Evidence map›Paper›PMID 30566752›Full record

ArticleJournal of public health dentistry2019

Tobacco screening and cessation efforts by dental providers: A quality measure evaluation.

Ana Neumann, Shwetha Kumar, Suhasini Bangar, Krishna Kumar Kookal, Heiko Spallek, Oluwabunmi Tokede, Kristen Simmons, Joshua Even, Joanna Mullins, Elizabeth Mertz and 5 more

Abstract read
In one paragraph

Article in Journal of public health dentistry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. BigMouth: development and maintenance of a successful dental data repository.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  5. Article
  6. Article
  7. Article
  8. Measuring sealant placement in children at the dental practice level.Journal of the American Dental Association (1939) · 2020
    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

15 authors at 4 institutions in 2 countries.

Ana NeumannSchool of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Shwetha KumarSchool of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Suhasini BangarSchool of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Krishna Kumar KookalSchool of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Heiko SpallekThe University of Sydney School of Dentistry, Westmead, NSW, Australia.
Oluwabunmi TokedeOral Health Policy and Epidemiology Department, Harvard School of Dental Medicine, Boston, MA, USA.
Kristen SimmonsSkourtes Institute, Hillsboro, OR, USA.
Joshua EvenSkourtes Institute, Hillsboro, OR, USA.
Joanna MullinsSkourtes Institute, Hillsboro, OR, USA.
Elizabeth MertzDepartment of Preventive and Restorative Dental Sciences, School of Dentistry at University of California San Francisco, San Francisco, CA, USA.
Alfa YansaneDepartment of Preventive and Restorative Dental Sciences, School of Dentistry at University of California San Francisco, San Francisco, CA, USA.
Enihomo Obadan-UdohDepartment of Preventive and Restorative Dental Sciences, School of Dentistry at University of California San Francisco, San Francisco, CA, USA.
Joel WhiteDepartment of Preventive and Restorative Dental Sciences, School of Dentistry at University of California San Francisco, San Francisco, CA, USA.
Muhammad WaljiSchool of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Elsbeth KalenderianDepartment of Preventive and Restorative Dental Sciences, School of Dentistry at University of California San Francisco, San Francisco, CA, USA.
The University of Texas Health Science Center at Houston · USUniversity of California, San Francisco · USHarvard University · USUniversity of Sydney · AU

Funding

Implementing Dental Quality Measures in PracticeR01DE024166 · NIDCR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KALENDERIAN, ELSBETH, WALJI, MUHAMMAD · 2015 to 2025
$7.3M
NIDCR NIH HHS R01 DE024166
6 · The paper itself

Abstract

objectivesThe purpose of this study was to adapt, test, and evaluate the implementation of a primary care "Preventive care and Screening" meaningful use quality measure for tobacco use, in dental institutions. We determined the percentage of dental patients screened for tobacco use, and the percentage of tobacco users who received cessation counseling.

methodsWe implemented the dental quality measure (DQM), in three dental schools and a large dental accountable care organization. An automated electronic health record (EHR) query identified patients 18 years and older who were screened for tobacco use one or more times within 24 months, and who received cessation counseling intervention if identified as a tobacco user. We evaluated EHR query performance with a manual review of a subsample of charts.

resultsAcross all four sites, in the reporting calendar year of 2015, a total of 143,675 patients met the inclusion criteria for the study. Within 24 months, including 2014 and 2015 calendar years, percentages of tobacco screening ranged from 79.7 to 99.9 percent, while cessation intervention percentages varied from 1 to 81 percent among sites. By employing DQM research methodology, we identified intervention gaps in clinical practice.

conclusionsWe demonstrated the successful implementation of a DQM to evaluate screening rates for tobacco use and cessation intervention. There is substantial variation in the cessation intervention rates across sites, and these results are a call for action for the dental profession to employ tobacco evidence-based cessation strategies to improve oral health and general health outcomes.

Indexed as

Tobacco Use CessationCounselingHealth BehaviorHumansMass ScreeningTobacco Productsdental quality measuresoral healthquality improvementtobacco use cessation

Identifiers

PMID30566752
PMCPMC6570416
OpenAlexW2904269832

What OpenQuestion holds

Textmetadata
LicenceTDM
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.