What factors influence follow-up in orthopedic trauma surgery?

Whiting, Paul S.; Greenberg, Sarah E.; Thakore, Rachel V.; Alamanda, Vignesh K.; Ehrenfeld, Jesse M.; Obremskey, William T.; Jahangir, A. Alex; Sethi, Manish K.

doi:10.1007/s00402-015-2151-8

Cited by 92 publications

(95 citation statements)

References 34 publications

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“…A recent systematic review revealed significantly higher rates of loss to follow-up in the USA (13.8%) versus other countries (9.4%) in patients undergoing orthopaedic surgery 8. Privately funded healthcare systems, used in Pittsburgh and in many US hospitals, may make it difficult for patients to follow-up if they are uninsured 14. This may be less of an issue in Japan, Sweden or Italy since each country has largely publicly funded healthcare systems (>70% of funding is public) and cost to the patient is not as much of a factor 15–17.…”

Section: Discussionmentioning

confidence: 99%

Younger age and greater preoperative function predict compliance with 2-year follow-up visits after ACL reconstruction: an analysis of the PIVOT multicentre trial

et al. 2018

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ObjectivesThe purpose of this investigation was to identify clinical and demographic variables that may predict compliance, defined as patient follow-up at 1-year and 2-year postoperative appointments, after anterior cruciate ligament reconstruction (ACLR).MethodsA total of 107 patients undergoing primary ACLR across four centres were prospectively followed for 2 years. Demographic and clinical data were recorded preoperatively and postoperatively, including patient-reported outcomes such as the Marx Activity Rating Scale, Cincinnati Occupational Rating Scale (CORS), International Knee Documentation Committee Subjective Knee Evaluation Form and Activities of Daily Living Scale (ADLS). Compliance was retrospectively defined using the presence or lack of outcome measures at 1-year and 2-year postoperative visits. Univariate analysis was done to compare demographic and clinical variables between compliant and non-compliant patients at 1-year and 2-year follow-up. Significant variables were entered into a logistic regression model. Significance was set at p<0.05.ResultsThe overall rate of compliance at 1-year and 2-year postoperative appointments was 83.2% (89/107) and 57.0% (61/107), respectively. Regression analysis showed that residence in Kobe, Japan compared with Pittsburgh, USA (OR 10.28; 95% CI 1.0003 to 105.28), and ‘very strenuous’ (OR 16.74; 95% CI 3.21 to 87.43) and ‘strenuous’ (OR 18.78; 95% CI 2.01 to 175.78) preinjury activity level were independent factors associated with compliance at 1-year follow-up. At 2 years follow-up, younger age (OR 0.95; 95% CI 0.91 to 0.997), and greater preoperative score on CORS (OR 1.03; 95% CI 1.01 to 1.06) and on ADLS (OR 1.04; 95% CI 1.01 to 1.07) were independently associated with compliance.ConclusionWhile patients with greater level of strenuous activity were more likely to follow-up after ACL surgery at 1 year, patients who were younger and had higher preoperative function measured by CORS and ADLS were more likely to follow-up at 2 years. Differences in follow-up rates among the USA, Italy, Sweden and Japan may highlight important cultural, socioeconomic and infrastructural differences across international healthcare systems. Orthopaedic surgeons may consider the results of this study during preoperative discussion with their patients and design of future ACL clinical research trials.Level of evidenceLevel III, prospective cohort.

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Section: Discussionmentioning

confidence: 99%

Younger age and greater preoperative function predict compliance with 2-year follow-up visits after ACL reconstruction: an analysis of the PIVOT multicentre trial

et al. 2018

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“…[6][7][8] Poor health status, legal blindness, younger age, and short duration of diabetes are associated with lower rates of followup of eye examinations. 6,9,10 Barriers to care include lack of access to care, high costs, limited insurance, distance, time away from work, and difficulty with transportation. [9][10][11][12][13][14][15] Low comprehension of risk for DR, even after discussions with the provider, also leads to lack of adherence to eye screening recommendations.…”

Section: Introductionmentioning

confidence: 99%

“…6,9,10 Barriers to care include lack of access to care, high costs, limited insurance, distance, time away from work, and difficulty with transportation. [9][10][11][12][13][14][15] Low comprehension of risk for DR, even after discussions with the provider, also leads to lack of adherence to eye screening recommendations. 6,10 In one study, 91% of patients cited ''the doctor's recommendation'' as a key reason to follow up with eye examinations.…”

Section: Introductionmentioning

confidence: 99%

Patient Attitudes Toward Telemedicine for Diabetic Retinopathy

Valikodath

Leveque

Wang

et al. 2017

Telemedicine and e-Health

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It is critical to understand the attitudes of people with DM where telemedicine shows promise for disease management and end-organ damage prevention. Patients' attitudes are influenced by their health and perceptions, but not by their demographics. Receptive patients focus on convenience, whereas unreceptive patients strongly value their patient-physician relationships or have long-standing DM. Telemedicine monitoring should be designed for people who are in need and receptive to telemedicine.

