INTRODUCTION: Clinic no-shows result in misallocation of health care resources and decreased access to care. There is minimal published data examining factors associated with no-shows for ambulatory urology visits. We analyzed data from a large cohort of outpatient encounters at a tertiary health system to identify factors that increase the likelihood of ambulatory urology no-show. METHODS: Data were available from scheduled ambulatory urology appointments at 18 clinics in an academic, tertiary health system between January 1, 2018, and June 30, 2023. A control group of completed appointments and a study group of no-show appointments were used for comparative statistics. χ RESULTS: Data were available from a total of 990,749 appointments. A total of 187,036 appointments from 10 clinics met inclusion and exclusion criteria, among which 177,718 (95%) were completed appointments and 9318 (5%) were patient no-shows. Patients who no-showed were younger (58 years vs 62 years
CONCLUSIONS: We analyzed ambulatory urology appointments within our hospital enterprise and found factors associated with a higher rate of no-show. These data may be helpful to identify patients at risk of no-show and to implement tailored strategies to enhance clinic attendance.