Loss of Follow-up in Orthopaedic Trauma: Who Is Getting Lost to Follow-up?

Boris A Zelle, Frank A. Buttacavoli, Jeffrey B. Shroff, Jacob B. Stirton

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objectives: Noncompliance with postoperative follow-up visits remains a common problem in orthopaedic trauma. The aim of this study was to identify risk factors for loss of follow-up after orthopaedic trauma. Design: Retrospective review. Setting: Urban level 1 academic trauma center. Patients: A total of 307 (226 men/81 women) patients undergoing surgical treatment of their orthopaedic injuries were included in this study. The average age was 40.4 ± 17 years. Intervention: All patients were treated surgically for their orthopaedic injuries and were instructed to follow-up in the orthopaedic trauma clinic after hospital discharge. Main Outcome Measurements: Noncompliance with follow-up appointment at 6 months after injury. Results: Over a 6-month postoperative period, a total of 215 patients were noncompliant with at least one of their follow-up appointments between hospital discharge and the 6-month follow-up. A logistic regression showed male gender, uninsured or government insurance, and smoker to be statistically significant risk factors for noncompliance with the 6-month follow-up (P <0.05). Noncompliance with any follow-up appointment was significantly increased in patients with illicit drug abuse (P 0.02) as per logistic regression analysis. Conclusions: Loss of follow-up is a common problem in orthopaedic trauma. Our study suggests different risk factors for noncompliance, including male gender, smoker, lack of commercial health insurance, and illicit drug abuse. Health care providers may consider establishing protocols for facilitating follow-up appointments to patients who are at risk for noncompliance. Level of Evidence: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence. ©

Original languageEnglish (US)
Pages (from-to)510-515
Number of pages6
JournalJournal of Orthopaedic Trauma
Volume29
Issue number11
DOIs
StatePublished - Nov 1 2015

Fingerprint

Lost to Follow-Up
Orthopedics
Wounds and Injuries
Appointments and Schedules
Street Drugs
Substance-Related Disorders
Logistic Models
Trauma Centers
Health Insurance
Insurance
Postoperative Period
Health Personnel
Regression Analysis

Keywords

  • compliance
  • follow-up
  • trauma

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Loss of Follow-up in Orthopaedic Trauma : Who Is Getting Lost to Follow-up? / Zelle, Boris A; Buttacavoli, Frank A.; Shroff, Jeffrey B.; Stirton, Jacob B.

In: Journal of Orthopaedic Trauma, Vol. 29, No. 11, 01.11.2015, p. 510-515.

Research output: Contribution to journalArticle

Zelle, Boris A ; Buttacavoli, Frank A. ; Shroff, Jeffrey B. ; Stirton, Jacob B. / Loss of Follow-up in Orthopaedic Trauma : Who Is Getting Lost to Follow-up?. In: Journal of Orthopaedic Trauma. 2015 ; Vol. 29, No. 11. pp. 510-515.
@article{ed4d705387f34d8eb35ebc4bd2dfa099,
title = "Loss of Follow-up in Orthopaedic Trauma: Who Is Getting Lost to Follow-up?",
abstract = "Objectives: Noncompliance with postoperative follow-up visits remains a common problem in orthopaedic trauma. The aim of this study was to identify risk factors for loss of follow-up after orthopaedic trauma. Design: Retrospective review. Setting: Urban level 1 academic trauma center. Patients: A total of 307 (226 men/81 women) patients undergoing surgical treatment of their orthopaedic injuries were included in this study. The average age was 40.4 ± 17 years. Intervention: All patients were treated surgically for their orthopaedic injuries and were instructed to follow-up in the orthopaedic trauma clinic after hospital discharge. Main Outcome Measurements: Noncompliance with follow-up appointment at 6 months after injury. Results: Over a 6-month postoperative period, a total of 215 patients were noncompliant with at least one of their follow-up appointments between hospital discharge and the 6-month follow-up. A logistic regression showed male gender, uninsured or government insurance, and smoker to be statistically significant risk factors for noncompliance with the 6-month follow-up (P <0.05). Noncompliance with any follow-up appointment was significantly increased in patients with illicit drug abuse (P 0.02) as per logistic regression analysis. Conclusions: Loss of follow-up is a common problem in orthopaedic trauma. Our study suggests different risk factors for noncompliance, including male gender, smoker, lack of commercial health insurance, and illicit drug abuse. Health care providers may consider establishing protocols for facilitating follow-up appointments to patients who are at risk for noncompliance. Level of Evidence: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence. {\circledC}",
keywords = "compliance, follow-up, trauma",
author = "Zelle, {Boris A} and Buttacavoli, {Frank A.} and Shroff, {Jeffrey B.} and Stirton, {Jacob B.}",
year = "2015",
month = "11",
day = "1",
doi = "10.1097/BOT.0000000000000346",
language = "English (US)",
volume = "29",
pages = "510--515",
journal = "Journal of Orthopaedic Trauma",
issn = "0890-5339",
publisher = "Lippincott Williams and Wilkins",
number = "11",

