Demographic factors associated with missed follow-up among solid tumor patients treated at a large multi-site academic institution

To identify demographic predictors of patients who miss oncology follow-up, considering that missed follow-up has not been well studies in cancer patients. Patients with solid tumors diagnosed from 2007 to 2016 were analyzed (n = 16,080). Univariate and multivariable logistic regression models were...

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Bibliographic Details
Published in:Future oncology (London, England) England), 2020-11, Vol.16 (32), p.2635-2643
Main Authors: Freije, Samantha L, Holmes, Jordan A, Rachidi, Saleh, Ellsworth, Susannah G, Zellars, Richard C, Lautenschlaeger, Tim
Format: Article
Language:English
Subjects:
African Americans
Age
Cancer
Family income
follow-up
Gender
Health care policy
Medicaid
Medical records
Medicare
missed appointment
no-show
Patients
Population
Rural areas
survivorship
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Summary:To identify demographic predictors of patients who miss oncology follow-up, considering that missed follow-up has not been well studies in cancer patients. Patients with solid tumors diagnosed from 2007 to 2016 were analyzed (n = 16,080). Univariate and multivariable logistic regression models were constructed to examine predictors of missed follow-up. Our study revealed that 21.2% of patients missed ≥1 follow-up appointment. African–American race (odds ratio [OR] 1.33; 95% CI: 1.17–1.51), Medicaid insurance (OR 1.59; 1.36–1.87), no insurance (OR 1.66; 1.32–2.10) and rural residence (OR 1.78; 1.49–2.13) were associated with missed follow-up. Many cancer patients miss follow-up, and inadequate follow-up may influence cancer outcomes. Further research is needed on how to address disparities in follow-up care in high-risk patients.
ISSN:1479-6694
1744-8301
DOI:10.2217/fon-2020-0425