Evidence map›Paper›PMID 34051781›Full record

ArticleBMC oral health2021

Assessing the completeness of periodontal disease documentation in the EHR: a first step in measuring the quality of care.

Joanna Mullins, Alfa Yansane, Shwetha V Kumar, Suhasini Bangar, Ana Neumann, Todd R Johnson, Gregory W Olson, Krishna Kumar Kookal, Emily Sedlock, Aram Kim and 6 more

Abstract read
In one paragraph

Article in BMC oral health, 2021. 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
–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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Translating periodontal data to knowledge in a learning health system.Journal of the American Dental Association (1939) · 2022
    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

16 authors.

Joanna Mullins *Willamette Dental Group, Portland, OR, USA.
Alfa Yansane *San Francisco - School of Dentistry, University of California, San Francisco, CA, USA.
Shwetha V KumarSchool of Dentistry, University of Texas Health Science Center At Houston, 7500 Cambridge, SOD 4184, Houston, TX, 77054, USA.
Suhasini BangarSchool of Dentistry, University of Texas Health Science Center At Houston, 7500 Cambridge, SOD 4184, Houston, TX, 77054, USA.
Ana NeumannSchool of Dentistry, University of Texas Health Science Center At Houston, 7500 Cambridge, SOD 4184, Houston, TX, 77054, USA.
Todd R JohnsonSchool of Dentistry, University of Texas Health Science Center At Houston, 7500 Cambridge, SOD 4184, Houston, TX, 77054, USA.
Gregory W OlsonSchool of Dentistry, University of Texas Health Science Center At Houston, 7500 Cambridge, SOD 4184, Houston, TX, 77054, USA.
Krishna Kumar KookalSchool of Dentistry, University of Texas Health Science Center At Houston, 7500 Cambridge, SOD 4184, Houston, TX, 77054, USA.
Emily SedlockSchool of Dentistry, University of Texas Health Science Center At Houston, 7500 Cambridge, SOD 4184, Houston, TX, 77054, USA.
Aram KimHarvard School of Dental Medicine, Boston, MA, USA.
Elizabeth MertzSan Francisco - School of Dentistry, University of California, San Francisco, CA, USA.
Ryan BrandonWillamette Dental Group, Portland, OR, USA.
Kristen SimmonsWillamette Dental Group, Portland, OR, USA.
Joel M WhiteSan Francisco - School of Dentistry, University of California, San Francisco, CA, USA.
Elsbeth Kalenderian *San Francisco - School of Dentistry, University of California, San Francisco, CA, USA.
Muhammad F Walji *School of Dentistry, University of Texas Health Science Center At Houston, 7500 Cambridge, SOD 4184, Houston, TX, 77054, USA. Muhammad.F.Walji@uth.tmc.edu.

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

backgroundOur objective was to measure the proportion of patients for which comprehensive periodontal charting, periodontal disease risk factors (diabetes status, tobacco use, and oral home care compliance), and periodontal diagnoses were documented in the electronic health record (EHR). We developed an EHR-based quality measure to assess how well four dental institutions documented periodontal disease-related information. An automated database script was developed and implemented in the EHR at each institution. The measure was validated by comparing the findings from the measure with a manual review of charts.

resultsThe overall measure scores varied significantly across the four institutions (institution 1 = 20.47%, institution 2 = 0.97%, institution 3 = 22.27% institution 4 = 99.49%, p-value < 0.0001). The largest gaps in documentation were related to periodontal diagnoses and capturing oral homecare compliance. A random sample of 1224 charts were manually reviewed and showed excellent validity when compared with the data generated from the EHR-based measure (Sensitivity, Specificity, PPV, and NPV > 80%).

conclusionOur results demonstrate the feasibility of developing automated data extraction scripts using structured data from EHRs, and successfully implementing these to identify and measure the periodontal documentation completeness within and across different dental institutions.

Indexed as

Electronic Health RecordsPeriodontal DiseasesDocumentationHumansPatient ComplianceDental quality measures (DQMs)EHRPeriodontal diseasePeriodontal risk assessmentQualityValue

Identifiers

PMID34051781
PMCPMC8164293

What OpenQuestion holds

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Registered trials

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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.