Evidence map›Paper›PMID 31930738›Full record

Observational studyHealth services research2020

Trends in smoking documentation rates in safety net clinics.

Stephen P Fortmann, Steffani R Bailey, Neon B Brooks, Brian Hitsman, Sarah Stuart Rittner, Suzanne E Gillespie, Christian Nissen Hill, Michael C Leo, Phillip M Crawford, Weiming Hu and 4 more

Abstract readObservational Study
In one paragraph

Observational study in Health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
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

14 authors.

Stephen P FortmannKaiser Permanente Center for Health Research, Portland, Oregon.ORCID 0000-0002-1327-9341
Steffani R BaileyDepartment of Family Medicine, Oregon Health and Science University, Portland, Oregon.ORCID 0000-0002-4482-8083
Neon B BrooksKaiser Permanente Center for Health Research, Portland, Oregon.ORCID 0000-0003-1079-5858
Brian HitsmanDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0003-2346-4521
Sarah Stuart RittnerAllianceChicago, Chicago, Illinois.
Suzanne E GillespieKaiser Permanente Center for Health Research, Portland, Oregon.
Christian Nissen HillVirginia Garcia Memorial Health Center, Aloha, Oregon.
Michael C LeoKaiser Permanente Center for Health Research, Portland, Oregon.ORCID 0000-0001-7052-8183
Phillip M CrawfordKaiser Permanente Center for Health Research, Portland, Oregon.
Weiming HuKaiser Permanente Center for Health Research, Portland, Oregon.ORCID 0000-0002-5639-5043
Dana S KingThe Fenway Institute, Boston, Massachusetts.ORCID 0000-0003-3310-2794
Conall O'CleirighThe Fenway Institute, Boston, Massachusetts.ORCID 0000-0002-3296-0407
Jon PuroResearch Informatics and Analytics, OCHIN, Inc., Portland, Oregon.ORCID 0000-0001-9155-7733
Mary Ann McBurnieKaiser Permanente Center for Health Research, Portland, Oregon.ORCID 0000-0003-0314-220X

Funding

HRSA HHS HHSH250201400001CHRSA HHS UB3HA20236
6 · The paper itself

Abstract

objectiveTo assess the impact of provider incentive policy on smoking status documentation. DATA SOURCES: Primary data were extracted from structured electronic medical records (EMRs) from 15 community health centers (CHCs). STUDY

designThis was an observational study of data from 2006 to 2013, assessing changes in documentation of smoking status over time. DATA EXTRACTION

methodsWe extracted structured EMR data for patients age 18 and older with at least one primary care visit. PRINCIPAL

findingsRates of documented smoking status rose from 30 percent in 2006 to 90 percent in 2013; the largest increase occurred from 2011 to 2012 following policy changes (21.3% [95% CI, 8.2%, 34.4%] from the overall trend). Rates varied by clinic and across patient subgroups.

conclusionsDocumentation of smoking status improved markedly after introduction of new federal standards. Further improvement in documentation is still needed, especially for males, nonwhite patients, those using opioids, and HIV + patients. More research is needed to study whether changes in documentation lead to improvements in counseling, cessation, and patient outcomes.

Indexed as

Health PolicyAdolescentAdultAgedAged, 80 and overCommunity Health CentersDocumentationFemaleForecastingHumansMaleMedicareMiddle AgedSafety-net ProvidersSmokingUnited Statescommunity health centerselectronic health recordsmeaningful use criteriatobacco useuniform data system standards

Identifiers

PMID31930738
PMCPMC7080378

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.