}

TY - JOUR

T1 - Loss of Follow-up in Orthopaedic Trauma

T2 - Who Is Getting Lost to Follow-up?

AU - Zelle, Boris A

AU - Buttacavoli, Frank A.

AU - Shroff, Jeffrey B.

AU - Stirton, Jacob B.

PY - 2015/11/1

Y1 - 2015/11/1

N2 - Objectives: Noncompliance with postoperative follow-up visits remains a common problem in orthopaedic trauma. The aim of this study was to identify risk factors for loss of follow-up after orthopaedic trauma. Design: Retrospective review. Setting: Urban level 1 academic trauma center. Patients: A total of 307 (226 men/81 women) patients undergoing surgical treatment of their orthopaedic injuries were included in this study. The average age was 40.4 ± 17 years. Intervention: All patients were treated surgically for their orthopaedic injuries and were instructed to follow-up in the orthopaedic trauma clinic after hospital discharge. Main Outcome Measurements: Noncompliance with follow-up appointment at 6 months after injury. Results: Over a 6-month postoperative period, a total of 215 patients were noncompliant with at least one of their follow-up appointments between hospital discharge and the 6-month follow-up. A logistic regression showed male gender, uninsured or government insurance, and smoker to be statistically significant risk factors for noncompliance with the 6-month follow-up (P <0.05). Noncompliance with any follow-up appointment was significantly increased in patients with illicit drug abuse (P 0.02) as per logistic regression analysis. Conclusions: Loss of follow-up is a common problem in orthopaedic trauma. Our study suggests different risk factors for noncompliance, including male gender, smoker, lack of commercial health insurance, and illicit drug abuse. Health care providers may consider establishing protocols for facilitating follow-up appointments to patients who are at risk for noncompliance. Level of Evidence: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence. ©

AB - Objectives: Noncompliance with postoperative follow-up visits remains a common problem in orthopaedic trauma. The aim of this study was to identify risk factors for loss of follow-up after orthopaedic trauma. Design: Retrospective review. Setting: Urban level 1 academic trauma center. Patients: A total of 307 (226 men/81 women) patients undergoing surgical treatment of their orthopaedic injuries were included in this study. The average age was 40.4 ± 17 years. Intervention: All patients were treated surgically for their orthopaedic injuries and were instructed to follow-up in the orthopaedic trauma clinic after hospital discharge. Main Outcome Measurements: Noncompliance with follow-up appointment at 6 months after injury. Results: Over a 6-month postoperative period, a total of 215 patients were noncompliant with at least one of their follow-up appointments between hospital discharge and the 6-month follow-up. A logistic regression showed male gender, uninsured or government insurance, and smoker to be statistically significant risk factors for noncompliance with the 6-month follow-up (P <0.05). Noncompliance with any follow-up appointment was significantly increased in patients with illicit drug abuse (P 0.02) as per logistic regression analysis. Conclusions: Loss of follow-up is a common problem in orthopaedic trauma. Our study suggests different risk factors for noncompliance, including male gender, smoker, lack of commercial health insurance, and illicit drug abuse. Health care providers may consider establishing protocols for facilitating follow-up appointments to patients who are at risk for noncompliance. Level of Evidence: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence. ©

KW - compliance

KW - follow-up

KW - trauma

UR - http://www.scopus.com/inward/record.url?scp=84944724748&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84944724748&partnerID=8YFLogxK

U2 - 10.1097/BOT.0000000000000346

DO - 10.1097/BOT.0000000000000346

M3 - Article

C2 - 25866940

AN - SCOPUS:84944724748

VL - 29

SP - 510

EP - 515

JO - Journal of Orthopaedic Trauma

JF - Journal of Orthopaedic Trauma

SN - 0890-5339

IS - 11

ER -