Follow up visits in patients with metabolic syndrome in a clinic for an underserved population

Many patients with metabolic syndrome (MS) receiving care at Portland Adventist Community Services (PACS) do not return for follow‑up visits, making it unclear how many manage their conditions or adopt recommended lifestyle changes. Delayed care often leads to complications that increase morbidity, mortality, and overall health‑care needs. This project focuses on three key MS components—hypertension, diabetes, and dyslipidemia—which significantly elevate risk for cardiovascular disease and stroke. Underserved, uninsured patients frequently rely on emergency departments for unmanaged chronic conditions and are later referred to PACS for continued care. Understanding follow‑up challenges within this population may help reduce preventable complications and improve long‑term outcomes.