ArticleApplied clinical informatics2023
The Application of Dental Fluoride Varnish in Children: A Low Cost, High-Value Implementation Aided by Passive Clinical Decision Support.
Article in Applied clinical informatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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Who cites it
3 citing papers in PubMed.
- Policy integration of pediatric oral health: aligning medicine and dentistry for child well-being.Frontiers in oral health · 2026Review
- Clinical Decision Support Tool to Promote Adoption of New Neonatal Hyperbilirubinemia Guidelines.Applied clinical informatics · 2024Article
- Improvements in appropriate placement of dental sealants after implementation of a clinical decision support system.Journal of the American Dental Association (1939) · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundFluoride is vital in the prevention of dental caries in children. In 2014, the U.S. Preventive Services Task Force deemed fluoride varnish a recommended preventive service (grade B). Electronic health record-based clinical decision support (CDS) tools have shown variable ability to alter physicians' ordering behaviors.
objectivesThis study aimed to increase the application of fluoride varnish in children while analyzing the effect of two passive CDS tools-an order set and a note template.
methodsData on outpatient pediatric visits over an 18-month period before and after CDS implementation (October 15, 2020-April 15, 2022) were queried, while trends in application rate of fluoride were examined. We constructed a multiple logistic regression model with a primary outcome of whether a patient received fluoride at his/her visit. The primary predictor was a "phase" variable representing the CDS implemented. Physician interaction with CDS as well as the financial effects of the resulting service use were also examined.
resultsThere were 3,049 well-child visits of children aged 12 months to 5 years. The addition of a fluoride order to a "Well Child Check" order set led to a 10.6% increase in ordering over physician education alone (25.4 vs. 14.8%,
conclusionThe targeted use of order sets and note templates was positively associated with the ordering of topical fluoride by physicians.
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Registered trials
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