Predictors of missed hospital appointments in patients with posterior compartment pelvic floor disorders in a tertiary referral centre
Aim:: Missed hospital appointments pose a major challenge to the healthcare system leading to worse patient outcomes. We ascertained the incidence of missed hospital appointments in patients with Posterior Compartment Pelvic Floor Disorders (PC-PFD) and associated socio-demographic and clinical pred...
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| Format: | Article |
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Elsevier
2025-03-01
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| Series: | Continence |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S277297372401004X |
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| author | Tanzeela Gala Mehak Saini Abigail Fernandes Carlotta Sarzo Noman Shahzad Carlene Igbedioh Alexis Schizas Linda Ferrari Alison Hainsworth |
| author_facet | Tanzeela Gala Mehak Saini Abigail Fernandes Carlotta Sarzo Noman Shahzad Carlene Igbedioh Alexis Schizas Linda Ferrari Alison Hainsworth |
| author_sort | Tanzeela Gala |
| collection | DOAJ |
| description | Aim:: Missed hospital appointments pose a major challenge to the healthcare system leading to worse patient outcomes. We ascertained the incidence of missed hospital appointments in patients with Posterior Compartment Pelvic Floor Disorders (PC-PFD) and associated socio-demographic and clinical predictors. Methods:: This is a cross-sectional single-institution study from a tertiary pelvic floor unit (PFU) with data collected from a prospectively maintained database.A missed appointment was marked if patients did not attend two consecutive appointments without informing or asking to re-schedule and were recorded for Telephone Triage Assessment Clinic (TTAC), Specialist-nurse, face-to-face bowel function clinic (BFC), Investigations including endoanal (EAUS) and pelvic floor ultrasound (PFUS) and defaecating proctogram (DP). All results yielding p<0.05 were considered significant. Results:: PFU received 2001 referrals between 2013 and 2019 with a mean age of 52 years. Missed appointments recorded were: TTAC — 45 (2.2%), BFC — 309 (15.8%), EAUS — 476(24%), PFUS — 484(37.2%) and DP — 432(26.2%).Predictors determined were: Male gender, age <50 years, complaints of rectal pain and bleeding for missing telephone and face-to-face appointments, low socioeconomic status for missing face-to-face appointments, and mixed and other ethnic groups with missing telephone appointments. Conclusion:: This is the first study to report the incidence and socio-demographic and clinical predictors for missed appointments in patients with PC-PFD. Future prospective research, including qualitative studies interviewing patients, is needed to identify and address potential barriers patients face when accessing care for PC-PFD. This will help improve patient care and allow better utilisation of already constrained healthcare resources. |
| format | Article |
| id | doaj-art-4bd914dbe9bb4b41b0d3ae0033e55fa3 |
| institution | Kabale University |
| issn | 2772-9737 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Continence |
| spelling | doaj-art-4bd914dbe9bb4b41b0d3ae0033e55fa32025-01-22T05:44:29ZengElsevierContinence2772-97372025-03-0113101729Predictors of missed hospital appointments in patients with posterior compartment pelvic floor disorders in a tertiary referral centreTanzeela Gala0Mehak Saini1Abigail Fernandes2Carlotta Sarzo3Noman Shahzad4Carlene Igbedioh5Alexis Schizas6Linda Ferrari7Alison Hainsworth8Guy’s and St Thomas’ NHS Foundation Trust, United Kingdom; Corresponding author.Guy’s and St Thomas’ NHS Foundation Trust, United KingdomGuy’s and St Thomas’ NHS Foundation Trust, United KingdomGuy’s and St Thomas’ NHS Foundation Trust, United KingdomLeeds Teaching Hospital NHS Foundation Trust, United KingdomGuy’s and St Thomas’ NHS Foundation Trust, United KingdomGuy’s and St Thomas’ NHS Foundation Trust, United KingdomGuy’s and St Thomas’ NHS Foundation Trust, United KingdomGuy’s and St Thomas’ NHS Foundation Trust, United KingdomAim:: Missed hospital appointments pose a major challenge to the healthcare system leading to worse patient outcomes. We ascertained the incidence of missed hospital appointments in patients with Posterior Compartment Pelvic Floor Disorders (PC-PFD) and associated socio-demographic and clinical predictors. Methods:: This is a cross-sectional single-institution study from a tertiary pelvic floor unit (PFU) with data collected from a prospectively maintained database.A missed appointment was marked if patients did not attend two consecutive appointments without informing or asking to re-schedule and were recorded for Telephone Triage Assessment Clinic (TTAC), Specialist-nurse, face-to-face bowel function clinic (BFC), Investigations including endoanal (EAUS) and pelvic floor ultrasound (PFUS) and defaecating proctogram (DP). All results yielding p<0.05 were considered significant. Results:: PFU received 2001 referrals between 2013 and 2019 with a mean age of 52 years. Missed appointments recorded were: TTAC — 45 (2.2%), BFC — 309 (15.8%), EAUS — 476(24%), PFUS — 484(37.2%) and DP — 432(26.2%).Predictors determined were: Male gender, age <50 years, complaints of rectal pain and bleeding for missing telephone and face-to-face appointments, low socioeconomic status for missing face-to-face appointments, and mixed and other ethnic groups with missing telephone appointments. Conclusion:: This is the first study to report the incidence and socio-demographic and clinical predictors for missed appointments in patients with PC-PFD. Future prospective research, including qualitative studies interviewing patients, is needed to identify and address potential barriers patients face when accessing care for PC-PFD. This will help improve patient care and allow better utilisation of already constrained healthcare resources.http://www.sciencedirect.com/science/article/pii/S277297372401004XMissed appointmentsConstipationAnal incontinenceEvacuation disordersPredictors |
| spellingShingle | Tanzeela Gala Mehak Saini Abigail Fernandes Carlotta Sarzo Noman Shahzad Carlene Igbedioh Alexis Schizas Linda Ferrari Alison Hainsworth Predictors of missed hospital appointments in patients with posterior compartment pelvic floor disorders in a tertiary referral centre Continence Missed appointments Constipation Anal incontinence Evacuation disorders Predictors |
| title | Predictors of missed hospital appointments in patients with posterior compartment pelvic floor disorders in a tertiary referral centre |
| title_full | Predictors of missed hospital appointments in patients with posterior compartment pelvic floor disorders in a tertiary referral centre |
| title_fullStr | Predictors of missed hospital appointments in patients with posterior compartment pelvic floor disorders in a tertiary referral centre |
| title_full_unstemmed | Predictors of missed hospital appointments in patients with posterior compartment pelvic floor disorders in a tertiary referral centre |
| title_short | Predictors of missed hospital appointments in patients with posterior compartment pelvic floor disorders in a tertiary referral centre |
| title_sort | predictors of missed hospital appointments in patients with posterior compartment pelvic floor disorders in a tertiary referral centre |
| topic | Missed appointments Constipation Anal incontinence Evacuation disorders Predictors |
| url | http://www.sciencedirect.com/science/article/pii/S277297372401004X |
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