Table 4. Patient Characteristics: Average Survey-Based “Challenge” Score (N = 105,288)
Patient CharacteristicsSample Size (n)Average Score (SD)
Chronic pain/fibromyalgia/myofascial pain18379.3 (17.2)
Alcohol or drug overuse/abuse18575.5 (17.3)
Somatization disorder17973.9 (20.0)
Unspecified psychiatric condition/personality disorder18473.2 (20.1)
Total prescription medication count >1018072.6 (21.1)
Chronic opioid/stimulant use (ADD/ADHD)18572.2 (20.0)
Homelessness17469.8 (22.9)
Bipolar18268.5 (20.8)
Dementia/cognitive impairment17966.7 (18.5)
Schizophrenia16565.9 (21.7)
Eating disorder17265.1 (22.3)
Uninsured/underinsured/lack of resources18464.4 (22.7)
Case management support (eg, community-based care manager)17764.0 (23.0)
Social disruption17863.5 (21.5)
Autism16463.1 (21.3)
Interpreter needed18462.4 (23.2)
Cerebral palsy/global developmental delay/genetic syndrome17661.4 (22.3)
Congestive heart failure/congenital heart disease18361.3 (18.9)
Medicare, <65 years old (on disability or has renal failure)17260.9 (20.9)
Transplant17258.8 (24.5)
Depression/anxiety18557.8 (21.4)
Diabetes (type 1 or type 2)18357.0 (20.4)
Cancer (current or history of cancer excluding nonmelanoma skin cancer)17756.4 (19.9)
Gender identity/transgendered14653.3 (26.6)
Chronic kidney disease18352.2 (20.7)
Asthma/COPD/cystic fibrosis18550.6 (18.5)
Literacy problems17650.0 (22.2)
Learning disability17849.1 (21.6)
>5 No-shows or patient cancellations within 3 years18348.0 (25.9)
Obesity18547.3 (21.2)
Hypertension18436.8 (19.4)
  • ADD, attention deficit disorder; ADHD, attention deficit/hyperactivity disorder; COPD, chronic obstructive pulmonary disease; SD, standard deviation.