Evidence map›Paper›PMID 35499130›Full record

ArticleJDR clinical and translational research2023

The Impact of Preventive Dental Services on Subsequent Dental Treatment for Children in Medicaid.

T H Brickhouse, J Yu, A M Kumar, B Dahman

Open access · greenAbstract read
In one paragraph

Article in JDR clinical and translational research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 56% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 1 institution in 1 country.

T H BrickhouseDepartment of Dental Public Health and Policy, School of Dentistry, Virginia Commonwealth University, Richmond, VA, USA.ORCID 0000-0002-8813-3400
J YuDepartment of Biostatistics, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.
A M KumarDepartment of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.
B DahmanDepartment of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.
Virginia Commonwealth University · US

Funding

Oral Health Disparities in Publicly Insured ChildrenK22DE016084 · NIDCR · VIRGINIA COMMONWEALTH UNIVERSITY · PI BRICKHOUSE, TEGWYN H · 2005 to 2008
$557k
NIDCR NIH HHS K22 DE016084
6 · The paper itself

Abstract

objectiveThe goal of this study was to use claims data linked with community-level measures to evaluate the impact of preventive services on the time to subsequent restorative, advanced restorative, and complex dental treatment among children enrolled in the Virginia Medicaid program.

methodsFour data sources were used (dental claims, eligibility files, American Community Survey, and Area Health Resource Files) for fiscal years 2011 to 2018. The outcomes of interest were time to first treatment services from birth. The treatment outcomes were basic restorative treatment, advanced restorative treatment, or complex treatment. The independent variable was a preventive service prior to a treatment service. Time-to-event curves were estimated and compared using a log-rank test. Propensity score-matched univariate and multivariate Cox proportional hazards frailty models with an inverse probability censoring weighting correction estimated hazard ratios (HRs) for treatment outcomes comparing use of preventive services while controlling for patient demographic, geospatial, and county-level socioeconomic status measures.

resultsThe analysis included 430,594 children (10,204,182 claims). A log-rank test showed significant differences (

conclusionsIn a population of Medicaid-enrolled children, children who did not receive preventive services were significantly more likely to have treatment at an earlier age than those who did receive preventive services. KNOWLEDGE TRANSFER STATEMENT: This study examines the impact of the utilization of preventive dental services since birth and the subsequent dental treatment for children enrolled in a dental Medicaid program. This study also examines the influence of preventive care on dental complexity of treatment for these children. Findings can inform federal and state policy planning of dental Medicaid programs as well as interventions to improve referral systems for the early use of preventive dental services and the establishment of a dental home.

Indexed as

Dental Care for ChildrenMedicaidChildHumansPreventive Health ServicesUnited StatesVirginiadental cariesdental Medicaid programdental public healthhealth services researchpediatric dentistrypreventive dentistry

Identifiers

PMID35499130
PMCPMC10286182
OpenAlexW4225274866

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.