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Lost to follow-up for appointments in a dedicated dry eye clinic.

Poon KH, Yeo S, Tong L - Patient Prefer Adherence (2014)

Bottom Line: Poor communication and service factors under healthcare delivery were found to be higher (P=0.002) in those who visited once before they were LTF (8.5%) compared to those who visited multiple times before they were LTF (0.1%).Female and older patients were less likely to stop consultation.Elderly patients have difficulty attending clinics due to nonmedical problems, which may require a more holistic approach.

View Article: PubMed Central - PubMed

Affiliation: Singapore Eye Research Institute, Singapore.

ABSTRACT

Objective: Dry eye is a prevalent condition with significant socioeconomic burden. This study evaluates the extent and reasons for loss to follow-up (LTF) in a dedicated dry eye clinic. LTF refers to patient who discontinued visits for >2 years.

Method: The proportion of patients LTF and the demographics in a cohort of dry eye patients (2006 to 2010) were determined. A telephone survey was prospectively conducted for patients who were LTF.

Results: Of 505 patients, 240 (47.5%) were LTF. Associated demographic factors for LTF were male sex, non-Chinese ethnicity, and age group <30 years old (all P<0.05). The reasons for LTF through the telephone survey (response rate 77.9%) were categorized into three broad groups, stabilized dry eye condition (47%), personal/social factors (25%) and perceived insufficiency of healthcare delivery (28%). Only two (1.1%) were considered as management failures. The younger patients (age <50 years) were more likely to become LTF (P<0.001) due to stabilized dry eye disease, compared to older patients who were more likely to be LTF due to personal/social reasons (P=0.02). Poor communication and service factors under healthcare delivery were found to be higher (P=0.002) in those who visited once before they were LTF (8.5%) compared to those who visited multiple times before they were LTF (0.1%).

Conclusion: LTF was relatively common in hospital-based dry eye management. Female and older patients were less likely to stop consultation. Stabilized dry eye condition, common in younger patients, was the most common reason for LTF. Elderly patients have difficulty attending clinics due to nonmedical problems, which may require a more holistic approach.

No MeSH data available.


Related in: MedlinePlus

The proportion of patients stating certain reasons for not attending further sessions for all respondents of the telephone survey (A, D, G), respondents who attended only once (B, E, H) before becoming LTF, and respondents who attended more than one (C, F, I) clinic visit before becoming LTF.Notes: The blue pie charts show the specific reasons related to the medical condition. The red pie charts show personal/social reasons. The green pie charts show reasons related to the health service delivery.Abbreviations: LTF, lost to follow-up; N, number; SNEC, Singapore National Eye Center.
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f2-ppa-8-1409: The proportion of patients stating certain reasons for not attending further sessions for all respondents of the telephone survey (A, D, G), respondents who attended only once (B, E, H) before becoming LTF, and respondents who attended more than one (C, F, I) clinic visit before becoming LTF.Notes: The blue pie charts show the specific reasons related to the medical condition. The red pie charts show personal/social reasons. The green pie charts show reasons related to the health service delivery.Abbreviations: LTF, lost to follow-up; N, number; SNEC, Singapore National Eye Center.

Mentions: Eighty-seven patients were not required to attend the clinic when their dry eye conditions stabilized and the disease could be self-managed. The impact of the dry eye disease did not significantly affect their daily lives. Among participants with stabilized dry eye conditions (blue area in Figure 1A), about one-third did not have any further dry eye symptoms (Figure 2A). The proportion was similar among those who had only one visit (Figure 2B) or more than one visit (Figure 2C). Although 23 (27%) out of 87 patients did not perceive any improvement in symptoms, they did not need to attend the clinic because, through counseling and other measures, they had learned to cope without requiring further consults (Figure 2A).


Lost to follow-up for appointments in a dedicated dry eye clinic.

Poon KH, Yeo S, Tong L - Patient Prefer Adherence (2014)

The proportion of patients stating certain reasons for not attending further sessions for all respondents of the telephone survey (A, D, G), respondents who attended only once (B, E, H) before becoming LTF, and respondents who attended more than one (C, F, I) clinic visit before becoming LTF.Notes: The blue pie charts show the specific reasons related to the medical condition. The red pie charts show personal/social reasons. The green pie charts show reasons related to the health service delivery.Abbreviations: LTF, lost to follow-up; N, number; SNEC, Singapore National Eye Center.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4199754&req=5

f2-ppa-8-1409: The proportion of patients stating certain reasons for not attending further sessions for all respondents of the telephone survey (A, D, G), respondents who attended only once (B, E, H) before becoming LTF, and respondents who attended more than one (C, F, I) clinic visit before becoming LTF.Notes: The blue pie charts show the specific reasons related to the medical condition. The red pie charts show personal/social reasons. The green pie charts show reasons related to the health service delivery.Abbreviations: LTF, lost to follow-up; N, number; SNEC, Singapore National Eye Center.
Mentions: Eighty-seven patients were not required to attend the clinic when their dry eye conditions stabilized and the disease could be self-managed. The impact of the dry eye disease did not significantly affect their daily lives. Among participants with stabilized dry eye conditions (blue area in Figure 1A), about one-third did not have any further dry eye symptoms (Figure 2A). The proportion was similar among those who had only one visit (Figure 2B) or more than one visit (Figure 2C). Although 23 (27%) out of 87 patients did not perceive any improvement in symptoms, they did not need to attend the clinic because, through counseling and other measures, they had learned to cope without requiring further consults (Figure 2A).

Bottom Line: Poor communication and service factors under healthcare delivery were found to be higher (P=0.002) in those who visited once before they were LTF (8.5%) compared to those who visited multiple times before they were LTF (0.1%).Female and older patients were less likely to stop consultation.Elderly patients have difficulty attending clinics due to nonmedical problems, which may require a more holistic approach.

View Article: PubMed Central - PubMed

Affiliation: Singapore Eye Research Institute, Singapore.

ABSTRACT

Objective: Dry eye is a prevalent condition with significant socioeconomic burden. This study evaluates the extent and reasons for loss to follow-up (LTF) in a dedicated dry eye clinic. LTF refers to patient who discontinued visits for >2 years.

Method: The proportion of patients LTF and the demographics in a cohort of dry eye patients (2006 to 2010) were determined. A telephone survey was prospectively conducted for patients who were LTF.

Results: Of 505 patients, 240 (47.5%) were LTF. Associated demographic factors for LTF were male sex, non-Chinese ethnicity, and age group <30 years old (all P<0.05). The reasons for LTF through the telephone survey (response rate 77.9%) were categorized into three broad groups, stabilized dry eye condition (47%), personal/social factors (25%) and perceived insufficiency of healthcare delivery (28%). Only two (1.1%) were considered as management failures. The younger patients (age <50 years) were more likely to become LTF (P<0.001) due to stabilized dry eye disease, compared to older patients who were more likely to be LTF due to personal/social reasons (P=0.02). Poor communication and service factors under healthcare delivery were found to be higher (P=0.002) in those who visited once before they were LTF (8.5%) compared to those who visited multiple times before they were LTF (0.1%).

Conclusion: LTF was relatively common in hospital-based dry eye management. Female and older patients were less likely to stop consultation. Stabilized dry eye condition, common in younger patients, was the most common reason for LTF. Elderly patients have difficulty attending clinics due to nonmedical problems, which may require a more holistic approach.

No MeSH data available.


Related in: MedlinePlus