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Prevalence and predictors of patient no-shows to outpatient endoscopic procedures scheduled with anesthesia

Overview of attention for article published in BMC Gastroenterology, September 2015
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Title
Prevalence and predictors of patient no-shows to outpatient endoscopic procedures scheduled with anesthesia
Published in
BMC Gastroenterology, September 2015
DOI 10.1186/s12876-015-0358-3
Pubmed ID
Authors

Jennifer T. Chang, Justin L. Sewell, Lukejohn W. Day

Abstract

Demand for endoscopic procedures scheduled with anesthesia is increasing and no-show to appointments carries significant patient health and financial impact, yet little is known about predictors of no-show. We performed a 16-month retrospective observational cohort study of patients scheduled for outpatient endoscopy with anesthesia at a county hospital serving the safety-net healthcare system of San Francisco. Multivariate logistic regression analysis was performed to evaluate associations between attendance and predictors of no-show. In total, 511 patients underwent endoscopy with anesthesia during the study period. Twenty-seven percent of patients failed to attend an appointment and were considered "no-show". In multivariate analysis, higher no-show rates were associated with patients with a prior history of no-show (odds ratio [OR] 6.4; 95 % confidence interval [CI], 2.4- 17.5), those with active substance abuse within the past year (OR 2.2; 95 % CI 1.4-3.6), those with heavy prescription opioids/benzodiazepines use (OR 1.6; 95 % CI 1.0-2.6) and longer wait-times (OR 1.05; 95 % CI 1.00-1.09). Inversely associated with patient no-show were active employment (OR 0.38; 95 % CI 0.18-0.81), patients who attended a pre-operative appointment with an anesthesiologist (OR 0.52; CI 0.32-0.85), and those undergoing an advanced endoscopic procedure (OR 0.43; 95 % CI 0.19-0.94). In a safety-net healthcare population, behavioral and social determinants of health, including missed appointments, active substance abuse, homelessness, and unemployment are associated with no-shows to endoscopy with anesthesia.

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Mendeley readers

The data shown below were compiled from readership statistics for 86 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 86 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 19 22%
Student > Bachelor 11 13%
Student > Ph. D. Student 8 9%
Other 8 9%
Researcher 7 8%
Other 15 17%
Unknown 18 21%
Readers by discipline Count As %
Medicine and Dentistry 22 26%
Nursing and Health Professions 15 17%
Engineering 5 6%
Agricultural and Biological Sciences 5 6%
Social Sciences 4 5%
Other 12 14%
Unknown 23 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 September 2015.
All research outputs
#18,428,159
of 22,829,683 outputs
Outputs from BMC Gastroenterology
#1,125
of 1,745 outputs
Outputs of similar age
#197,225
of 274,274 outputs
Outputs of similar age from BMC Gastroenterology
#24
of 37 outputs
Altmetric has tracked 22,829,683 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
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We're also able to compare this research output to 37 others from the same source and published within six weeks on either side of this one. This one is in the 10th percentile – i.e., 10% of its contemporaries scored the same or lower than it.