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

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

SUBMITTER: Pence BW 

PROVIDER: S-EPMC6330260 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature