Evidence map›Paper›PMID 30081907›Full record

ArticleBMC health services research2018

Improvement of appointment compliance in an underserved lupus clinic.

Anand Kumthekar, Beverly Johnson

Abstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Anand KumthekarDivision of Rheumatology, Montefiore Medical Center/ Albert Einstein College of Medicine, 1776 Eastchester Road, Fl. 2, Suite 260, Bronx, NY, 10461, USA. anand.kumthekar@gmail.com.ORCID 0000-0001-7374-5837
Beverly JohnsonDivision of Rheumatology, Jacobi Medical Center/Albert Einstein College of Medicine, 1400 Pelham Parkway, 3N21, Bronx, NY, 10461, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo identify major obstacles to appointment compliance and quantify a measurable effect of a simple phone call intervention on the clinic show rate.

methodsWe retrospectively looked at the show rates from November 1st, 2013 to June 30th, 2014 at our Lupus clinic, which is located in Bronx, NY. The scheduled patient chart was crosschecked if the patient made it to the appointment by verifying the provider note. A patient survey was implemented over a period of 8 weeks from July 1st, 2014 to August 12th, 2014. A reminder phone call intervention 2-3 days prior to the visit was planned. The intervention was implemented from September 1st, 2014 to April 30th, 2015. Data was analyzed after the end of the intervention period.

resultsIn the pre-intervention period, our clinic show-rate was 207/352 (58.8%) The pilot survey had a total of 43 responses. The most common reason for a missed appointment was 'forgot about the appointment' (45.5%). Reminder phone calls were the preferred intervention (76.74%), which patients' thought might help to keep scheduled appointments. In the intervention period, 283 of the scheduled 378 appointments were completed (74.8) in the lupus clinic. The difference in the show rate before and after the intervention by Pearson's Chi-squared test with Yates continuity correction was statistically significant with a p-value of 0.0062.

conclusionA simple telephone call reminder significantly improves clinic show rates in an underserved Lupus clinic, which can help improve health parameters in the Lupus population.

Indexed as

Appointments and SchedulesReminder SystemsAdultAmbulatory Care FacilitiesChi-Square DistributionHumansLupus Erythematosus, SystemicPatient ComplianceRetrospective StudiesSurveys and QuestionnairesTelephoneClinic show rateSystemic lupus erythematosus (SLE)Telephone reminderUnderserved clinic

Identifiers

PMID30081907
PMCPMC6080390

What OpenQuestion holds

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Registered trials

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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.