Non-attendance Prediction Models to Pediatric Outpatient Appointments

NCT ID: NCT06077630

Last Updated: 2023-11-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

300000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-01-01

Study Completion Date

2018-12-31

Brief Summary

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Non-attendance to pediatric outpatient appointments is a frequent and relevant public health problem.

Using different approaches it is possible to build non-attendance predictive models and these models can be used to guide strategies aimed at reducing no-shows. However, predictive models have limitations and it is unclear which is the best method to generate them. Regardless of the strategy used to build the predictive model, discrimination, measured as area under the curve, has a ceiling around 0.80. This implies that the models do not have a 100% discrimination capacity for no-show and therefore, in a proportion of cases they will be wrong. This classification error limits all models diagnostic performance and therefore, their application in real life situations. Despite all this, the limitations of predictive models are little explored.

Taking into account the negative effects of non-attendance, the possibility of generating predictive models and using them to guide strategies to reduce non-attendance, we propose to generate non-attendance predictive models for outpatient appointments using traditional logistic regression and machine learning techniques, evaluate their diagnostic performance and finally, identify and characterize the population misclassified by predictive models.

Detailed Description

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Conditions

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Non-Attendance, Patient No-Show Patients

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Attended appointments

An appointment scheduled by a patient that was attended

No intervention

Intervention Type OTHER

There is no intervention, observational study

Not-attended appointments

An appointment scheduled by a patient that was not-attended, regardless of the cause

No intervention

Intervention Type OTHER

There is no intervention, observational study

Interventions

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No intervention

There is no intervention, observational study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* pediatric outpatient appointments

Exclusion Criteria

* appointments generated for system benchmarking or appointments with missing data
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital General de Niños Pedro de Elizalde

OTHER

Sponsor Role lead

Responsible Party

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Mariano Esteban Ibarra

Staff Pediatrician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mariano Ibarra, MD, Mag

Role: PRINCIPAL_INVESTIGATOR

Hospital General de Niños Pedro de Elizalde

Diego H Giunta, MD, MPH, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Italiano de Buenos Aires

Arda Yilal, Engineer

Role: PRINCIPAL_INVESTIGATOR

Karolinska Institutet

Leticia Peroni, MD, Mag

Role: PRINCIPAL_INVESTIGATOR

Hospital Italiano de Buenos Aires

Lucia Perez, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Italiano de Buenos Aires

Other Identifiers

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4084

Identifier Type: -

Identifier Source: org_study_id

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