Patient “No-Show” Increases the Risk of 90-Day Complications Following Primary Total Knee Arthroplasty: A Retrospective Cohort Study of 6,776 Patients
Patients who “no-show” (NS) clinical appointments are at a high risk of adverse health outcomes. The objective of this study was to evaluate and characterize the relationship between NS visits prior to primary total knee arthroplasty (TKA) and 90-day complications after TKA. We retrospectively revie...
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| Veröffentlicht in: | The Journal of arthroplasty 2023-12, Vol.38 (12), p.2587-2591.e2 |
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| container_title | The Journal of arthroplasty |
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| creator | Mun, Jeffrey S. Parry, Matthew W. Tang, Alex Manikowski, Jesse J. Crinella, Cory Mercuri, John J. |
| description | Patients who “no-show” (NS) clinical appointments are at a high risk of adverse health outcomes. The objective of this study was to evaluate and characterize the relationship between NS visits prior to primary total knee arthroplasty (TKA) and 90-day complications after TKA.
We retrospectively reviewed 6,776 consecutive patients undergoing primary TKA. Study groups were separated based on whether patients who NS versus always attended their appointment. A NS was defined as an intended appointment that was not canceled or rescheduled ≤2 hours before the appointment in which the patient did not show. Data collected included total number of follow-up appointments prior to surgery, patient demographics, comorbidities, and 90-day postoperative complications.
Patients who have ≥3 NS appointments had 1.5 times increased odds of a surgical site infection (odds ratio (OR) 1.54, P = .002) compared to always attended patients. Patients who were ≤65 years old (OR: 1.41, P < .001), smokers (OR: 2.01, P < .001), and had a Charlson comorbidity index ≥3 (OR: 4.48, P |
| doi_str_mv | 10.1016/j.arth.2023.05.089 |
| format | Article |
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We retrospectively reviewed 6,776 consecutive patients undergoing primary TKA. Study groups were separated based on whether patients who NS versus always attended their appointment. A NS was defined as an intended appointment that was not canceled or rescheduled ≤2 hours before the appointment in which the patient did not show. Data collected included total number of follow-up appointments prior to surgery, patient demographics, comorbidities, and 90-day postoperative complications.
Patients who have ≥3 NS appointments had 1.5 times increased odds of a surgical site infection (odds ratio (OR) 1.54, P = .002) compared to always attended patients. Patients who were ≤65 years old (OR: 1.41, P < .001), smokers (OR: 2.01, P < .001), and had a Charlson comorbidity index ≥3 (OR: 4.48, P < .001) were more likely to miss clinical appointments.
Patients who have ≥3 NS appointments prior to TKA had an increased risk for surgical site infection. Sociodemographic factors were associated with higher odds of missing a scheduled clinical appointment. These data suggest that orthopaedic surgeons should consider NS data as an important clinical decision-making tool to assess risk for postoperative complications to minimize complications following TKA.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2023.05.089</identifier><identifier>PMID: 37295624</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Arthroplasty, Replacement, Knee - adverse effects ; Comorbidity ; health disparities ; high-risk patients ; Humans ; no-show ; Patients ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; preoperative appointment ; Retrospective Studies ; Risk Factors ; Surgical Wound Infection - etiology ; total knee arthroplasty</subject><ispartof>The Journal of arthroplasty, 2023-12, Vol.38 (12), p.2587-2591.e2</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c307t-4df8eee00dbe0ae81cf0d4f7ee925a589ff25fa98cb8d1397cf1d26d40be0c463</cites><orcidid>0000-0002-5732-0422 ; 0000-0001-9515-4421 ; 0000-0001-7086-4355</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37295624$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mun, Jeffrey S.</creatorcontrib><creatorcontrib>Parry, Matthew W.</creatorcontrib><creatorcontrib>Tang, Alex</creatorcontrib><creatorcontrib>Manikowski, Jesse J.</creatorcontrib><creatorcontrib>Crinella, Cory</creatorcontrib><creatorcontrib>Mercuri, John J.</creatorcontrib><title>Patient “No-Show” Increases the Risk of 90-Day Complications Following Primary Total Knee Arthroplasty: A Retrospective Cohort Study of 6,776 Patients</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Patients who “no-show” (NS) clinical appointments are at a high risk of adverse health outcomes. The objective of this study was to evaluate and characterize the relationship between NS visits prior to primary total knee arthroplasty (TKA) and 90-day complications after TKA.
We retrospectively reviewed 6,776 consecutive patients undergoing primary TKA. Study groups were separated based on whether patients who NS versus always attended their appointment. A NS was defined as an intended appointment that was not canceled or rescheduled ≤2 hours before the appointment in which the patient did not show. Data collected included total number of follow-up appointments prior to surgery, patient demographics, comorbidities, and 90-day postoperative complications.
Patients who have ≥3 NS appointments had 1.5 times increased odds of a surgical site infection (odds ratio (OR) 1.54, P = .002) compared to always attended patients. Patients who were ≤65 years old (OR: 1.41, P < .001), smokers (OR: 2.01, P < .001), and had a Charlson comorbidity index ≥3 (OR: 4.48, P < .001) were more likely to miss clinical appointments.
