“Are we there yet?”- factors affecting postoperative follow-up after general surgery procedures - 06/12/18
, Nicole Kaiser a , Michael Inman b , Caroline E. Reinke a Abstract |
Background |
Surgical follow-up allows patients to discuss pathology and preventative maintenance. Multiple factors impact patients’ compliance with surgical follow-up. We hypothesized that increased travel time would be associated with lack of post-discharge surgical follow-up.
Methods |
Retrospective analysis identified patients undergoing laparoscopic appendectomy or laparoscopic cholecystectomy. Descriptive statistics and logistic regression assessed the relationship between patient characteristics and post-discharge follow-up.
Results |
We identified 1830 patients from 2015–2016. 31% did not complete follow-up, were more likely to have had an appendectomy, be un- or underinsured, not married, and live outside North Carolina. Median round-trip travel time was not significantly different. After adjustment for patient factors, each additional 10 min of travel time increased the odds of not following up by 6% (p < 0.01).
Conclusions |
Travel time was the only modifiable factor associated with post-discharge follow-up. Novel methods of completing follow-up that minimize travel time, such as virtual visits, may increase compliance with recommended follow-up.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Of 1830 patients, 69% completed 60-day post-discharge surgical follow-up. |
• | Patients age 19–44, single, and under- or uninsured have lower rates of follow-up. |
• | Longer travel time is associated with lack of follow-up. |
Keywords : Post-discharge, Surgical follow-up, Travel time, Virtual visits, General surgery
Plan
Vol 216 - N° 6
P. 1046-1051 - décembre 2018 Retour au numéro
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