Cancer risk assessment services are important for patient care; effective use requires appropriate provider referral, accurate scheduling processes, and completed attendance at booked appointments. Sociodemographic and clinical factors associated with gastrointestinal cancer (GIC)‐specific risk assessment appointments remain unstudied; therefore, we aimed to identify factors associated with appointment completion in a GIC risk assessment program at a tertiary academic center. Retrospective chart review was conducted on all patients scheduled for an appointment in the Gastrointestinal Cancer Risk Evaluation Program (GI‐CREP) between January 2016 and December 2017. Data collected included demographic and clinical factors. Chi‐square and Wilcoxon's rank‐sum tests compared variables among patients based on the study outcome of whether a GI‐CREP appointment was completed; marginal standardization was used to predict the standardized percentage of patients that had appointment completion. A total of 676 patients had a scheduled GI‐CREP appointment; 32 individuals were excluded due to incomplete information or scheduling error, resulting in 644 patients available for final analysis. Our study population was predominantly female (61%), White (77%), and married (64%), had private healthcare insurance (76%), and lacked a personal history of cancer (60%). Referrals internal to the healthcare system were most common (77%), with gastroenterologists as the most frequent referring provider (42%). Seventy‐five percent of scheduled individuals had appointment completion, while 25% of individuals did not. Independent predictors for an incomplete GI‐CREP appointment included Medicaid insurance (OR 2.45, 95% CI 1.21–4.28, p  = .01), self‐identified Black race (OR 1.97, 95% CI: 1.20–3.25, p  = .008), and personal history of cancer (OR 1.60, 95% CI 1.11–2.31, p  = .01). These data highlight existing disparities in GIC risk assessment appointment completion associated with race, health insurance coverage, and medical status. Further studies of these areas are necessary to ensure equitable access to important GIC risk assessment services.

中文翻译：

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社会人口统计学和临床​​因素与胃肠道癌症风险评估预约完成的关联。

癌症风险评估服务对于患者护理非常重要；有效的使用需要适当的提供者推荐、准确的安排流程以及完成预约。与胃肠道癌（GIC）特定风险评估预约相关的社会人口学和临床因素仍未得到研究；因此，我们的目的是确定与高等教育学术中心 GIC 风险评估计划中预约完成相关的因素。对 2016 年 1 月至 2017 年 12 月期间计划预约参加胃肠癌风险评估计划 (GI-CREP) 的所有患者进行了回顾性图表审查。收集的数据包括人口统计和临床因素。卡方和 Wilcoxon 的秩和检验根据 GI-CREP 预约是否完成的研究结果比较了患者之间的变量；边际标准化用于预测完成预约的患者的标准化百分比。共有 676 名患者进行了 GI-CREP 预约；由于信息不完整或时间安排错误而排除了 32 名患者，最终有 644 名患者可供分析。我们的研究人群主要是女性（61%）、白人（77%）和已婚（64%），拥有私人医疗保险（76%），并且没有个人癌症史（60%）。医疗保健系统内部转诊最为常见 (77%)，其中胃肠病专家是最常见的转诊提供者 (42%)。75% 的预定人员完成了预约，而 25% 的人员没有完成。不完整 GI-CREP 预约的独立预测因素包括医疗补助保险（OR 2.45，95% CI 1.21–4.28，p  = .01）、自我认定的黑人种族（OR 1.97，95% CI：1.20–3.25，p  = .008） ）和个人癌症史（OR 1.60，95% CI 1.11–2.31，p  = .01）。这些数据突显了 GIC 风险评估预约完成情况与种族、健康保险覆盖范围和医疗状况相关的现有差异。有必要对这些领域进行进一步研究，以确保公平获得重要的 GIC 风险评估服务。