Who Will Show? Predicting Missed Visits Among Patients in Routine HIV Primary Care in the United States

AIDS and Behavior
Brian W PenceMichael J Mugavero

Abstract

Missed HIV medical visits predict poor clinical outcomes. We sought to identify patients at high risk of missing visits. We analyzed 2002-2014 data from six large US HIV clinics. At each visit, we predicted the likelihood of missing the next scheduled visit using demographic, clinical, and patient-reported psychosocial variables. Overall, 10,374 participants contributed 105,628 HIV visits. For 17% of visits, the next scheduled appointment was missed. The strongest predictor of a future missed visit was past-year missed visits. A model with only this predictor had area under the receiver operator curve = 0.65; defining "high risk" as those with any past-year missed visits had 73% sensitivity and 51% specificity in correctly identifying a future missed visit. Inclusion of other clinical and psychosocial predictors only slightly improved performance. Past visit attendance can identify those at increased risk for future missed visits, allowing for proactive allocation of resources to those at greatest risk.

References

Feb 1, 1994·Journal of General Internal Medicine·J Melnikow, C Kiefe
Jul 27, 2001·Journal of Clinical Epidemiology·E W SteyerbergJ D Habbema
Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Jul 1, 2006·Journal of Acquired Immune Deficiency Syndromes : JAIDS·K Rivet AmicoJeffrey D Fisher
May 8, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Thomas P GiordanoRobert O Morgan
Feb 12, 2008·International Journal of Epidemiology·Mari M KitahataMichael S Saag
Dec 17, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Michael J MugaveroJeroan J Allison
Sep 23, 2010·AIDS Patient Care and STDs·Michael J MugaveroThomas P Giordano
Nov 10, 2011·Journal of Behavioral Medicine·Lara TraegerSteven A Safren
Apr 26, 2012·Journal of Acquired Immune Deficiency Syndromes : JAIDS·John A FleishmanUNKNOWN HIV Research Network
Jul 26, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lytt I GardnerUNKNOWN Retention in Care Study Group
Sep 27, 2012·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Michael J MugaveroUNKNOWN Retention in Care (RIC) Study Group
Jun 26, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Michael J MugaveroMelanie A Thompson
May 20, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lytt I GardnerUNKNOWN Retention in Care Study Group
Aug 6, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Michael J MugaveroUNKNOWN Centers for AIDS Research Network of Integrated Clinical Systems (CNICS)
Feb 24, 2015·JAMA Internal Medicine·Jacek SkarbinskiJonathan H Mermin
May 11, 2017·AIDS Patient Care and STDs·Ank E NijhawanBarbara S Taylor

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Citations

Apr 15, 2020·Scientific Reports·Arthi RamachandranJessica P Ridgway
May 2, 2019·Open Forum Infectious Diseases·Emma Sophia KayMichael J Mugavero
Feb 11, 2020·International Journal of STD & AIDS·Merhawi T GebrezgiMary Jo Trepka
Oct 23, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Thibaut Davy-MendezJoseph J Eron
Nov 6, 2020·Journal of the American Medical Informatics Association : JAMIA·Tomasz OliwaJessica P Ridgway

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