Timing of procedure and compliance with outpatient endoscopy among an underserved population in an inner-city tertiary institution.
Timing of procedure and compliance with outpatient endoscopy among an underserved population in an inner-city tertiary institution.
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DOI：
10.1016/j.annepidem.2012.04.013
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发表时间：
2012-07
影响因子：
5.6
通讯作者：
Laiyemo, Adeyinka O.
中科院分区：
文献类型：
--
作者：
Badurdeen, Dilhana S.;Umar, Nisser A.;Begum, Rehana;Sanderson, Andrew K., II;Jack, Momodu;Mekasha, Getachew;Kwagyan, John;Smoot, Duane T.;Laiyemo, Adeyinka O.
坊间证据表明，在周一的检查中，患者对结肠镜检查的依从性较差，而在冬季的几个月里，患者对结肠镜检查的依从性较好，因为“没有太多其他事情可做”。我们根据一天中的时间、一周中的几天和一年中的四季来检查患者对预定的门诊内窥镜检查的依从性。我们纳入了2,873名计划在2009年9月至2010年8月期间接受内窥镜检查的患者。顺从的患者是那些出现在他们的程序中的人，而不顺从的患者是那些没有出现的人，他们没有取消或重新安排他们的程序，直到他们预定的程序之前24小时。我们使用Logistic回归模型来评估预定程序的时间与依从性之间的关联。574例(20%)患者未露面。在依从性方面，每天的不同时间没有差异。然而，与周一计划进行手术的患者相比，随着一周的进展，患者的依从性有提高的趋势，周五变得更加显著(OR=1.46；95%CI：1.06-2.00)。在较温暖的月份，遵守情况也较好。门诊内窥镜检查的不依从性在服务不足的人群中是相当严重的，这些人群的依从性预测模式受到手术时机的限制。
Anecdotal evidence suggests that patient compliance with colonoscopy is poorer with Monday procedures and better during winter months since “there is not much else to do”. We examined patients’ compliance to scheduled out-patient endoscopy by time of the day, days of the week and seasons of the year. We included 2,873 patients who were scheduled for endoscopy from September 2009 to August 2010. Compliant patients were those who showed up for their procedures while non-compliant patients were those who did not show up, without canceling or rescheduling their procedures up to 24 hours prior to their scheduled procedures. We used logistic regression models to evaluate the association between the timing of the scheduled procedure and compliance. 574 (20%) patients did not show up. There was no difference in compliance by time of day of the procedures. However, when compared with patients scheduled for procedures on Monday, there was a trend towards improved adherence as the week progressed, becoming significant on Friday (OR=1.46; 95%CI: 1.06–2.00). There was also better compliance in the warmer months. Non-compliance with out-patient endoscopy is substantial among underserved populations with limited predictive pattern of compliance by the timing of the procedures.
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影响因子：
5.7
作者：
Denberg, TD;Melhado, TV;Ahnen, DJ
通讯作者：
Ahnen, DJ
影响因子：
12.6
作者：
Kahi, Charles J.;Imperiale, Thomas F.;Rex, Douglas K.
通讯作者：
Rex, Douglas K.
影响因子：
7.7
作者：
Munson, Gregory W.;Harewood, Gavin C.;Francis, Dawn L.
通讯作者：
Francis, Dawn L.
影响因子：
9.3
作者：
Adams, LA;Pawlik, J;Forbes, GM
通讯作者：
Forbes, GM
影响因子：
39.2
作者：
Baxter, Nancy N.;Goldwasser, Meredith A.;Rabeneck, Linda
通讯作者：
Rabeneck, Linda