Timing of Procedure and Compliance With Outpatient Endoscopy Among an Underserved Population in an Inner-City Tertiary Institution

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• 作者：Dilhana S. Badurdeen ; MD^a ; Nisser A. Umar ; MD ; MPH^b ; Rehana Begum ; MD^a ; Andrew K. Sanderson II ; MD^a ; Momodu Jack ; MD^a ; Getachew Mekasha ; MD ; PhD^a ; John Kwagyan ; PhD^c ; Duane T. Smoot ; MD^a ; Adeyinka O. Laiyemo ; MD ; MPH^a ; ^{adeyinka.laiyemo@howard.edu}
• 关键词：Endoscopy ; Colonoscopy ; Adherence ; Cancer Disparities ; Epidemiology
• 刊名：Annals of Epidemiology
• 出版年：2012
• 期刊代码：15_10472797
• 类别：med
• 出版时间：July, 2012
• 卷：22
• 期：7
• 页码：531-535
• 文件大小：80 K

摘要

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Purpose

Anecdotal evidence suggests that patient compliance with colonoscopy is poorer with Monday procedures and better during the winter months because 鈥渢here is not much else to do.鈥?We examined patients' compliance with scheduled outpatient endoscopy by time of the day, days of the week, and seasons of the year.

Methods

We included 2873 patients who were scheduled for endoscopy from September 2009 to August 2010. Compliant patients were those who showed up for their procedures whereas noncompliant patients were those who did not show up without canceling or rescheduling their procedures up to 24 hours before their scheduled procedures. We used logistic regression models to evaluate the association between the timing of the scheduled procedure and compliance.

Results

A total of 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 compliance as the week progressed, becoming significant on Friday (odds ratio 1.46; 95%confidence interval 1.06-2.00). There was also better compliance in the warmer months.

Conclusions

Noncompliance with outpatient endoscopy is substantial among underserved populations with limited predictive pattern of compliance by the timing of the procedures.