Saraiya Veeral M, Berkowitz Seth A, Johnston Larry F, Couper David J, Sotres-Alvarez Daniela, Lyons Kiira M, Thaxton Cheyenne K, Skinner Harlyn G, Samuel-Hodge Carmen D, Keyserling Thomas C
University of North Carolina at Chapell Hill, Chapell Hill, NC, USA.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241308054. doi: 10.1177/21501319241308054.
INTRODUCTION/OBJECTIVES: In the context of enrolling patients from primary care practices into a weight loss research study, this study describes the percentage of patients primary care clinicians (PCCs) considered appropriate for referral and study participation rates among those referred.
An electronic health record review identified 5322 patients aged 18 to 75 years with BMI ≥ 30 kg/m as eligible for review by community, attending, and resident PCCs for referral to a weight loss study. Referrals and patient interest in participating in the study are reported overall and by PCC type.
The mean (SD) age was 53.1 (13.9) years, mean BMI 36.5 (6.2) kg/m, 41.5% were male, and 30.9% were African American. PCCs reviewed 3882 patients and referred 2762 (71.1%) to the study. Of 1120 not referred, 260 (23.2%) were not known well enough by PCCs to assess for referral. The most common reasons for not referring included too much comorbidity (171, 15.3%), psychological reasons (170, 15.2%), and non-English speaking (125, 11.2%). Among 1897 patients invited to participate, 676 (35.6%) expressed interest and 360 (19.0%) were enrolled.
PCCs referred 71.1% of their eligible patients. Among those referred, interest in participation was modest and enrollment was low.
ClinicalTrials.gov Identifier: NCT04302727.
引言/目的：在将初级保健机构的患者纳入一项减肥研究的背景下，本研究描述了初级保健临床医生（PCC）认为适合转诊的患者百分比以及被转诊患者的研究参与率。
通过电子健康记录审查，确定了5322名年龄在18至75岁、BMI≥30kg/m²的患者，社区、主治和住院PCC可对其进行审查，以转诊至减肥研究。总体以及按PCC类型报告转诊情况和患者参与研究的意愿。
平均（标准差）年龄为53.1（13.9）岁，平均BMI为36.5（6.2）kg/m²，41.5%为男性，30.9%为非裔美国人。PCC审查了3882名患者，其中2762名（71.1%）被转诊至该研究。在未被转诊的1120名患者中，260名（23.2%）PCC对其了解不足无法评估是否适合转诊。未转诊的最常见原因包括合并症过多（171例，15.3%）、心理原因（170例，15.2%）和非英语使用者（125例，11.2%）。在1897名受邀参与的患者中，676名（35.6%）表示有兴趣，360名（19.0%）登记参与。
PCC将71.1%符合条件的患者转诊。在被转诊的患者中，参与意愿一般，登记参与率较低。
ClinicalTrials.gov标识符：NCT04302727。
