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The evaluation design interrogated existing performance data from 2012 to 2022. This information was used to estimate the costs incurred based on national published sources and pay scales. Staffing costs of over \u00a31.1\u00a0m in one decade related to the financial impact of over 23\u2009000 unattended lymphoedema appointments. The characteristics of 870 patients from 2019\/2020 were also evaluated suggesting that those with a wound alongside complex lymphoedema were less likely to DNA appointments. Two\u2010thirds of patients were managing two or more comorbidities\u2014obesity, cardiac conditions and diabetes being the most common. It seems likely that some DNAs are avoidable by adapting appointment administrative processes and greater understanding of patients' perception of value. However, the reasons for DNA are likely to be varied and nuanced so potentially a small proportion are unavoidable. Modernising appointment processes and identifying patient value may help minimise DNA costs in the future.<\/jats:p>","DOI":"10.1111\/iwj.13999","type":"journal-article","created":{"date-parts":[[2022,11,22]],"date-time":"2022-11-22T07:40:07Z","timestamp":1669102807000},"page":"1436-1447","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A spotlight on lymphoedema Did Not Attends: Demographics and workforce costs"],"prefix":"10.1111","volume":"20","author":[{"given":"Melanie Jane","family":"Thomas","sequence":"first","affiliation":[{"name":"Swansea Bay UHB \u2010 Lymphoedema UK Clinical Network  Port Talbot UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7993-0179","authenticated-orcid":false,"given":"Ioan","family":"Humphreys","sequence":"additional","affiliation":[{"name":"School of Health and Social Care, Faculty of Medicine, Health &amp; Life Science, Swansea University  Swansea UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhian Wyn","family":"Noble\u2010Jones","sequence":"additional","affiliation":[{"name":"Swansea Bay UHB \u2010 Lymphoedema UK Clinical Network  Port Talbot UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,21]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"NHS Benchmarking Network.Outpatients project\u2014results published.2019.https:\/\/www.nhsbenchmarking.nhs.uk\/news\/2019-outpatients-project-results-published. 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