Article ; Online: Predictor Variables Associated With Dermatology Referral Completion and the Impact on Surgical Treatment: A Retrospective Cohort Study.
Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.
2023 Volume 50, Issue 1, Page(s) 28–34
Abstract: Background: Delays or failure to complete a dermatologic referral may affect health care outcomes. Factors associated with these delays remain understudied.: Objective: This study investigated socioeconomic and demographic factors associated with ... ...
Abstract | Background: Delays or failure to complete a dermatologic referral may affect health care outcomes. Factors associated with these delays remain understudied. Objective: This study investigated socioeconomic and demographic factors associated with delays or failure to complete dermatology referrals and potential impact on surgical outcomes. Methods: A retrospective chart review was performed for 400 patients internally referred to an academic dermatology center from 19 primary-care clinics from July 2018 to June 2019. Only patients referred after an in-person primary-care visit in which the provider documented a specific concerning lesion were included. Multivariate analyses were performed to explore variables associated with delays or failure to complete dermatology referrals. Results: Patients were more likely to complete their referral if they had a personal history (adjusted odds ratio [aOR] = 7.843, 95% CI 1.383-14.304) or family history (aOR = 11.307, 95% CI 2.344-20.27) of skin cancer. Patients were more likely to delay referral completion past 30 days if they were ages 18 to 34 (aOR = 6.665, 95% CI 1.285-12.044) and less likely to delay referral past 30 days if they had a previous history of skin cancer (aOR = 0.531, 95% CI 0.181-0.882). Limitations: Single institution, retrospective study, limited surgical patients. Conclusion: Understanding factors associated with delays in dermatology referral completion can help identify at-risk patient populations. |
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MeSH term(s) | Humans ; Retrospective Studies ; Dermatology ; Skin Neoplasms/surgery ; Risk Factors ; Referral and Consultation |
Language | English |
Publishing date | 2023-11-08 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1227586-4 |
ISSN | 1524-4725 ; 1076-0512 |
ISSN (online) | 1524-4725 |
ISSN | 1076-0512 |
DOI | 10.1097/DSS.0000000000003989 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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