CR25PFAILURE TO ATTEND FOLLOW UP APPOINTMENTS IN PATIENTS WITH COLORECTAL CANCER – HOW COMMONLY DOES IT OCCUR AND WHY?
Identifieur interne : 001173 ( Istex/Corpus ); précédent : 001172; suivant : 001174CR25PFAILURE TO ATTEND FOLLOW UP APPOINTMENTS IN PATIENTS WITH COLORECTAL CANCER – HOW COMMONLY DOES IT OCCUR AND WHY?
Auteurs : K. Shimokawa ; S. Shedda ; A. Pem ; I. Jones ; P. GibbsSource :
- ANZ Journal of Surgery [ 1445-1433 ] ; 2009-05.
Abstract
Introduction: Follow up after curative resection for colorectal cancer has been demonstrated to improve survival and failure to attend (FTA) may compromise patient outcomes. The incidences of FTA and the causes have not been documented. Methods: Patients were identified from a prospective clinical database and a hospital based appointment system. FTA follow up was defined as non‐attendance of at least one appointment, within 5 years post operatively. A phone interview was used to evaluate the cause. Patients from a non‐English speaking background (NESB) were contacted with interpreters. Results: From January 2003 to May 2008 622 patients with stage I‐III cancer were identified, including 202 from a NESB. 125 non‐attendees were identified. 61 patients (70%) were contacted from 87 surviving patients. 26 could not be located and 38 patients were deceased. Of the 61 patients studied, 32(52%) were male. The mean age was 68 years (range 33, 102). 14 patients (23%) were from a NESB. Each non‐attendant averaged 16 appointments, and 1.7 failed attendances. A median of > 13 months elapsed from diagnosis to 1st missed appointment. The main reasons for non attendance were: unaware of the appointment (n = 21), inconvenience due to time or travel (n = 14), poor health (n = 10), long waiting times (n = 8), forgetting (n = 6) and other (n = 2). Age, sex and number of booked appointments were not associated with non‐attendance. Conclusion: Failure to attend follow‐up appointments is common. Overall, access to follow up was prevented by structural factors more than disease/patient factors. A common reason for non‐attendance was that patients were unaware of the appointment. Opportunities for significantly improving attendance include a reminder system.
Url:
DOI: 10.1111/j.1445-2197.2009.04915_25.x
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ISTEX:19B6B8410E1C140FFD9B61F11D13A6C8D4EFE875Le document en format XML
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Pem</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Jones, I" sort="Jones, I" uniqKey="Jones I" first="I." last="Jones">I. Jones</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Gibbs, P" sort="Gibbs, P" uniqKey="Gibbs P" first="P." last="Gibbs">P. 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Shimokawa</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Shedda, S" sort="Shedda, S" uniqKey="Shedda S" first="S." last="Shedda">S. Shedda</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Pem, A" sort="Pem, A" uniqKey="Pem A" first="A." last="Pem">A. Pem</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Jones, I" sort="Jones, I" uniqKey="Jones I" first="I." last="Jones">I. Jones</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Gibbs, P" sort="Gibbs, P" uniqKey="Gibbs P" first="P." last="Gibbs">P. Gibbs</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">ANZ Journal of Surgery</title><idno type="ISSN">1445-1433</idno><idno type="eISSN">1445-2197</idno><imprint><publisher>Blackwell Publishing Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2009-05">2009-05</date><biblScope unit="volume">79</biblScope><biblScope unit="supplement">s1</biblScope><biblScope unit="page" from="A14">A14</biblScope><biblScope unit="page" to="A14">A14</biblScope></imprint><idno type="ISSN">1445-1433</idno></series><idno type="istex">19B6B8410E1C140FFD9B61F11D13A6C8D4EFE875</idno><idno type="DOI">10.1111/j.1445-2197.2009.04915_25.x</idno><idno type="ArticleID">ANS4915_25</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1445-1433</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Introduction: Follow up after curative resection for colorectal cancer has been demonstrated to improve survival and failure to attend (FTA) may compromise patient outcomes. The incidences of FTA and the causes have not been documented. Methods: Patients were identified from a prospective clinical database and a hospital based appointment system. FTA follow up was defined as non‐attendance of at least one appointment, within 5 years post operatively. A phone interview was used to evaluate the cause. Patients from a non‐English speaking background (NESB) were contacted with interpreters. Results: From January 2003 to May 2008 622 patients with stage I‐III cancer were identified, including 202 from a NESB. 125 non‐attendees were identified. 