Factors associated with patient no-show rates in an academic pain management practice.

IF 2.5 3区医学 Q2 ANESTHESIOLOGY Pain Practice Pub Date : 2025-02-01 DOI:10.1111/papr.70003

Aaron Burshtein, Paul Shekane

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Abstract

Objectives: Chronic pain is a debilitating, multifactorial condition. The purpose of this study was to examine patient characteristics of those who did not show up for their scheduled first pain medicine appointment in order to identify factors that may improve access to care.

Methods: This was a retrospective analysis of 810 patients from a single-center academic pain management clinic between January 1, 2022, and December 31, 2023.

Results: Overall no-show rate was 57%. There was a mean of 133 days (4.3 months) from scheduling to the appointment date. Patients age ≤ 30 years had the highest no-show rate (69%), and those ≥81 years had the lowest (49%). Hispanic and Caucasian patients had similar no-show rates (59% and 57%, respectively) and Asian patients had lower rate (41%). Referral from another specialty had a significantly lower no-show rate (36% vs. 89%, p < 0.001). The presence of referral (p < 0.001) was a significant predictor of lower no-show rates. Of the 191 patients with low back pain, internal medicine (38.7%) was the most referring specialty.

Discussion: High no-show rates were present particularly among younger patients. Having a referral from another specialty was an independent predictor of lower no-show rates.

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在一个学术疼痛管理实践中与病人缺勤率相关的因素。

目的：慢性疼痛是一种使人衰弱的多因素疾病。这项研究的目的是检查那些没有在他们预定的第一次止痛药预约中出现的患者的特征，以确定可能改善护理的因素。方法：对2022年1月1日至2023年12月31日期间来自某单一中心学术性疼痛管理诊所的810例患者进行回顾性分析。结果：总体缺勤率为57%。从排期到预约日期平均为133天（4.3个月）。年龄≤30岁的患者缺席率最高（69%），≥81岁的患者缺席率最低（49%）。西班牙裔和白种人患者的缺勤率相似（分别为59%和57%），亚洲患者的缺勤率较低（41%）。从其他专业转诊的患者的缺勤率明显较低（36%对89%）。讨论：缺勤率高，特别是在年轻患者中。有其他专业的转诊是较低缺勤率的独立预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain Practice ANESTHESIOLOGY-CLINICAL NEUROLOGY

CiteScore

5.60

自引率

3.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Pain Practice, the official journal of the World Institute of Pain, publishes international multidisciplinary articles on pain and analgesia that provide its readership with up-to-date research, evaluation methods, and techniques for pain management. Special sections including the Consultant’s Corner, Images in Pain Practice, Case Studies from Mayo, Tutorials, and the Evidence-Based Medicine combine to give pain researchers, pain clinicians and pain fellows in training a systematic approach to continuing education in pain medicine. Prior to publication, all articles and reviews undergo peer review by at least two experts in the field.