Evidence map›Paper›PMID 35244200›Full record

ArticleDevelopmental medicine and child neurology2022

Non-attendance at outpatient clinic appointments by children with cerebral palsy.

Simon P Paget, Sarah McIntyre, Shona Goldsmith, Katarina Ostojic, Jane Shrapnel, Francisco Schneuer, Mary-Clare Waugh, Maria Kyriagis, Natasha Nassar

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Developmental medicine and child neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

9 authors.

Simon P PagetFaculty of Medicine and Health, The Children's Hospital at Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-6605-3330
Sarah McIntyreSpecialty of Child & Adolescent Health, Sydney Medical School, Faculty of Medicine & Health, Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-0234-1541
Shona GoldsmithSpecialty of Child & Adolescent Health, Sydney Medical School, Faculty of Medicine & Health, Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-3903-6142
Katarina OstojicSpecialty of Child & Adolescent Health, Sydney Medical School, Faculty of Medicine & Health, Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-6436-4936
Jane ShrapnelThe Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Francisco SchneuerFaculty of Medicine and Health, The Children's Hospital at Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia.
Mary-Clare WaughFaculty of Medicine and Health, The Children's Hospital at Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia.
Maria KyriagisSydney Children's Hospital, Randwick, New South Wales, Australia.
Natasha NassarFaculty of Medicine and Health, The Children's Hospital at Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo determine factors that influence non-attendance at outpatient clinics by children with cerebral palsy (CP).

methodThis was a retrospective cohort study of 1395 children with CP (59.6% male; born 2005 to 2017) identified from the New South Wales (NSW)/Australian Capital Territory CP Register, who had scheduled appointments at outpatient clinics at two NSW tertiary paediatric hospitals between 2012 and 2019. Associations between sociodemographic, clinical, and process-of-care factors and non-attendance were examined using multivariate logistic regression with generalized estimating equations.

resultsA total of 5773 (12%) of 50 121 scheduled outpatient days were not attended. Non-attendance increased over time (average increase 5.6% per year, 95% confidence interval [CI]: 3.7-7.3). Older children aged 5 to 9 years (adjusted odds ratio [aOR] 1.11; 95% CI: 1.02-1.22) and 10 to 14 years (aOR 1.17; 95% CI: 1.03-1.34), socioeconomic disadvantage (aOR 1.29; 95% CI: 1.11-1.50), previous non-attendance (aOR 1.38; 95% CI: 1.23-1.53), and recent rescheduled or cancelled appointments (aOR 1.08; 95% CI: 1.01-1.16) were associated with increased likelihood of non-attendance.

interpretationOne in eight outpatient appointments for children with CP were not attended. Non-attendance was associated with increasing age, socioeconomic disadvantage, previous non-attendance, and recent rescheduled or cancelled appointments. Identifying specific barriers and interventions to improve access to outpatient services for these groups is needed. WHAT THIS PAPER ADDS: Twelve per cent of scheduled appointments for children with cerebral palsy are not attended. Proportions of appointments not attended has increased over the last decade. Increasing age and socioeconomic disadvantage increase the likelihood of non-attendance. Previous non-attendance and recent cancelled or rescheduled appointments increase the likelihood of further non-attendance.

Indexed as

Cerebral PalsyAdolescentAmbulatory Care FacilitiesAppointments and SchedulesAustraliaChildFemaleHumansMaleRetrospective Studies

Identifiers

PMID35244200
PMCPMC9545710

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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.