61 patients (70%) were contacted from 87 surviving patients. 26 could not be located and 38 patients were deceased. Of the 61 patients studied, 32(52%) were male. The mean age was 68 years (range 33, 102). 14 patients (23%) were from a NESB. Each non‐attendant averaged 16 appointments, and 1.7 failed attendances. A median of > 13 months elapsed from diagnosis to 1st missed appointment. The main reasons for non attendance were: unaware of the appointment (n = 21), inconvenience due to time or travel (n = 14), poor health (n = 10), long waiting times (n = 8), forgetting (n = 6) and other (n = 2). Age, sex and number of booked appointments were not associated with non‐attendance. Conclusion: Failure to attend follow‐up appointments is common. Overall, access to follow up was prevented by structural factors more than disease/patient factors. A common reason for non‐attendance was that patients were unaware of the appointment. Opportunities for significantly improving attendance include a reminder system.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>K. Shimokawa</name><affiliations><json:string>Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>S. Shedda</name><affiliations><json:string>Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>A. Pem</name><affiliations><json:string>Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>I. Jones</name><affiliations><json:string>Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>P. Gibbs</name><affiliations><json:string>Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item></author><articleId><json:string>ANS4915_25</json:string></articleId><language><json:string>eng</json:string></language><abstract>Introduction: Follow up after curative resection for colorectal cancer has been demonstrated to improve survival and failure to attend (FTA) may compromise patient outcomes. The incidences of FTA and the causes have not been documented. Methods: Patients were identified from a prospective clinical database and a hospital based appointment system. FTA follow up was defined as non‐attendance of at least one appointment, within 5 years post operatively. A phone interview was used to evaluate the cause. Patients from a non‐English speaking background (NESB) were contacted with interpreters. Results: From January 2003 to May 2008 622 patients with stage I‐III cancer were identified, including 202 from a NESB. 125 non‐attendees were identified. 61 patients (70%) were contacted from 87 surviving patients. 26 could not be located and 38 patients were deceased. Of the 61 patients studied, 32(52%) were male. The mean age was 68 years (range 33, 102). 14 patients (23%) were from a NESB. Each non‐attendant averaged 16 appointments, and 1.7 failed attendances. A median of > 13 months elapsed from diagnosis to 1st missed appointment. The main reasons for non attendance were: unaware of the appointment (n = 21), inconvenience due to time or travel (n = 14), poor health (n = 10), long waiting times (n = 8), forgetting (n = 6) and other (n = 2). Age, sex and number of booked appointments were not associated with non‐attendance. Conclusion: Failure to attend follow‐up appointments is common. Overall, access to follow up was prevented by structural factors more than disease/patient factors. A common reason for non‐attendance was that patients were unaware of the appointment. 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The incidences of FTA and the causes have not been documented. Methods: Patients were identified from a prospective clinical database and a hospital based appointment system. FTA follow up was defined as non‐attendance of at least one appointment, within 5 years post operatively. A phone interview was used to evaluate the cause. Patients from a non‐English speaking background (NESB) were contacted with interpreters. Results: From January 2003 to May 2008 622 patients with stage I‐III cancer were identified, including 202 from a NESB. 125 non‐attendees were identified. 61 patients (70%) were contacted from 87 surviving patients. 26 could not be located and 38 patients were deceased. Of the 61 patients studied, 32(52%) were male. The mean age was 68 years (range 33, 102). 