Evidence map›Paper›PMID 25790415›Full record

ArticleAmerican journal of public health2015

Emergency department visits for nontraumatic dental problems: a mixed-methods study.

Benjamin C Sun, Donald L Chi, Eli Schwarz, Peter Milgrom, Annick Yagapen, Susan Malveau, Zunqui Chen, Ben Chan, Sankirtana Danner, Erin Owen and 2 more

Open access · greenAbstract read
In one paragraph

Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.

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  17. Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016-2020.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Benjamin C SunBenjamin C. Sun, Annick Yagapen, Susan Malveau, and Ben Chan are with Department of Emergency Medicine, Oregon Health and Science University (OHSU), Portland. Robert A. Lowe is with the Department of Medical Informatics and Clinical Epidemiology, OHSU. Donald L. Chi and Peter Milgrom are with Department of Oral Health Sciences, University of Washington, Seattle. Eli Schwarz is with School of Dentistry, OHSU. Zunqui Chen is with Department of Public Health and Preventive Medicine, OHSU. Sankirtana Danner is with Oregon Rural Practice-Based Research Network, OHSU. Erin Owen is with Slocum Research and Education Foundation, Eugene, OR. Vickie Morton is with Financial Services, OHSU.
Donald L Chi
Eli Schwarz
Peter Milgrom
Annick Yagapen
Susan Malveau
Zunqui Chen
Ben Chan
Sankirtana Danner
Erin Owen
Vickie Morton
Robert A Lowe
Slocum Research and Education Foundation · US

Funding

Addressing Oral Health Disparities in Medicaid-Enrolled Special Needs Children wiK08DE020856 · NIDCR · UNIVERSITY OF WASHINGTON · PI CHI, DONALD LESLIE · 2010 to 2014
$627k
NIDCR NIH HHS K08 DE020856NIDCR NIH HHS K08DE020856
6 · The paper itself

Abstract

objectivesWe documented emergency department (ED) visits for nontraumatic dental problems and identified strategies to reduce ED dental visits.

methodsWe used mixed methods to analyze claims in 2010 from a purposive sample of 25 Oregon hospitals and Oregon's All Payer All Claims data set and interviewed 51 ED dental visitors and stakeholders from 6 communities.

resultsDental visits accounted for 2.5% of ED visits and represented the second-most-common discharge diagnosis in adults aged 20 to 39 years, were associated with being uninsured (odds ratio [OR] = 5.2 [reference: commercial insurance]; 95% confidence interval [CI] = 4.8, 5.5) or having Medicaid insurance (OR = 4.0; 95% CI = 3.7, 4.2), resulted in opioid (56%) and antibiotic (56%) prescriptions, and generated $402 (95% CI = $396, $408) in hospital costs per visit. Interviews revealed health system, community, provider, and patient contributors to ED dental visits. Potential solutions provided by interviewees included Medicaid benefit expansion, care coordination, water fluoridation, and patient education.

conclusionsEmergency department dental visits are a significant and costly public health problem for vulnerable individuals. Future efforts should focus on implementing multilevel interventions to reduce ED dental visits.

Indexed as

AdolescentAdultAgedAnalgesics, OpioidAnti-Bacterial AgentsChildChild, PreschoolDental CareEmergency Service, HospitalFemaleHealth Care SurveysHumansInfantInsurance Claim ReviewMaleMedicaidAnalgesics, OpioidAnti-Bacterial Agents

Identifiers

PMID25790415
PMCPMC4386544
OpenAlexW1984355142

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.