Evidence map›Paper›PMID 28364948›Full record

ArticleJournal of the American Dental Association (1939)2017

Adoption of dental innovations: The case of a standardized dental diagnostic terminology.

Rachel B Ramoni, Jini Etolue, Oluwabunmi Tokede, Lyle McClellan, Kristen Simmons, Alfa Yansane, Joel M White, Muhammad F Walji, Elsbeth Kalenderian

Abstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Translating periodontal data to knowledge in a learning health system.Journal of the American Dental Association (1939) · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Evaluation of a Dental Diagnostic Terminology Subset.Studies in health technology and informatics · 2019
    Article
  14. Article
  15. Article
  16. Article
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

9 authors.

Rachel B Ramoni
Jini Etolue
Oluwabunmi Tokede
Lyle McClellan
Kristen Simmons
Alfa Yansane
Joel M White
Muhammad F Walji
Elsbeth Kalenderian

Funding

A whole systems approach to implementing standardized dental diagnostic termsR01DE023061 · NIDCR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KALENDERIAN, ELSBETH · 2013 to 2016
$2.5M
NIDCR NIH HHS R01 DE023061
6 · The paper itself

Abstract

backgroundStandardized dental diagnostic terminologies (SDDxTs) were introduced decades ago. Their use has been on the rise, accompanying the adoption of electronic health records (EHRs). One of the most broadly used terminologies is the Dental Diagnostic System (DDS). Our aim was to assess the adoption of SDDxTs by US dental schools by using the Rogers diffusion of innovations framework, focusing on the DDS.

methodsThe authors electronically surveyed clinic deans in all US dental schools (n = 61) to determine use of an EHR and SDDxT, perceived barriers to adoption of an SDDxT, and the effect of implementing an SDDxT on clinical productivity.

resultsThe response rate was 57%. Of the 35 responses, 91% reported using an EHR to document patient care, with 84% using axiUm; 41% used the DDS. Fifty-four percent of those who did not use an SDDxT had considered adopting the DDS, but 38% had not, citing barriers such as complexity and compatibility.

conclusionsAdoption of an SDDxT, particularly the DDS, is on the rise. Nevertheless, a large number of institutions are in the Rogers late majority and laggards categories with respect to adoption. Several factors may discourage adoption, including the inability to try out the terminology on a small scale, poor usability within the EHR, the fact that it would be a cultural shift in practice, and a perception of unclear benefits. However, the consolidation of the DDS and American Dental Association terminology efforts stands to encourage adoption. PRACTICAL IMPLICATIONS: The successful adoption of dental innovation depends not only on the intrinsic merit of the innovation, as some useful innovations do not achieve widespread traction. As such, it is important for health care providers to understand how to disseminate their ideas in order to ensure traction and widespread adoption.

Indexed as

Diffusion of InnovationTerminology as TopicDental CareElectronic Health RecordsHumansSchools, DentalStomatognathic DiseasesSurveys and QuestionnairesUnited Statesdental schoolsDiffusion of innovationelectronic health recordsterminology

Identifiers

PMID28364948
PMCPMC5409886

What OpenQuestion holds

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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.