PMID- 33674280 OWN - NLM STAT- MEDLINE DCOM- 20210630 LR - 20211217 IS - 2052-4897 (Electronic) IS - 2052-4897 (Linking) VI - 9 IP - 1 DP - 2021 Mar TI - Factors associated with missed appointments by adults with type 2 diabetes mellitus: a systematic review. LID - 10.1136/bmjdrc-2020-001819 [doi] LID - e001819 AB - Keeping regular medical appointments is a key indicator of patient engagement in diabetes care. Nevertheless, a significant proportion of adults with type 2 diabetes mellitus (T2DM) miss their regular medical appointments. In order to prevent and delay diabetes-related complications, it is essential to understand the factors associated with missed appointments among adults with T2DM. We synthesized evidence concerning factors associated with missed appointments among adults with T2DM. Using five electronic databases, including PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, PsycINFO and Web of Science, a systematic literature search was done to identify studies that describe factors related to missed appointments by adults with T2DM. A total of 18 articles met the inclusion criteria. The majority of studies included in this review were cohort studies using medical records. While more than half of the studies were of high quality, the operational definitions of missed appointments varied greatly across studies. Factors associated with missed appointments were categorized as patient characteristics, healthcare system and provider factors and interpersonal factors with inconsistent findings. Patient characteristics was the most commonly addressed category, followed by health system and provider factors. Only three studies addressed interpersonal factors, two of which were qualitative. An increasing number of people live with one or more chronic conditions which require more careful attention to patient-centered care and support. Future research is warranted to address interpersonal factors from patient perspectives to better understand the underlying causes of missed appointments among adults with T2DM. CI - (c) Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Sun, Chun-An AU - Sun CA AUID- ORCID: 0000-0003-1759-3685 AD - School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA casun@jhu.edu. FAU - Taylor, Kathryn AU - Taylor K AD - School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA. FAU - Levin, Scott AU - Levin S AD - Emergency Medicine, Johns Hopkins University, Baltimore, Maryland, USA. AD - Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore, Maryland, USA. FAU - Renda, Susan M AU - Renda SM AD - School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA. FAU - Han, Hae-Ra AU - Han HR AD - School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA. AD - Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA. LA - eng GR - F31 NR019461/NR/NINR NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review PL - England TA - BMJ Open Diabetes Res Care JT - BMJ open diabetes research & care JID - 101641391 SB - IM MH - Adult MH - *Diabetes Complications MH - *Diabetes Mellitus, Type 2/therapy MH - Humans PMC - PMC7938983 OTO - NOTNLM OT - diabetes mellitus OT - patient-centered care OT - type 2 COIS- Competing interests: None declared. EDAT- 2021/03/07 06:00 MHDA- 2021/07/01 06:00 PMCR- 2021/03/05 CRDT- 2021/03/06 05:34 PHST- 2020/08/06 00:00 [received] PHST- 2020/12/19 00:00 [revised] PHST- 2021/01/24 00:00 [accepted] PHST- 2021/03/06 05:34 [entrez] PHST- 2021/03/07 06:00 [pubmed] PHST- 2021/07/01 06:00 [medline] PHST- 2021/03/05 00:00 [pmc-release] AID - 9/1/e001819 [pii] AID - bmjdrc-2020-001819 [pii] AID - 10.1136/bmjdrc-2020-001819 [doi] PST - ppublish SO - BMJ Open Diabetes Res Care. 2021 Mar;9(1):e001819. doi: 10.1136/bmjdrc-2020-001819.