Evidence map›Paper›PMID 41995605›Full record

ArticleClinical and translational gastroenterology2026

Predictors of Missed Appointments in Digestive Health: A Comparative Analysis of Telehealth and In-Person Visits.

Himesh B Zaver, Olivia Reszczynski, Aditya Singh, Tsola Efejuku, Robert Cutler, Alexander Podboy

Abstract readComparative Study
In one paragraph

Article in Clinical and translational gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Himesh B ZaverDivision of Gastroenterology and Hepatology, University of Virginia Health System, Charlottesville, Virginia, USA.ORCID 0000-0003-0978-5345
Olivia ReszczynskiDepartment of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Aditya SinghSchool of Medicine, University of Virginia, Charlottesville, Virginia, USA .
Tsola EfejukuDepartment of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Robert CutlerSchool of Medicine, University of Virginia, Charlottesville, Virginia, USA .
Alexander PodboyDivision of Gastroenterology and Hepatology, University of Virginia Health System, Charlottesville, Virginia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTelehealth access is integral to digestive health care. This study examined demographic, insurance, and social determinants of health associated with missed telehealth appointments, with secondary comparisons with missed in-person visits.

methodsA single-center cohort study of adult digestive health patients at the University of Virginia (2019-2024) was conducted. A total of 2,047 encounters were analyzed, including 1,356 telehealth visits (662 no-shows, 694 completed visits) and 691 in-person no-shows. Patient-level data were obtained from the electronic health record, and county-level broadband and socioeconomic data were derived from the Federal Communications Commission's Mapping Broadband Health in America platform. Multivariable logistic regression was used to estimate adjusted odds ratios (aORs) for factors associated with nonattendance.

resultsYounger age (aOR 0.97 per year increase, 95% CI 0.93-0.98), Black race (aOR 1.46, 95% CI 1.02-2.19), and Hispanic/Latino ethnicity (aOR 2.32, 95% CI 1.14-6.20) were independently associated with telehealth nonattendance, whereas Medicare coverage was associated with lower odds of missed telehealth visits (aOR 0.84, 95% CI 0.26-0.88). Patients new to the tertiary care center and those presenting for an initial subspecialty visit had higher odds of telehealth nonattendance. Nonattendance varied by clinic section, with higher odds observed in Fellow's, inflammatory bowel disease, and nutrition clinics and lower odds in hepatology and transplant clinics. In secondary analyses comparing telehealth and in-person no-shows, Black patients had lower odds of telehealth nonattendance relative to in-person nonattendance (aOR 0.61, 95% CI 0.44-0.84). County-level broadband access and socioeconomic measures did not differ significantly between cohorts. DISCUSSION: Disparities in digestive health appointment attendance persist across both telehealth and in-person care. Telehealth nonattendance was associated with patient demographic and health system factors, suggesting that telehealth expansion alone may not eliminate disparities in healthcare delivery. These findings highlight the importance of patient-level interventions and stable telehealth policies to support equitable access to digestive health care.

Indexed as

Appointments and SchedulesNo-Show PatientsTelemedicineAdultAgedDigital HealthFemaleHealthcare DisparitiesHealth Services AccessibilityHumansMaleMiddle AgedOffice VisitsSocial Determinants of HealthVirginiadigestive healthhealthcare deliveryhealth equitytelehealth

Identifiers

PMID41995605
PMCPMC13641659

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.