Factors associated with patient absenteeism for scheduled endoscopy

Victor K. Wong, Hong Bin Zhang, Robert Enns

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Aim: To identify risk factors to help predict which patients are likely to fail to appear for an endoscopic procedure. Methods: This was a retrospective, chart review, cohort study in a Canadian, tertiary care, academic, hospital-based endoscopy clinic. Patients included were: those undergoing esophagogastroduodenoscopy, colonoscopy or flexible sigmoidoscopy and patients who failed to appear were compared to a control group. The main outcome measure was a multivariate analysis of factors associated with truancy from scheduled endoscopic procedures. Factors analyzed included gender, age, waiting time, type of procedure, referring physician, distance to hospital, first or subsequent endoscopic procedure or encounter with gastroenterologist, and urgency of the procedure. Results: Two hundred and thirty-four patients did not show up for their scheduled appointment. Compared to a control group, factors statistically significantly associated with truancy in the multivariate analysis were: non-urgent vs urgent procedure (OR 1.62, 95% CI 1.06, 2.450), referred by a specialist vs a family doctor (OR 2.76, 95% CI 1.31, 5.52) and office-based consult prior to endoscopy vs consult and endoscopic procedure during the same appointment (OR 2.24, 95% CI 1.33, 3.78). Conclusion: Identifying patients who are not scheduled for same-day consult and endoscopy, those referred by a specialist, and those with non-urgent referrals may help reduce patient truancy.

Original languageEnglish
Pages (from-to)2882-2886
Number of pages5
JournalWorld Journal of Gastroenterology
Volume15
Issue number23
DOIs
StatePublished - Jun 21 2009

Bibliographical note

Funding Information:
Acknowledgements--The authors wish to sincerely thank the Far Eastern Textile Company, Republic of China for financial support of this project. Technical help by the personnel of the Far Eastern, Hoyu, Wufon and Yang Ming Textile Companies is greatly appreciated.

Keywords

  • Absenteeism
  • Colonoscopy
  • Endoscopy
  • Esophagogastroduodenoscopy
  • Gastroenterologist

ASJC Scopus subject areas

  • Gastroenterology

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