ObjectiveTo explore the current status and influencing factors of missed examination items among individuals aged 60 years and above undergoing physical examinations, and to put forward countermeasures.MethodsData were collected from 732 individuals aged 30 to 60 years and 732 individuals aged 61 to 90 years who underwent physical examinations at the Physical Examination Department of Shanghai East Hospital from February to August 2024. The 30-60 age group was designated as the control group, and the 61-90 age group was designated as the study group. The missed examination rates, causes of omitted tests, and examination times in the two groups were compared.ResultsThere were significant differences in missed examination rate and examination time between control and study group [20.09% (147/732) vs 39.07 (286/732) and (89±22.35) min vs (145±37.66) min, respectively] (both P<0.000 1). The most commonly missed examination items included Internal Medicine, Otolaryngology, electrocardiogram (ECG), Gynecology, and stool and urine tests. The main reasons for missed examinations included personal preference, examination environment, educational level, and carelessness.ConclusionThe main reasons for missed examinations in the elderly include personal preference, examination environment, educational level and carelessness. Missed screenings may lead to the loss of early diagnosis opportunities for certain critical diseases, affecting timely treatment and prognosis. Based on these influencing factors, relevant measures can be formulated to reduce the missed examination rate, shorten examination time, and improve satisfaction among elderly individuals undergoing physical examinations.