Evidence map›Paper›PMID 41741694›Full record

ArticleEye (London, England)2026

Characteristics of patients dismissed from a retina practice.

Olufemi E Adams, Roselind Ni, Bita Momenaei, Michael K Nguyen, Jose S Pulido, Jason Hsu

Abstract read
In one paragraph

Article in Eye (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Olufemi E AdamsWills Eye Hospital Retina Service, Mid Atlantic Retina, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-2016-2993
Roselind NiWills Eye Hospital Retina Service, Mid Atlantic Retina, Philadelphia, PA, USA.
Bita MomenaeiWills Eye Hospital Retina Service, Mid Atlantic Retina, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-5435-7369
Michael K NguyenWills Eye Hospital Retina Service, Mid Atlantic Retina, Philadelphia, PA, USA.
Jose S PulidoWills Eye Hospital Retina Service, Mid Atlantic Retina, Philadelphia, PA, USA.
Jason HsuWills Eye Hospital Retina Service, Mid Atlantic Retina, Philadelphia, PA, USA. jhsu@midatlanticretina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveTo evaluate the demographic, clinical, and behavioural characteristics associated with patient dismissals in a retina-only private practice. SUBJECTS/

methodsA Retrospective cohort study was conducted of all patients seen at a single-specialty retina practice over a seven-year period (N = 174,250), including 432 patients who were formally dismissed. Dismissed patients were compared to retained patients across demographic, clinical, and behavioural characteristics. Data on reasons for dismissal, diagnoses, and treatment history were collected and analysed.

resultsAmong 174,250 patients seen during the study period, 432 (0.25%) were dismissed. The most common reasons included noncompliance with medical recommendations (n = 260, 60.2%) and aggressive or inappropriate behaviour (n = 79, 18.2%). Compared to retained patients, dismissed patients were younger (mean of 55.9 vs. 66.3 years, p < 0.001), had lower average adjusted gross income based on zip code analysis ($93,124 vs. $109,431, p < 0.001), and higher social deprivation index (43.4 vs. 35.1, p < 0.001). Diabetic retinopathy was significantly more prevalent among dismissed patients (26.9% vs. 9.9%, p < 0.001). Multivariable analysis identified younger age and higher social deprivation index as independent predictors of dismissal due to violent behaviour (p < 0.05).

conclusionsWhile patient dismissals were infrequent, they disproportionately affected younger, socioeconomically disadvantaged patients and those with conditions requiring intensive management, such as diabetic retinopathy. Given the potential impact on patient care and outcomes, strategies aimed at improving compliance and addressing socioeconomic barriers may reduce dismissals and improve continuity of care.

Indexed as

No-Show PatientsPatient CompliancePrivate PracticeRetinal DiseasesAdultAgedAged, 80 and overDiabetic RetinopathyFemaleHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID41741694
PMCPMC13161359

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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.