Evidence map›Paper›PMID 28549764›Full record

ArticleMayo Clinic proceedings2017

Effect of the American Heart Association 2007 Guidelines on the Practice of Dental Prophylaxis for the Prevention of Infective Endocarditis in Olmsted County, Minnesota.

Daniel C DeSimone, Abdelghani El Rafei, Douglas W Challener, Alan B Carr, James A Kelly, Walter A Rocca, Jennifer L St Sauver, Cynthia M Bock-Goodner, Brian D Lahr, James M Steckelberg and 2 more

Open access · greenAbstract read
In one paragraph

Article in Mayo Clinic proceedings, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Prescribing of antibiotic prophylaxis to prevent infective endocarditis.Journal of the American Dental Association (1939) · 2020
    Article
  5. Article
  6. 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

12 authors at 2 institutions in 1 country.

Daniel C DeSimoneDivision of Infectious Diseases, Department of Health Sciences Research, Mayo Clinic, Rochester, MN. Electronic address: desimone.daniel@mayo.edu.
Abdelghani El RafeiDivision of Infectious Diseases, Department of Health Sciences Research, Mayo Clinic, Rochester, MN.
Douglas W ChallenerDivision of Internal Medicine, Department of Health Sciences Research, Mayo Clinic, Rochester, MN.
Alan B CarrDivision of Dental Specialties, Department of Health Sciences Research, Mayo Clinic, Rochester, MN.
James A KellyDivision of Dental Specialties, Department of Health Sciences Research, Mayo Clinic, Rochester, MN.
Walter A RoccaDivision of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, MN; Department of Neurology, Mayo Clinic, Rochester, MN.
Jennifer L St SauverDivision of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, MN.
Cynthia M Bock-GoodnerDepartment of Information Technology, Mayo Clinic, Rochester, MN.
Brian D LahrDivision of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN.
James M SteckelbergDivision of Infectious Diseases, Department of Health Sciences Research, Mayo Clinic, Rochester, MN.
Walter R WilsonDivision of Infectious Diseases, Department of Health Sciences Research, Mayo Clinic, Rochester, MN.
Larry M BaddourDivision of Infectious Diseases, Department of Health Sciences Research, Mayo Clinic, Rochester, MN; Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
Mayo Clinic in Florida · USMayo Clinic in Arizona · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
ROCHESTER EPIDEMIOLOGY PROJECTR01AR030582 · NIAMS · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A · 1986 to 2009
$5.1M
NCATS NIH HHS UL1 TR000135NIAMS NIH HHS R01 AR030582NIA NIH HHS R01 AG034676
6 · The paper itself

Abstract

objectiveTo determine the adherence of dental providers to the 2007 American Heart Association (AHA) infective endocarditis prevention guidelines regarding antibiotic drug administration before invasive dental procedures. PATIENTS AND

methodsThe study included all adults (≥18 years old) with a moderate-risk (MR) or high-risk (HR) cardiac condition who received dental care at participating dental offices from January 1, 2005, through June 1, 2015, in Olmsted County, Minnesota. Data collected included the date and type of dental procedure performed and receipt of antibiotic prophylaxis (AP).

resultsA total of 1351 patients underwent 8854 dental visits at participating dental offices during the study period; 1236 patients had an MR cardiac condition and 115 had an HR condition. The percentage of visits in which antibiotic drugs were used for indicated dental procedures in the MR group declined from 64.6% before to 8.6% after publication of the 2007 AHA guidelines (P<.001); for the HR group, AP declined from 96.9% before to 81.3% after publication of the guidelines (P=.02).

conclusionIn this historical cohort in Olmsted County there was a statistically significant reduction in AP in the MR group before invasive dental procedures. In addition, there was an unanticipated significant reduction in AP in the HR group after publication of the 2007 AHA guidelines. These findings can be used to provide feedback and education to medical and dental professionals who are involved in decision making regarding the use of dental prophylaxis for their patients.

Identifiers

PMID28549764
PMCPMC5681438
OpenAlexW2619869144

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.