Predictors of clinic non‐attendance: opportunities to improve patient outcomes in colorectal cancer

Kosmider, Suzanne; Shedda, Susan; Jones, Ian T.; McLaughlin, Steve; Gibbs, Peter

doi:10.1111/j.1445-5994.2009.01986.x

Cited by 16 publications

(18 citation statements)

References 16 publications

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“…[1–7] To date, there were only fewer than five studies ever published on defaulter rate among patients with cancer namely colorectal, breast and childhood cancer, which reported that the defaulter rate ranged from 15 to 21%. [12–14] In our study, the defaulter rate among suspected lung cancer patients was 21.1%. From our extensive Pubmed search and literature review, we did not find any similar study looking at defaulters among lung cancer patients.…”

Section: Discussionmentioning

confidence: 53%

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Defaulters among lung cancer patients in a suburban district in a developing country

Ng¹,

Sh²,

Yc³

et al. 2012

Ann Thorac Med

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INTRODUCTION:This study was carried out to determine the prevalence, patient's characteristic and reasons for defaulting follow-up and treatment among patients with lung cancer.METHODS:Patients with histologically confirmed lung cancer were recruited. Patient's detailed demographic data, occupation, socioeconomic status, and educational level of both the patients and their children were recorded. Defaulters were classified as either intermittent or persistent defaulters. By using Chi-square test, defaulter status was compared with various demographic and disease characteristic factors. The reasons for default were determined.RESULTS:Ninety five patients were recruited. Among them, 81.1% patients were males; 66.3% were Malays. The mean age (SD) was 60 ± 10.5 years. About 46.3% of the patients had Eastern Cooperation Oncology Group (ECOG) functional status 0/1 and 96.8% of the patients presented with advanced stage (Stage 3b or 4). Overall, 20 patients (21.1%) were defaulters (35.0% intermittent defaulters; 65.0% persistent defaulters). Among the intermittent defaulters, 8 patients defaulted once and one patient defaulted 3 times. Among the 20 defaulters, only 2 (10%) patients turned up for the second follow-up appointment after telephone reminder. Two main reasons for default were ‘too ill to come’ (38.5.5%) and logistic difficulties (23.1%). No correlation was found between patient education, children education, income, ECOG status, stage of the disease, race, and gender with the defaulter rate.CONCLUSION:Defaulter rate among lung cancer patients was 21.1%. Children education level is the only significant factor associated with the defaulter rate.

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Section: Discussionmentioning

confidence: 53%

“…had demonstrated that lower socioeconomic status was associated with default among patients with cancer. [1213] Interestingly, Lee et al . from Singapore concluded that Malays and Indians had significant higher odds ratio for default compared to Chinese.…”

Section: Discussionmentioning

confidence: 99%

Defaulters among lung cancer patients in a suburban district in a developing country

Ng¹,

Sh²,

Yc³

et al. 2012

Ann Thorac Med

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“…Default of treatment is highly prevalent among cancer patients, with published default rates ranging from 15% to 21% (Kosmider et al . ; Hershman et al . ; Ng et al .…”

Section: Introductionmentioning

confidence: 99%

Prevalence and characteristics associated with default of treatment and follow-up in patients with cancer

et al. 2015

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Defaulting is an important issue across all medical specialties, but much more so in cancer as delayed or incomplete treatment has been shown to result in worse clinical outcomes such as treatment resistance, disease progression as well as lower survival. Our objective was to identify psychosocial variables and characteristics associated with default among cancer patients. A total of 467 consecutive adult cancer patients attending the oncology clinic at a single academic medical centre completed the Hospital Anxiety and Depression Scale and reported their preference for psychological support at baseline, 4-6 weeks and 12-18 months follow-up. Default was defined as refusal, delay or discontinuation of treatment or visit, despite the ability to do so. A total of 159 of 467 (34.0%) cancer patients were defaulters. Of these 159 defaulters, 89 (56.0%) desired psychological support, compared to only 13 (4.2%) of 308 non-defaulters. Using a logistic regression, patients who were defaulters had 52 times higher odds (P = 0.001; 95% confidence interval 20.61-134.47) of desiring psychological support than non-defaulters after adjusting for covariates. These findings suggest that defaulters should be offered psychological support which may increase cancer treatment acceptance rates and improve survival.

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“…Patient compliance with treatment recommendations is a widely acknowledged issue in modern medicine. Factors that have been associated with noncompliance include insurance issues, logistic barriers (distance, transportation, time, and need for interpreter services), patient apathy, and resolution or lack of symptoms 4, 5. Noncompliance has been shown in some realms to contribute to suboptimal patient outcomes 6.…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary head and neck cancer clinic and adherence with speech pathology

et al. 2011

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Predictors of clinic non‐attendance: opportunities to improve patient outcomes in colorectal cancer

Cited by 16 publications

References 16 publications

Defaulters among lung cancer patients in a suburban district in a developing country

Defaulters among lung cancer patients in a suburban district in a developing country

Prevalence and characteristics associated with default of treatment and follow-up in patients with cancer

Multidisciplinary head and neck cancer clinic and adherence with speech pathology

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