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首页> 外文期刊>Annals of epidemiology >Timing of Procedure and Compliance With Outpatient Endoscopy Among an Underserved Population in an Inner-City Tertiary Institution
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Timing of Procedure and Compliance With Outpatient Endoscopy Among an Underserved Population in an Inner-City Tertiary Institution

机译：城中大专院校服务不足人群中的手术时机和门诊内窥镜检查的依从性

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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 " there is not much else to do." 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.
机译：目的：轶事证据表明，周一手术的患者对结肠镜检查的依从性较差，而在冬季月份则更好，因为“没有太多事情要做”。我们按一天中的时间，一周中的几天以及一年中的季节检查了患者对计划的门诊内镜检查的依从性。方法：我们纳入了2873例从2009年9月至2010年8月进行内镜检查的患者。依从性患者是接受手术治疗的患者，而不依从性患者是指在手术前24小时未取消或重新安排手术时间而没有出现的患者。预定程序。我们使用逻辑回归模型来评估计划程序的时间与合规性之间的关联。结果：共有574名患者（20％）没有出现。在一天中的不同时间，依从性没有差异。但是，与周一安排的患者相比，随着一周的进展，依从性有改善的趋势，在周五变得很重要（赔率1.46; 95％置信区间1.06-2.00）。在温暖的月份中也有更好的依从性。结论：在服务不足的人群中，不符合门诊内镜检查的情况很严重，在手术时机上依从性的预测模式有限。

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