Patient noncompliance before surgery

Study Type – Therapy (case series)
Level of Evidence 4 OBJECTIVE To assess patient compliance with preoperative instructions and to determine causes and factors of noncompliance, as noncompliance might affect surgical outcome and has potential medicolegal implications. PATIENTS AND METHODS One surge...

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Bibliographic Details
Published in:BJU international 2010-01, Vol.105 (2), p.230-233
Main Authors: Kaye, Jonathan D., Richstone, Lee, Cho, Jane S., Tai, Julia Y., Arrand, Jonathan, Kavoussi, Louis R.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Enema
Female
Humans
Kidney Diseases - surgery
Laparoscopy
Male
Medical sciences
Middle Aged
Nephrectomy
Nephrology. Urinary tract diseases
noncompliance risk
Patient Compliance
perioperative care
Preoperative Care
Risk Factors
Young Adult
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Summary:Study Type – Therapy (case series)
Level of Evidence 4 OBJECTIVE To assess patient compliance with preoperative instructions and to determine causes and factors of noncompliance, as noncompliance might affect surgical outcome and has potential medicolegal implications. PATIENTS AND METHODS One surgeon counselled 101 consecutive patients before undergoing laparoscopic renal surgery. Deliberate discussions instructed patients to bring their radiograph films on the day of surgery and complete a preoperative bowel preparation. Noncompliance was defined as failure to bring films and/or complete bowel preparation. Patient demographics, socio‐economic and clinical variables were analysed, and reasons for failure to comply with instructions were also recorded. RESULTS Twenty‐four of the 101 (24%) patients were not compliant, 13 with films only, seven with bowel preparation only, and four with both sets of instructions. Univariate analysis showed that language and race were factors for noncompliance. Multivariate analysis showed that non‐Caucasians had 17 times the risk of noncompliance (P 
ISSN:1464-4096
1464-410X
DOI:10.1111/j.1464-410X.2009.08760.x