, p = 0.031), and a greater number of scheduled appointments (OR 1.668, p < 0.001) increased the risk of repeated NA, while osteoarthritis (OR 0.599, p = 0.001) and hypertension (OR 0.680, p = 0.002) decreased it. In specific comorbidity populations (hypertension, type 2 diabetes mellitus, and cancer), better ADL functioning protected from a single NA, while better mobility functioning protected from repeated NA in older patients with hypertension and cancer. Discussion/Conclusion: Identifying geriatric factors linked to an increased probability of NA may allow one to anticipate its likelihood and lead to the design and implementation of preventive strategies and to an optimization of the use of available health resources. The impact of these factors on adherence to clinical visits requires further investigation.

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Repeat offenders: non-attenders! A review of elective orthopaedic clinics

Cited by 2 publications

References 5 publications

Arthroplasty Surveillance: What Does Non‐Attendance Indicate?

Arthroplasty Surveillance: What Does Non‐Attendance Indicate?

Factors Associated with Nonattendance to a Geriatric Clinic among Mexican Older Adults

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