Factors associated with non-attendance at early review appointments after cleft lip and palate repair at a Nigerian specialist maxillofacial centre

  Background The best outcome of orofacial cleft (OFC) management is predicated on appropriate surgical intervention and patients’ regular attendance of scheduled review appointments. Non-attendance at scheduled attendance by patients can adversely affect the eventual outcome of management. The study aimed to determine the factors responsible for missed scheduled review appoint­ment following cleft repair surgery. Methods This is a prospective cohort study of consenting parents of all children that had cleft repair surgery between February 2012 and March 2013. A semi-structured questionnaire with information including socio-demographic characteristics and reason for failure to attend five scheduled review appointments was used. Results Sixty-two parents with completed information were included in the analysis. There was a progressive drop in the number of patients attending review appointments over time and this was statistically significant (p=0.0001). The reasons for missed ap­pointment varied, including medical illness of patient or parent and financial constraints. The statistical significant predictors of attendance at the early review follow-up clinic were living within Abeokuta (OR 4.431, 95%CI 1.224-16.041, p=0.023) and earning higher income (OR 5.118, 95%CI 1.423-18.410, p=0.012). Conclusions Missed appointment was common over time. Illness, pressure of work and financial constraints were mainly responsible for non-attendance. There is need for cleft care plan that takes care of both caregiver and patient and also for it to be more accessible.

• Publication year

  2019

• Venue

  East and Central African Journal of Surgery

• Publication date

  2019-04-30

• Fields of study

  Medicine

• Identifiers
  DOI 10.4314/ecajs.v24i1.7
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

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