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Predictors of non-attendance at outpatient endoscopy: a five-year multi-centre observational study from New Zealand

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Summary:

This analysis of endoscopy non-attendance rates and associated factors examined data from 58,434 consecutive endoscopy appointments at the Canterbury (n=33,697) and Auckland (n= 24,737) DHBs during a 5-year period (1 April 2012 to 31 March 2017). The following procedures were included: gastroscopy, colonoscopy and endoscopic retrograde cholangiopancreatography. Overall, 2,694 (4.6%) appointments were not attended. In multivariate analysis, Māori (OR 3.0; 95% CI, 2.63 to 3.42) and Pacific Peoples (OR 3.1; 95% CI, 2.7 to 3.55) were significantly more likely than Europeans to miss appointments. Patients residing in the socioeconomically most deprived areas (NZDep decile 10) had higher rates of non-attendance compared with those from NZDep decile 1 (OR 2.13; 95% CI, 1.72 to 2.63). Non-attendance rates were also higher among males (OR 1.43; 95% CI, 1.32 to 1.56) and among the Auckland DHB patients (2.28; 2.08 to 2.50).

Comment:
One point that stood out for me was that most of the geographic difference was explained by different patient reminder systems. A systematic approach is therefore required.
Reference: N Z Med J 2019;132(1496):31-8
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

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