Patient noncompliance before surgery

Abstract

Noncompliance was defined as failure to bring films and/or complete bowel preparation. Patient demographics, socioeconomic and clinical variables were analysed, and reasons for failure to comply with instructions were also recorded. RESULTSTwenty-four of the 101 (24%) patients were not compliant, 13 with films only, seven with bowel preparation only, and four with both sets of instructions. Univariate analysis showed that language and race were factors for noncompliance. Multivariate analysis showed that non-Caucasians had 17 times the risk of noncompliance ( P < 0.001); long distance from home to the site of care had five times the risk of noncompliance ( P = 0.041), and each day between the initial consultation and the date of surgery had 1.05 times the risk of noncompliance ( P < 0.001). The most common reason given by patients for noncompliance was that they were never given the preoperative instructions.

Contributing Factors for Cancellations of Outpatient Pediatric Urology Procedures: Single Center Experience

“…We found no significant association between preventable cancellations and language or race, which is also in contrast with findings in the adult literature. 9 These differences may be in part because the majority of our patients spoke English, limiting comparisons based on language, and because the sample size was relatively small.…”

“…This finding is in contrast to the adult literature, where there was a higher risk of noncompliance when patients had a greater distance to travel from home to the hospital. 9 This difference may be due to differences in patient populations or in the complexity of the underlying diagnosis. While patients undergoing circumcision tended to live closer to the hospital than those undergoing other procedures, this difference was not statistically significant, suggesting that distance is an independent risk factor for cancellation.…”

Racial Disparities and Upward Trend in Bowel Preparation for Elective Colectomy in the National Surgical Quality Improvement Program Procedure Targeted Dataset: 2012 to 2018

“…Ours is not the first study to document these differences, although we are the first to describe them for colectomies. Kaye et al 21 found racial/ethnic minority patients had 17 times the risk of not completing bowel preparation before laparoscopic renal surgery, while studies of colonoscopy preparation found African American patients less likely to perform bowel preparation compared with White patients. 22 , 23 It is critical that future research investigates the cause of this disparity.…”

Compliance with pre-operative instructions for procedures with conscious sedation: a complete audit cycle

“…7,8 Reviews into the most effective ways of delivering preoperative information have found the most widely used are pamphlets. 9 An especially worrying finding was that 24% of patients were attending without appropriate escort arrangements in place.…”

“…It also seemed possible that the period of more than 2 months between patients being given instructions and their actual appointment would affect their compliance. 7 It was therefore decided that two additional reminders of the instructions considered to be most important would be given to patients nearer to their appointment time.…”