Dolinsky Diana H, Armstrong Sarah C, Østbye Truls
Duke University Medical Center, Durham, NC 27710, USA.
Clin Pediatr (Phila). 2012 Dec;51(12):1168-74. doi: 10.1177/0009922812458355. Epub 2012 Aug 30.
To assess the predictors of attrition from a clinical pediatric obesity treatment program.
We evaluated 2- through 20-year-old patients first seen at the Duke University Healthy Lifestyles Program between October 2006 and December 2008. We assessed the predictors of early dropout (not returning for any follow-up visits within 1 year) and of noncompletion (not attending at least 6 visits within 1 year after entry).
The sample included 983 patients. In adjusted analyses, non-white non-Hispanic children were more likely to be early dropouts than white non-Hispanic children (odds ratio [OR] = 1.46, 95% confidence interval [CI] = 1.03-2.07). Non-white non-Hispanic children were more likely to be noncompleters than white non-Hispanic (OR = 1.56, 95% CI = 1.03-2.36) and Hispanic children (OR = 2.56, 95% CI = 1.34-4.90).
Race/ethnicity predicted patient attrition. Investigation into this association and program modification are needed to reduce attrition in certain racial/ethnic groups.
评估临床儿科肥胖治疗项目中患者流失的预测因素。
我们对2006年10月至2008年12月期间首次就诊于杜克大学健康生活方式项目的2至20岁患者进行了评估。我们评估了早期退出（1年内未进行任何随访）和未完成治疗（入组后1年内就诊次数少于6次）的预测因素。
样本包括983名患者。在调整分析中，非白人非西班牙裔儿童比白人非西班牙裔儿童更有可能早期退出（优势比[OR]=1.46，95%置信区间[CI]=1.03 - 2.07）。非白人非西班牙裔儿童比白人非西班牙裔儿童（OR = 1.56，95% CI = 1.03 - 2.36）和西班牙裔儿童（OR = 2.56，95% CI = 1.34 - 4.90）更有可能未完成治疗。
种族/族裔可预测患者流失情况。需要对这种关联进行调查并修改项目，以减少某些种族/族裔群体的流失。
