Evidence map›Paper›PMID 38403099›Full record

Trial reportAmerican journal of ophthalmology2024

Effect of a Patient Portal Reminder Message After No-Show on Appointment Reattendance in Ophthalmology: A Randomized Clinical Trial.

Sarah Atta, Richard B Brown, Lauren M Wasser, Natasha Mayer, Julie Cassidy, Peggy J Liu, Andrew M Williams

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
11.9field-weighted citation impact, top 1% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Loss to follow-up and increase in cup-to-disc ratio among glaucoma patients in the IRIS Registry.Canadian journal of ophthalmology. Journal canadien d'ophtalmologie · 2026
    Article
  3. Article
  4. A Review of Recent Developments in Artificial Intelligence and Big Data Technologies for Ophthalmology Referrals and Clinical Practice.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. 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

7 authors at 2 institutions in 2 countries.

Sarah AttaFrom the Department of Ophthalmology (S.A., R.B., L.W., N.M., J.C., A.W.,), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; Cleveland Clinic (S.A.), Cole Eye Institute, Cleveland, Ohio, USA.
Richard B BrownFrom the Department of Ophthalmology (S.A., R.B., L.W., N.M., J.C., A.W.,), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Lauren M WasserFrom the Department of Ophthalmology (S.A., R.B., L.W., N.M., J.C., A.W.,), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; Department of Ophthalmology, Shaare Zedek Medical Center (L.W.), Hebrew University, Hadassah School of Medicine, Jerusalem, Israel.
Natasha MayerFrom the Department of Ophthalmology (S.A., R.B., L.W., N.M., J.C., A.W.,), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Julie CassidyFrom the Department of Ophthalmology (S.A., R.B., L.W., N.M., J.C., A.W.,), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Peggy J LiuDepartment of Business Administration - Marketing and Business Economics Area, Joseph M. Katz Graduate School of Business (P.L.), University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Andrew M WilliamsFrom the Department of Ophthalmology (S.A., R.B., L.W., N.M., J.C., A.W.,), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. Electronic address: williamsam14@upmc.edu.
University of Pittsburgh · USCleveland Clinic · US

Funding

Virus Production and Manipulation of Protein/Gene Expression ModuleP30EY008098 · NEI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Yuanyuan Chen · 1989 to 2026
$17.8M
NEI NIH HHS P30 EY008098
6 · The paper itself

Abstract

purposeTo assess the efficacy of electronic health record (EHR) messaging for re-engaging patients with ophthalmology care after a missed appointment.

designProspective, randomized clinical trial.

methodsThe study setting was an academic ophthalmology department. The patient population comprised of return patients age 18 years or older with an appointment "no show," or missed appointment. Over 2 phases of recruitment, 362 patients with an active patient portal in the EHR were selected consecutively each business day. Patients were randomized using a web-based tool to receive a reminder to reschedule via a standard mailed letter only (control) or the mailed letter plus an electronic message through the EHR within 1 business day of the missed appointment (intervention). Reengagement with eye care was defined as attendance of a rescheduled appointment within 30 days of the no-show visit. Patient charts were reviewed for demographic and clinical data.

resultsThe average age of recruited patients was 59.9 years, just under half of the sample was male (42.5%, 154/362), and most patients were White (56.9%, 206/362) or Black (36.2%, 131/362). Patients were most commonly recruited from the retina service (39.2%, 142/362) followed by the glaucoma service (29.3%, 106/362). Many patients in this study had previous no-show appointments, with an average no-show rate of 18.8% out of all scheduled visits across our health system. In total, 22.2% (42/189) of patients in the intervention group attended a follow-up appointment within 30 days of their no-show visit compared to 11.6% (20/173) of the control group (OR, 2.186; 95% CI, 1.225-3.898; P = .008). When including only the 74 patients in the intervention group who read the intervention message in the patient portal, 28.4% (21/74) attended a follow-up compared to 11.6% (20/173) of the control group (P = .001).

conclusionsEHR-based reminder messages sent within a business day of a missed appointment may promote re-engagement in ophthalmology care after appointment no-show.

Indexed as

Appointments and SchedulesNo-Show PatientsOphthalmologyPatient PortalsReminder SystemsAdultAgedElectronic Health RecordsFemaleHumansMaleMiddle AgedPatient ComplianceProspective Studies

Identifiers

PMID38403099
PMCPMC11162931
OpenAlexW4392094750

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.