14 patients (23%) were from a NESB. Each non‐attendant averaged 16 appointments, and 1.7 failed attendances. A median of > 13 months elapsed from diagnosis to 1st missed appointment. The main reasons for non attendance were: unaware of the appointment (n = 21), inconvenience due to time or travel (n = 14), poor health (n = 10), long waiting times (n = 8), forgetting (n = 6) and other (n = 2). Age, sex and number of booked appointments were not associated with non‐attendance. Conclusion: Failure to attend follow‐up appointments is common. Overall, access to follow up was prevented by structural factors more than disease/patient factors. A common reason for non‐attendance was that patients were unaware of the appointment. Opportunities for significantly improving attendance include a reminder system.</p></abstract></profileDesc><revisionDesc><change when="2009-05">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/19B6B8410E1C140FFD9B61F11D13A6C8D4EFE875/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley component found"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Asia</publisherName><publisherLoc>Melbourne, Australia</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1445-2197</doi><issn type="print">1445-1433</issn><issn type="electronic">1445-2197</issn><idGroup><id type="product" value="ANS"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="ANZ JOURNAL SURGERY">ANZ Journal of Surgery</title></titleGroup></publicationMeta><publicationMeta level="part" position="05000"><doi origin="wiley">10.1111/ans.2009.79.issue-s1</doi><titleGroup><title type="specialIssueTitle">Abstracts of the Royal Australasian College of Surgeons Annual Scientific Congress, 6–9 May 2009, Brisbane, Queensland, Australia</title></titleGroup><numberingGroup><numbering type="journalVolume" number="79">79</numbering><numbering type="supplement">s1</numbering></numberingGroup><coverDate startDate="2009-05">May 2009</coverDate></publicationMeta><publicationMeta level="unit" type="abstract" position="056" status="forIssue"><doi origin="wiley">10.1111/j.1445-2197.2009.04915_25.x</doi><idGroup><id type="unit" value="ANS4915_25"></id></idGroup><countGroup><count type="pageTotal" number="1"></count></countGroup><titleGroup><title type="tocHeading1">Royal Australasian College of Surgeons Annual Scientific Congress, 6–9 May 2009, Brisbane, Queensland, Australia. Conference Abstracts
Colorectal Surgery Program Abstracts</title></titleGroup><copyright>Journal compilation © 2009 The Royal Australasian College of Surgeons</copyright><eventGroup><event type="firstOnline" date="2009-04-27"></event><event type="publishedOnlineFinalForm" date="2009-04-27"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:Header result:Header" date="2010-03-13"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-04"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-14"></event></eventGroup><numberingGroup><numbering type="pageFirst">A14</numbering><numbering type="pageLast">A14</numbering></numberingGroup><linkGroup><link type="toTypesetVersion" href="file:ANS.ANS4915_25.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="0"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="0"></count><count type="wordTotal" number="5149"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">CR25P
FAILURE TO ATTEND FOLLOW UP APPOINTMENTS IN PATIENTS WITH COLORECTAL CANCER – HOW COMMONLY DOES IT OCCUR AND WHY?</title><title type="shortAuthors"><i>RACS Annual Scientific Congress</i>, 2009</title><title type="short"><i>ANZ J. Surg.</i> 2009; 79 (Suppl. 1)</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#aff-1-1"><personName><givenNames>K.</givenNames><familyName>Shimokawa</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#aff-1-1"><personName><givenNames>S.</givenNames><familyName>Shedda</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#aff-1-1"><personName><givenNames>A.</givenNames><familyName>Pem</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#aff-1-1"><personName><givenNames>I.</givenNames><familyName>Jones</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#aff-1-1"><personName><givenNames>P.</givenNames><familyName>Gibbs</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="aff-1-1"><unparsedAffiliation>Royal Melbourne Hospital, Melbourne, Victoria</unparsedAffiliation></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Introduction: </b> Follow up after curative resection for colorectal cancer has been demonstrated to improve survival and failure to attend (FTA) may compromise patient outcomes. The incidences of FTA and the causes have not been documented.