Patients who have ≥3 NS appointments prior to TKA had an increased risk for surgical site infection. Sociodemographic factors were associated with higher odds of missing a scheduled clinical appointment. These data suggest that orthopaedic surgeons should consider NS data as an important clinical decision-making tool to assess risk for postoperative complications to minimize complications following TKA.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Knee - adverse effects</subject><subject>Comorbidity</subject><subject>health disparities</subject><subject>high-risk patients</subject><subject>Humans</subject><subject>no-show</subject><subject>Patients</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>preoperative appointment</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgical Wound Infection - etiology</subject><subject>total knee arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFuEzEYhC1ERdPCC3BAPnJgt7Z3vetFXKJAoWoFVVvOlmP_Jg6b9WI7rXLrc1Twcn2SOkrgyOm_zHya-Qeh15SUlNDmZFmqkBYlI6wqCS-J6J6hCeUVK0RNmudoQoSoCl6T6hAdxbgkhFLO6xfosGpZxxtWT9DDpUoOhoQf739_9cX1wt893v_BZ4MOoCJEnBaAr1z8ib3FHSk-qg2e-dXYO52Nfoj41Pe9v3PDD3wZ3EqFDb7xSfX4fADA0xww-LFXMW3e4ym-ghR8HEEndwsZtPAh4eu0Npstv3nXtg3eJ4ov0YFVfYRX-3uMvp9-upl9KS6-fT6bTS8KXZE2FbWxAgAIMXMgCgTVlpjatgAd44qLzlrGreqEngtDq67VlhrWmJpkva6b6hi93XHH4H-tISa5clFD36sB_DpKJljddLSlLEvZTqpzixjAynHXWVIit5vIpdxuIrebSMJl3iSb3uz56_kKzD_L3xGy4MNOALnlrYMgo84f0GBcyJ-Sxrv_8Z8AqMChVA</recordid><startdate>202312</startdate><enddate>202312</enddate><creator>Mun, Jeffrey S.</creator><creator>Parry, Matthew W.</creator><creator>Tang, Alex</creator><creator>Manikowski, Jesse J.</creator><creator>Crinella, Cory</creator><creator>Mercuri, John J.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5732-0422</orcidid><orcidid>https://orcid.org/0000-0001-9515-4421</orcidid><orcidid>https://orcid.org/0000-0001-7086-4355</orcidid></search><sort><creationdate>202312</creationdate><title>Patient “No-Show” Increases the Risk of 90-Day Complications Following Primary Total Knee Arthroplasty: A Retrospective Cohort Study of 6,776 Patients</title><author>Mun, Jeffrey S. ; Parry, Matthew W. ; Tang, Alex ; Manikowski, Jesse J. ; Crinella, Cory ; Mercuri, John J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-4df8eee00dbe0ae81cf0d4f7ee925a589ff25fa98cb8d1397cf1d26d40be0c463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Knee - adverse effects</topic><topic>Comorbidity</topic><topic>health disparities</topic><topic>high-risk patients</topic><topic>Humans</topic><topic>no-show</topic><topic>Patients</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>preoperative appointment</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Surgical Wound Infection - etiology</topic><topic>total knee arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mun, Jeffrey S.</creatorcontrib><creatorcontrib>Parry, Matthew W.</creatorcontrib><creatorcontrib>Tang, Alex</creatorcontrib><creatorcontrib>Manikowski, Jesse J.</creatorcontrib><creatorcontrib>Crinella, Cory</creatorcontrib><creatorcontrib>Mercuri, John J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mun, Jeffrey S.</au><au>Parry, Matthew W.</au><au>Tang, Alex</au><au>Manikowski, Jesse J.</au><au>Crinella, Cory</au><au>Mercuri, John J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient “No-Show” Increases the Risk of 90-Day Complications Following Primary Total Knee Arthroplasty: A Retrospective Cohort Study of 6,776 Patients</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2023-12</date><risdate>2023</risdate><volume>38</volume><issue>12</issue><spage>2587</spage><epage>2591.e2</epage><pages>2587-2591.e2</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Patients who “no-show” (NS) clinical appointments are at a high risk of adverse health outcomes. The objective of this study was to evaluate and characterize the relationship between NS visits prior to primary total knee arthroplasty (TKA) and 90-day complications after TKA.
We retrospectively reviewed 6,776 consecutive patients undergoing primary TKA. Study groups were separated based on whether patients who NS versus always attended their appointment. A NS was defined as an intended appointment that was not canceled or rescheduled ≤2 hours before the appointment in which the patient did not show. Data collected included total number of follow-up appointments prior to surgery, patient demographics, comorbidities, and 90-day postoperative complications.
Patients who have ≥3 NS appointments had 1.5 times increased odds of a surgical site infection (odds ratio (OR) 1.54, P = .002) compared to always attended patients. Patients who were ≤65 years old (OR: 1.41, P < .001), smokers (OR: 2.01, P < .001), and had a Charlson comorbidity index ≥3 (OR: 4.48, P < .001) were more likely to miss clinical appointments.
Patients who have ≥3 NS appointments prior to TKA had an increased risk for surgical site infection. Sociodemographic factors were associated with higher odds of missing a scheduled clinical appointment. These data suggest that orthopaedic surgeons should consider NS data as an important clinical decision-making tool to assess risk for postoperative complications to minimize complications following TKA.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37295624</pmid><doi>10.1016/j.arth.2023.05.089</doi><orcidid>https://orcid.org/0000-0002-5732-0422</orcidid><orcidid>https://orcid.org/0000-0001-9515-4421</orcidid><orcidid>https://orcid.org/0000-0001-7086-4355</orcidid></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Arthroplasty, Replacement, Knee - adverse effects Comorbidity health disparities high-risk patients Humans no-show Patients Postoperative Complications - epidemiology Postoperative Complications - etiology preoperative appointment Retrospective Studies Risk Factors Surgical Wound Infection - etiology total knee arthroplasty |
| title | Patient “No-Show” Increases the Risk of 90-Day Complications Following Primary Total Knee Arthroplasty: A Retrospective Cohort Study of 6,776 Patients |
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