IRCCS Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Department of Urology, University of Milan, Milan, Italy.
Sci Rep. 2018 Apr 23;8(1):6406. doi: 10.1038/s41598-018-24869-z.
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.
经尿道前列腺切除术 (TURP) 后患者的随访对于评估治疗相关结局和潜在不良事件至关重要。我们旨在确定 TURP 后患者不遵医嘱随访的比例及其相关因素。对 180 例接受 TURP 的患者进行数据分析。对该队列患者进行了标准化的患者咨询和随访。如果患者距离首次预约随访至少 30 天，则认为其失访 (LTF)。采用描述性统计和逻辑回归分析来确定预测因素对遵医嘱随访比例的影响。在 180 例患者中，55 例 (30.5%) 为 LTF。与未失访者相比，LTF 患者更年轻 (p<0.001)，受教育程度更低 (p=0.007)，更常为单身 (p=0.03)。重要的是，经历术后相关事件 (PRE) 的患者更有可能进行随访 (p=0.04)。多变量分析显示，年龄较小 (p<0.001) 和受教育程度较低 (p<0.001) 是 LTF 的独立预测因素。在真实环境中，接受 TURP 的男性中有三分之一失访。不遵医嘱随访更常见于年轻、单身且受教育程度较低的患者。相反，经历 PRE 的患者更有可能进行随访。
