The factors influencing compliance in post-EVAR surveillance regarding the perspectives of practitioners and patients

Autor: Gokay Deniz, Serkan Mola, Alp Yildirim, Murat Gevrek, Bahadir Aytekin, Hakki Zafer Iscan
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Turkish Journal of Vascular Surgery, Vol 33, Iss 1, Pp 39-45 (2024)
Druh dokumentu: article
ISSN: 2667-5080
DOI: 10.9739/tjvs.2024.02.06
Popis: Aim: Lifelong monitoring is essential to detect aorta-related complications. Yet, patient non-compliance with surveillance programs poses a significant obstacle. We explored reasons for adherence by engaging in clear, patient-centred communication and analyzed factors contributing to non-compliance. Material and Methods: In 2019, our clinic conducted elective EVAR procedures on 50 patients. They were informed of annual surveillance, including hospital visits, starting with a first-month appointment post-discharge. Patients with no or only one follow-up were deemed non-compliant, while two to three follow-ups indicated moderate compliance, and four to seven follow-ups qualified as high compliance. We recorded each patient's age, education level and demographics. We retrospectively assessed the factors on their compliance level as our first outcome. The second was to explore whether the survey could enlighten any reasons from the patient's perspective. Results: The average age of our cohort was 68.8±8.45 years, with only three females. Non-attendance at follow-ups was observed in 8 patients (16%). Seventy percent (35 patients) complied with at least two appointments. Residing in the same city markedly increased compliance by 20 times (p [Turk J Vasc Surg 2024; 33(1.000): 39-45]
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