Related Experiment Videos
Impact of a Pre-Visit Reminder Program on Outpatient Uroflowmetry Test Validity: A Retrospective Chart Review
Michael Gallagher1, Jonathan Huynh1, Daniel Wang1
1Department of Urology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, USA.
Objective:
To evaluate the impact of a pre-visit reminder program on the proportion of valid uroflow tests, voided volume (VV), and peak flow rate (Qmax).
Methods:
We conducted a retrospective chart review of male patients undergoing uroflowmetry at three urology clinics from April to October 2024. A pre-visit reminder program (phone call or text message 24 hours before the appointment) was implemented as a clinic quality improvement initiative beginning June 1, 2024; patients tested before this date served as controls (April-May 2024), and those tested after comprised the intervention group (June-October 2024). The primary endpoint was the proportion of valid tests; secondary endpoints were mean VV and Qmax. Valid tests were defined as a voided volume ≥ 150 mL.
Results:
A total of 249 patients received reminders (146 phone, 103 text), and 105 controls underwent uroflowmetry without reminders. Patients who received reminders had significantly higher rates of valid tests (57.4% vs. 41.9%, p = 0.008), greater mean VV (206.8 vs. 154.5 mL, p = 0.002), and higher Qmax (14.9 vs. 11.5 mL/s, p = 0.003) than controls (Table 1). No significant differences were observed between phone and text groups, or by confirmation of reminder receipt.
Conclusions:
Pre-visit reminders were associated with improved uroflowmetry test validity, mean VV, and Qmax, regardless of modality or receipt confirmation. These findings support text-based reminders as a scalable, low-cost strategy for outpatient urology practice.
