Cancellation of outpatient appointments in patients with attention-deficit/hyperactivity disorder.

<h4>Background</h4>Regular visit to psychiatric clinic is essential for successful treatment of any psychiatric condition including attention-deficit/hyperactivity disorder (AD/HD). However, cancellation of outpatient appointments in patients with AD/HD, which represents a significant me...

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Autores principales:	Kensuke Nomura, Ryosuke Tarumi, Kazunari Yoshida, Mitsuhiro Sado, Takefumi Suzuki, Masaru Mimura, Hiroyuki Uchida
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/34e4ece8fb3a488e9e1c26e9e6de91e8
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spelling	oai:doaj.org-article:34e4ece8fb3a488e9e1c26e9e6de91e82021-12-02T20:12:35ZCancellation of outpatient appointments in patients with attention-deficit/hyperactivity disorder.1932-620310.1371/journal.pone.0260431https://doaj.org/article/34e4ece8fb3a488e9e1c26e9e6de91e82021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0260431https://doaj.org/toc/1932-6203<h4>Background</h4>Regular visit to psychiatric clinic is essential for successful treatment of any psychiatric condition including attention-deficit/hyperactivity disorder (AD/HD). However, cancellation of outpatient appointments in patients with AD/HD, which represents a significant medical loss, has not been systematically investigated to our knowledge.<h4>Methods</h4>A systematic chart review was conducted for patients visiting the Shimada Ryoiku medical Center for Challenged Children in Japan at the age of ≤15 years from January to December 2013. The primary outcome measure was the cancellation rate, defined as the number of missed visits divided by the number of scheduled visits. The cancellation rates during 24 months after the first visit were compared between outpatients with AD/HD and other psychiatric disorders, including pervasive developmental disorders (PDD), and developmental coordination disorders and/or communication disorders (DCD-CD). A generalized linear model with binomial distribution was used to examine factors associated with cancellation rates exclusively in the AD/HD group.<h4>Results</h4>We included 589 patients (mean ± SD age, 5.6 ± 3.4 years; 432 males) in the analysis. The cancellation rate in patients with AD/HD was 12.3% (95% confidence interval [CI]: 10.0-15.1), which was significantly higher than in those with PDD (5.6%, 95% CI: 3.8-8.3) and DCD-CD (5.3%, 95% CI: 3.6-7.8). Prescriptions of osmotic-release oral system-methylphenidate (OROS-MPH) and antipsychotics were associated with fewer cancellations in AD/HD patients (odds ratios: 0.61, 95% CI: 0.39-0.95 and 0.49, 95% CI: 0.25-0.95, respectively), although these significances did not find in the subgroup analysis including only patients with ≥ 6 years old.<h4>Conclusions</h4>Patients with AD/HD were more likely to miss appointments compared to those with other psychiatric disorders. The impact of AD/HD medications as well as potential psychiatric symptoms of their parents or caregivers on appointment cancellations needs to be evaluated in more detail in future investigations.Kensuke NomuraRyosuke TarumiKazunari YoshidaMitsuhiro SadoTakefumi SuzukiMasaru MimuraHiroyuki UchidaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0260431 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kensuke Nomura Ryosuke Tarumi Kazunari Yoshida Mitsuhiro Sado Takefumi Suzuki Masaru Mimura Hiroyuki Uchida Cancellation of outpatient appointments in patients with attention-deficit/hyperactivity disorder.
description	<h4>Background</h4>Regular visit to psychiatric clinic is essential for successful treatment of any psychiatric condition including attention-deficit/hyperactivity disorder (AD/HD). However, cancellation of outpatient appointments in patients with AD/HD, which represents a significant medical loss, has not been systematically investigated to our knowledge.<h4>Methods</h4>A systematic chart review was conducted for patients visiting the Shimada Ryoiku medical Center for Challenged Children in Japan at the age of ≤15 years from January to December 2013. The primary outcome measure was the cancellation rate, defined as the number of missed visits divided by the number of scheduled visits. The cancellation rates during 24 months after the first visit were compared between outpatients with AD/HD and other psychiatric disorders, including pervasive developmental disorders (PDD), and developmental coordination disorders and/or communication disorders (DCD-CD). A generalized linear model with binomial distribution was used to examine factors associated with cancellation rates exclusively in the AD/HD group.<h4>Results</h4>We included 589 patients (mean ± SD age, 5.6 ± 3.4 years; 432 males) in the analysis. The cancellation rate in patients with AD/HD was 12.3% (95% confidence interval [CI]: 10.0-15.1), which was significantly higher than in those with PDD (5.6%, 95% CI: 3.8-8.3) and DCD-CD (5.3%, 95% CI: 3.6-7.8). Prescriptions of osmotic-release oral system-methylphenidate (OROS-MPH) and antipsychotics were associated with fewer cancellations in AD/HD patients (odds ratios: 0.61, 95% CI: 0.39-0.95 and 0.49, 95% CI: 0.25-0.95, respectively), although these significances did not find in the subgroup analysis including only patients with ≥ 6 years old.<h4>Conclusions</h4>Patients with AD/HD were more likely to miss appointments compared to those with other psychiatric disorders. The impact of AD/HD medications as well as potential psychiatric symptoms of their parents or caregivers on appointment cancellations needs to be evaluated in more detail in future investigations.
format	article
author	Kensuke Nomura Ryosuke Tarumi Kazunari Yoshida Mitsuhiro Sado Takefumi Suzuki Masaru Mimura Hiroyuki Uchida
author_facet	Kensuke Nomura Ryosuke Tarumi Kazunari Yoshida Mitsuhiro Sado Takefumi Suzuki Masaru Mimura Hiroyuki Uchida
author_sort	Kensuke Nomura
title	Cancellation of outpatient appointments in patients with attention-deficit/hyperactivity disorder.
title_short	Cancellation of outpatient appointments in patients with attention-deficit/hyperactivity disorder.
title_full	Cancellation of outpatient appointments in patients with attention-deficit/hyperactivity disorder.
title_fullStr	Cancellation of outpatient appointments in patients with attention-deficit/hyperactivity disorder.
title_full_unstemmed	Cancellation of outpatient appointments in patients with attention-deficit/hyperactivity disorder.
title_sort	cancellation of outpatient appointments in patients with attention-deficit/hyperactivity disorder.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/34e4ece8fb3a488e9e1c26e9e6de91e8
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Cancellation of outpatient appointments in patients with attention-deficit/hyperactivity disorder.

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