Orthopaedic trauma patient non-adherence to follow-up visits at a level 1 trauma center serving an urban and rural population.

To assess key demographic and psychosocial variables that may be associated with non-adherence to clinic visits following orthopaedic trauma injuries to patients in an urban and rural population. This retrospective review included all operative and non-operative patients presenting to a Level I academic trauma center serving an urban and rural population in the Midwest following an orthopaedic injury. The study tracked patient attendance to scheduled orthopaedic trauma follow-up clinic visits after a scheduled visit in the clinic following a trauma-related injury. Data were obtained for 5816 unique orthopaedic trauma patients who had 21,066 post-treatment follow-up visits scheduled. 1627 "no-show" appointments were recorded. Factors associated with no-shows included male sex, age between 26 and 35 years, self-reported race other than white, employment listed as disabled, household income below $25,000, education less than a high school level, uninsured, Medicaid insured, and relationship status reported as single. In the present study, key demographic and psychosocial factors were significantly associated with patient adherence to scheduled follow-up appointments after treatment for orthopaedic trauma. Identifying patients at higher risk for nonadherence will allow healthcare teams to educate patients, providers, and staff, link patients to resources to enhance adherence, and work with their institutions to develop and implement protocols for improving adherence to follow-up appointments.

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Déclaration de conflit d'intérêts

Conflicts of Interest and Source of Funding Emily Leary is on the editorial or governing board of JISAKOS and The Journal of Knee Surgery. Brett D. Crist is a board or committee member for AO Trauma North America: Board or committee member; receives IP royalties from Globus Medical; is a board or committee member for International Geriatric Fracture Society; is on the editorial or governing board for Journal of Hip Preservation; is on the editorial or governing board of Journal of Orthopaedic Trauma; is a paid presenter or speaker for KCI; has stock or stock options with Orthopaedic Implant Company; is a board or committee member with Orthopaedic Trauma Association; is an unpaid consultant for Osteocentric; has stock or stock options with RomTech; is on the editorial or governing board with SLACK Incorporated; receives publishing royalties, financial or material support from Springer; is a paid consultant and receives research support from Synthes. James L. Cook receives research support from AO Trauma; receives IP royalties, is a paid consultant and receives research support from Arthrex, Inc; receives research support from Collagen Matrix Inc; receives research support from DePuy, A Johnson & Johnson Company; is on the editorial or governing board for The Journal of Knee Surgery; is a board or committee member for Midwest Transplant Network; is a board or committee member, receives IP royalties and receives research support from Musculoskeletal Transplant Foundation; receives research support from National Institutes of Health (NIAMS & NICHD); receives research support from Orthopaedic Trauma Association; receives research support from Purina; receives research support from Regenosine; receives research support from SITES Medical; receives publishing royalties, financial or material support from Thieme; is a paid consultant for Trupanion; and receives research support from the U.S. Department of Defense. Kylee Rucinski has no conflicts of interest to disclose.