“Are we there yet?”- factors affecting postoperative follow-up after general surgery procedures

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. Retrospective analysis identified...

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Veröffentlicht in:The American journal of surgery 2018-12, Vol.216 (6), p.1046-1051
Hauptverfasser: Harkey, Kristen, Kaiser, Nicole, Inman, Michael, Reinke, Caroline E.
Format: Artikel
Sprache:eng
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Zusammenfassung: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. 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. 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 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2018.09.016