ArticlePreventive medicine2017
Do you vape? Leveraging electronic health records to assess clinician documentation of electronic nicotine delivery system use among adolescents and adults.
Article in Preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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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.
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.
Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- How primary care addresses vaping in the youth: a systematic literature review.BMC primary care · 2026Pooled it
- Improving Clinical Documentation with Artificial Intelligence: A Systematic Review.Perspectives in health information management · 2024Pooled it
- Extracting social determinants of health from electronic health records using natural language processing: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Machine learning used to study risk factors for chronic diseases: A scoping review.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Assessing healthcare cost changes associated with transitioning away from cigarette smoking using healthcare claims data: an exploratory study among adult male patients with COPD.Harm reduction journal · 2024Article
- The case for routine screening for e-cigarette use in psychiatry.BJPsych bulletin · 2023Article
- How is nicotine vaping product (e-cigarette) use monitored in primary care electronic health records in the United Kingdom? An exploratory analysis of Clinical Practice Research Datalink (CPRD).BMC public health · 2023Article
- E-Cigarette Screening in Primary Care.American journal of preventive medicine · 2023Article
- Understanding the habenula: A major node in circuits regulating emotion and motivation.Pharmacological research · 2023Review
- Prevalence of Sensitive Terms in Clinical Notes Using Natural Language Processing Techniques: Observational Study.JMIR medical informatics · 2022Article
- Provider documentation of electronic nicotine delivery systems use among patients prescribed contraception at an academic health center in the Southeastern United States.Preventive medicine reports · 2021Article
- Association between vaping and health outcomes in patients with opioid use disorder: a systematic review protocol.BMJ open · 2021Article
- Vaping at the VA: Developing an Annotated Corpus of Electronic Cigarette Mentions in Clinical Notes at the Department of Veterans Affairs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2021Article
- Not Quite the Rule, But No Longer the Exception: Multiple Tobacco Product Use and Implications for Treatment, Research, and Regulation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Article
- Improved Documentation of Electronic Cigarette Use in an Electronic Health Record.International journal of environmental research and public health · 2020Article
- Tobacco-Related Counseling and Documentation in Adolescent Primary Care Practice: Challenges and Opportunities.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Article
- Patterns of tobacco use among smokers prior to hospitalization for an acute cardiac event: Use of combusted and non-combusted products.Preventive medicine · 2019Article
- Combustible Cigarette Smoking and Alternative Tobacco Use in a Sample of Youth Transitioning from Foster Care.Children and youth services review · 2019Article
- Documentation of e-cigarette use and associations with smoking from 2012 to 2015 in an integrated healthcare delivery system.Preventive medicine · 2018Article
- Vaping: Impact of Improving Screening Questioning in Adolescent Population: A Quality Improvement Initiative.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Use of electronic nicotine delivery systems (ENDS) has increased substantially over the past decade. However, unlike smoking, which is systematically captured by clinicians through routine screening and discrete documentation fields in the electronic health record (EHR), unknown is the extent to which clinicians are documenting patients' use of ENDS. Data were gathered from medical visits with patients aged 12 and older (N=9,119; 55% male) treated in a large, integrated healthcare system. We used natural language processing to assess the incidence rates of clinician documentation of patients' ENDS use in unstructured tobacco comments in the EHR, and the words most frequently documented in relation to ENDS, from 2006-2015. ENDS documentation in the EHR increased dramatically over time (from 0.01 to 9.5 per 10,000 patients, p<0.0001), particularly among adults aged 18-24 and 25-44. Most prevalent were "e-cig," "electronic cigarettes", and "vape," with much variation in spelling and phrasing of these words. Records of adolescent and young adult patients were more likely to contain the word "vape", and less likely to have "e-cig" and "electronic cigarette" than records of adults (ps<0.0001). The relatively low observed number of patients with ENDS terms in the EHR suggested vast under documentation. While healthcare providers are increasingly documenting patients' use of ENDS in the EHR, overall documentation rates remain low. Discrete EHR fields for standard screening and documentation of ENDS that reflect the language used by patients would provide more complete longitudinal population-level surveillance of ENDS use and its association with short- and long-term health outcomes.
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Registered trials
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.