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“…Alguns estudos consideraram a distância como possível preditivo de não comparecimento. A distância estimada para a clínica pode ser calculada como a diferença em milhas entre o código da casa e o CEP da clínica Whiting et al, 2015;. Já outros trabalhos não citam a distância, mas falam do local da residência.…”

Section: Distânciaunclassified

“…Em 75,0% dos 20 estudos que identificaram relevância da distância com o no-show foram encontrados que quanto maior a distância do paciente para a clínica, maior a probabilidade do paciente faltar uma consulta Mugavero et al, 2007;Gordon et al, 2010;Mbada et al, 2013b;Mbada et al, 2013a;Mark et al, 2014;Guay et al, 2014;McLeod et al, 2015;Whiting et al, 2015;. foram os únicos que encontraram influência estatística da temperatura nas taxas de no-show, revelando índices mais altos de não comparecimento durante o período do ano com as temperaturas mais extremas.…”

Section: Distânciaunclassified

Revisão Sistemática Da Literatura Sobre No-Show Em Agendamento De Consultas

DANTAS¹

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A Deus por me permitir chegar até aqui com muita fé e perseverança, por me dar forças e iluminar meus caminhos.Aos meus pais, Francisco e Vilma, agradeço por todo apoio, educação, carinho, amor, torcida e confiança. Sem eles nada disso teria sido possível.Aos meus irmãos, André e Sílvia, pelo companheirismo e apoio em todos os momentos. À Igor, pela ajuda, incentivo e por estar sempre ao meu lado nessa jornada. Obrigada por tudo.Aos orientadores Fernando Cyrino e Silvio Hamacher, por todo suporte, atenção, correções, incentivos e oportunidades durante o desenvolvimento da dissertação. Obrigada por todos os ensinamentos.Aos professores do DEI/PUC-Rio por todo conhecimento compartilhado e pelas oportunidades de aprendizado.Aos meus colegas e amigos da PUC-Rio, obrigada por dividirem as dúvidas, experiências e por tornar toda essa trajetória um pouco mais fácil.À CAPES e à PUC-Rio, pelos auxílios concedidos e pelo excelente ambiente, materiais e professores disponíveis, sem os quais este trabalho não teria sido possível.A todos aqueles que, de alguma forma, contribuíram para este trabalho, meu muito obrigada. PUC-Rio -Certificação Digital Nº 1512274/CA Palavras-chavesNo-shows; agendamentos; sistemas de saúde; análise estatística; revisão sistemática. PUC-Rio -Certificação Digital Nº 1512274/CA Abstract Dantas, Leila Figueiredo; Oliveira, Fernando Luiz Cyrino (Advisor); Hamacher, Sílvio (Co-Advisor). Systematic literature review on no-show in appointment scheduling. Rio de Janeiro, 2016. 89p.The failure to attend to scheduled appointments ("no-show") has a significant impact on healthcare systems. Despite the growing of scientific research on the factors that influence no-show, there is not a current summary of the state of art in this area, and systematic review covering all medical fields. In order to fill this gap, this dissertation has the intention to conduct a systematic literature review with three goals: (i) to summarize the characteristics of the studies according to methodology, country, clinical specialty, dependents variables, and no-show rates;(ii) to gather and integrate the results of the factors that significantly affect the nonattendance rates; (iii) to compare this analysis with previous researches. The literature indicates that the no-show does not happens randomly, and to understand the characteristics related to missed appointments is important to improve attendance, allowing the use of this information in scheduling practices. Using the Scopus database, 724 articles were reviewed and 105 selected for analysis. The average no-show rate was 23%, and it is most common in patients: younger, low socioeconomic level, greater distance from home to the clinic, with public health insurance or no insurance, and attended by less experienced provider. The most significant factors are high lead time and high rates of previously missed appointment.

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What factors influence follow-up in orthopedic trauma surgery?

Abstract: Follow-up appointments are essential for preventing complications among orthopedic trauma patients. By identifying patients at risk of failure to follow-up, orthopedic surgeons can appropriately design and implement long-term treatment plans specifically targeted for high-risk patients.

Cited by 92 publications

References 34 publications

Younger age and greater preoperative function predict compliance with 2-year follow-up visits after ACL reconstruction: an analysis of the PIVOT multicentre trial

Younger age and greater preoperative function predict compliance with 2-year follow-up visits after ACL reconstruction: an analysis of the PIVOT multicentre trial

Patient Attitudes Toward Telemedicine for Diabetic Retinopathy

Revisão Sistemática Da Literatura Sobre No-Show Em Agendamento De Consultas

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