</p><p><b>Methods: </b> Patients were identified from a prospective clinical database and a hospital based appointment system. FTA follow up was defined as non‐attendance of at least one appointment, within 5 years post operatively. A phone interview was used to evaluate the cause. Patients from a non‐English speaking background (NESB) were contacted with interpreters.</p><p><b>Results: </b> From January 2003 to May 2008 622 patients with stage I‐III cancer were identified, including 202 from a NESB. 125 non‐attendees were identified. 61 patients (70%) were contacted from 87 surviving patients. 26 could not be located and 38 patients were deceased. Of the 61 patients studied, 32(52%) were male. The mean age was 68 years (range 33, 102). 14 patients (23%) were from a NESB. Each non‐attendant averaged 16 appointments, and 1.7 failed attendances. A median of > 13 months elapsed from diagnosis to 1st missed appointment. The main reasons for non attendance were: unaware of the appointment (n = 21), inconvenience due to time or travel (n = 14), poor health (n = 10), long waiting times (n = 8), forgetting (n = 6) and other (n = 2). Age, sex and number of booked appointments were not associated with non‐attendance.</p><p><b>Conclusion: </b> Failure to attend follow‐up appointments is common. Overall, access to follow up was prevented by structural factors more than disease/patient factors. A common reason for non‐attendance was that patients were unaware of the appointment. Opportunities for significantly improving attendance include a reminder system.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>CR25PFAILURE TO ATTEND FOLLOW UP APPOINTMENTS IN PATIENTS WITH COLORECTAL CANCER – HOW COMMONLY DOES IT OCCUR AND WHY?</title></titleInfo><titleInfo type="abbreviated"><title>ANZ J. Surg. 2009; 79 (Suppl. 1)</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>CR25P
FAILURE TO ATTEND FOLLOW UP APPOINTMENTS IN PATIENTS WITH COLORECTAL CANCER – HOW COMMONLY DOES IT OCCUR AND WHY?</title></titleInfo><name type="personal"><namePart type="given">K.</namePart><namePart type="family">Shimokawa</namePart><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Shedda</namePart><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A.</namePart><namePart type="family">Pem</namePart><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">I.</namePart><namePart type="family">Jones</namePart><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P.</namePart><namePart type="family">Gibbs</namePart><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="abstract" displayLabel="abstract"></genre><originInfo><publisher>Blackwell Publishing Asia</publisher><place><placeTerm type="text">Melbourne, Australia</placeTerm></place><dateIssued encoding="w3cdtf">2009-05</dateIssued><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="words">5149</extent></physicalDescription><abstract lang="en">Introduction: Follow up after curative resection for colorectal cancer has been demonstrated to improve survival and failure to attend (FTA) may compromise patient outcomes. The incidences of FTA and the causes have not been documented. Methods: Patients were identified from a prospective clinical database and a hospital based appointment system. FTA follow up was defined as non‐attendance of at least one appointment, within 5 years post operatively. A phone interview was used to evaluate the cause. Patients from a non‐English speaking background (NESB) were contacted with interpreters. Results: From January 2003 to May 2008 622 patients with stage I‐III cancer were identified, including 202 from a NESB. 125 non‐attendees were identified. 61 patients (70%) were contacted from 87 surviving patients. 26 could not be located and 38 patients were deceased. Of the 61 patients studied, 32(52%) were male. The mean age was 68 years (range 33, 102). 14 patients (23%) were from a NESB. Each non‐attendant averaged 16 appointments, and 1.7 failed attendances. A median of > 13 months elapsed from diagnosis to 1st missed appointment. The main reasons for non attendance were: unaware of the appointment (n = 21), inconvenience due to time or travel (n = 14), poor health (n = 10), long waiting times (n = 8), forgetting (n = 6) and other (n = 2). Age, sex and number of booked appointments were not associated with non‐attendance. Conclusion: Failure to attend follow‐up appointments is common. Overall, access to follow up was prevented by structural factors more than disease/patient factors. A common reason for non‐attendance was that patients were unaware of the appointment. 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