Prevalence and predictors of being lost to follow-up after transurethral resection of the prostate

Matteo Fontana, Luca Boeri, Andrea Gallioli, Elisa De Lorenzis, Franco Palmisano, Stefano Paolo Zanetti, Gianluca Sampogna, Giancarlo Albo, Fabrizio Longo, Franco Gadda, Paolo Guido Dell'Orto, Emanuele Montanari

Research output: Contribution to journalArticle

Abstract

Patient follow-up after transurethral resection of the prostate (TURP) is crucial to evaluate treatment-related outcomes and potential adverse events. We sought to determine the rate of, and factors associated with, patient nonadherence to follow-up after TURP. Data from 180 patients who underwent TURP were analysed. Patient counselling and follow-up were standardized among the cohort. Patients were considered lost to follow-up (LTF) if they were at least 30 days from their first scheduled follow-up appointment. Descriptive statistics and logistic regression analyses were performed to determine the impact of predictors on the rate of compliance with prescribed follow-up. Of 180 patients, 55 (30.5%) were LTF. LTF patients were younger (p < 0.001), had lower educational status (p = 0.007) and were more frequently single (p = 0.03) than those who were not LTF. Importantly, patients who experienced a postoperative-related event (PRE) were more likely to follow-up (p = 0.04). Multivariable analysis revealed that younger age (p < 0.001) and low educational status (p < 0.001) were independent predictors of being LTF. One out of three men submitted to TURP is lost to follow-up in the real-life setting. Noncompliance to follow-up was more frequent among young, single patients with low educational status. On the contrary, patients who experienced a PRE were more likely to follow-up.

Original languageEnglish
Article number6406
JournalScientific Reports
Volume8
Issue number1
DOIs
Publication statusPublished - Dec 1 2018

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Transurethral Resection of Prostate
Lost to Follow-Up
Educational Status
Patient Compliance
Counseling
Appointments and Schedules
Logistic Models
Regression Analysis

ASJC Scopus subject areas

  • General

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Prevalence and predictors of being lost to follow-up after transurethral resection of the prostate. / Fontana, Matteo; Boeri, Luca; Gallioli, Andrea; De Lorenzis, Elisa; Palmisano, Franco; Zanetti, Stefano Paolo; Sampogna, Gianluca; Albo, Giancarlo; Longo, Fabrizio; Gadda, Franco; Dell'Orto, Paolo Guido; Montanari, Emanuele.

In: Scientific Reports, Vol. 8, No. 1, 6406, 01.12.2018.

Research output: Contribution to journalArticle

Fontana, M, Boeri, L, Gallioli, A, De Lorenzis, E, Palmisano, F, Zanetti, SP, Sampogna, G, Albo, G, Longo, F, Gadda, F, Dell'Orto, PG & Montanari, E 2018, 'Prevalence and predictors of being lost to follow-up after transurethral resection of the prostate', Scientific Reports, vol. 8, no. 1, 6406. https://doi.org/10.1038/s41598-018-24869-z
Fontana, Matteo ; Boeri, Luca ; Gallioli, Andrea ; De Lorenzis, Elisa ; Palmisano, Franco ; Zanetti, Stefano Paolo ; Sampogna, Gianluca ; Albo, Giancarlo ; Longo, Fabrizio ; Gadda, Franco ; Dell'Orto, Paolo Guido ; Montanari, Emanuele. / Prevalence and predictors of being lost to follow-up after transurethral resection of the prostate. In: Scientific Reports. 2018 ; Vol. 8, No. 1.
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