Evidence map›Paper›PMID 29175854›Full record

ArticleBMJ quality & safety2018

Transportation characteristics associated with non-arrivals to paediatric clinic appointments: a retrospective analysis of 51 580 scheduled visits.

David J Wallace, Kristin N Ray, Abbye Degan, Kristen Kurland, Derek C Angus, Ana Malinow

Open access · greenAbstract read
In one paragraph

Article in BMJ quality & safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Which patients miss appointments with general practice and the reasons why: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Transportation Barriers in Pediatric Orthopaedic Clinic Visits.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Access to Care for Children under five in Oklahoma: a Geographic Imputation Application.The Journal of the Oklahoma State Medical Association · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

David J WallaceCritical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0003-0314-1004
Kristin N RayPediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Abbye DeganPediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Kristen KurlandSchool of Architecture, Carnegie Mellon University, Pittsburgh, Pennsylvania, USA.
Derek C AngusCritical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Ana MalinowPediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
University of Pittsburgh · USCarnegie Mellon University · US

Funding

Patient-Centered Outcomes Research (PCOR) Scholars ProgramK12HS022989 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAPOOR, WISHWA N · 2014 to 2018
$3.9M
Understanding Regional Critical Care Delivery in Acute Respiratory FailureK08HL122478 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WALLACE, DAVID JOHN · 2015 to 2018
$606k
AHRQ HHS K12 HS022989NHLBI NIH HHS K08 HL122478
6 · The paper itself

Abstract

backgroundPrior work has not studied the effects of transportation accessibility and patient factors on clinic non-arrival.

objectivesOur objectives were: (1) to evaluate transportation characteristics and patient factors associated with clinic non-arrival, (2) to evaluate the comparability of bus and car drive time estimates, and (3) to evaluate the combined effects of transportation accessibility and income on scheduled appointment non-arrival.

methodsWe queried electronic administrative records at an urban general pediatrics clinic. We compared patient and transportation characteristics between arrivals and non-arrivals for scheduled appointments using multivariable modeling.

resultsThere were 15 346 (29.8%) clinic non-arrivals. In separate car and bus multivariable models that controlled for patient and transit characteristics, we identified significant interactions between income and drive time, and clinic non-arrival. Patients in the lowest quartile of income who were also in the longest quartile of travel time by bus had an increased OR of clinic non-arrival compared with patients in the lowest quartile of income and shortest quartile of travel time by bus (1.55; P<0.01). Similarly, patients in the lowest quartile of income who were also in the longest quartile of travel time by car had an increased OR of clinic non-arrival compared with patients in the lowest quartile of income and shortest quartile of travel time by car (1.21, respectively; P<0.01).

conclusionsClinic non-arrival is associated with the interaction of longer travel time and lower income.

Indexed as

Appointments and SchedulesPediatricsAdolescentChildChild, PreschoolDatabases, FactualFemaleHumansInfantMaleRetrospective StudiesSocial ClassTransportationambulatory carehealth services researchprimary care

Identifiers

PMID29175854
PMCPMC8063503
OpenAlexW2770113078

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.