Ophthalmic epidemiology · 2026
No-Show Propensity and Loss to Follow-Up Among Glaucoma Patients: A Retrospective Cohort Study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Williams Andrew M, Liang Hai-Wei
Аннотация
PURPOSE: To identify risk factors for high first-year no-show propensity among glaucoma patients and assess its association with subsequent LTFU.
METHODS: This retrospective cohort study included patients with a glaucoma diagnosis documented from 2013-2023 at a tertiary academic eye institute. Demographic, clinical, and appointment status data were extracted from the electronic health record. LTFU was defined as an interval of >365 days without an attended visit after the first-year observation window. No-show propensity factor (NSPF), a metric of appointment nonattendance that considers the total number of appointments and average no-show rate of the cohort, was calculated for each patient for their first year. Poisson regression models were used to identify risk factors for high NSPF (≥75th percentile). Cox proportional hazards models were used to evaluate the association between high NSPF and risk of subsequent LTFU.
RESULTS: The 7087 glaucoma patients had 37,249 scheduled appointments in their first year, 2778 (7.5%) of which were no-show. Risk factors for high NSPF included age < 60 years (relative risk [RR]=1.10, 95% confidence interval [CI]: 1.07-1.12), Black race (RR = 1.23, 95% CI: 1.21-1.25), Medicaid insurance (RR = 1.23, 95% CI: 1.19-1.28), and visual acuity 20/200 or worse in the better-seeing eye (RR = 1.09, 95% CI: 1.06-1.11). Three-quarters (72.0%) experienced at least one LTFU event. In an adjusted model, high NSPF predicted higher risk of subsequent LTFU (hazard ratio = 1.15, 95% CI: 1.08-1.22).
CONCLUSION: Demographic and clinical factors underlie risk of no-show propensity among glaucoma patients. Patients with a high propensity to no-show in their first year had greater risk of subsequent LTFU.
METHODS: This retrospective cohort study included patients with a glaucoma diagnosis documented from 2013-2023 at a tertiary academic eye institute. Demographic, clinical, and appointment status data were extracted from the electronic health record. LTFU was defined as an interval of >365 days without an attended visit after the first-year observation window. No-show propensity factor (NSPF), a metric of appointment nonattendance that considers the total number of appointments and average no-show rate of the cohort, was calculated for each patient for their first year. Poisson regression models were used to identify risk factors for high NSPF (≥75th percentile). Cox proportional hazards models were used to evaluate the association between high NSPF and risk of subsequent LTFU.
RESULTS: The 7087 glaucoma patients had 37,249 scheduled appointments in their first year, 2778 (7.5%) of which were no-show. Risk factors for high NSPF included age < 60 years (relative risk [RR]=1.10, 95% confidence interval [CI]: 1.07-1.12), Black race (RR = 1.23, 95% CI: 1.21-1.25), Medicaid insurance (RR = 1.23, 95% CI: 1.19-1.28), and visual acuity 20/200 or worse in the better-seeing eye (RR = 1.09, 95% CI: 1.06-1.11). Three-quarters (72.0%) experienced at least one LTFU event. In an adjusted model, high NSPF predicted higher risk of subsequent LTFU (hazard ratio = 1.15, 95% CI: 1.08-1.22).
CONCLUSION: Demographic and clinical factors underlie risk of no-show propensity among glaucoma patients. Patients with a high propensity to no-show in their first year had greater risk of subsequent LTFU.