Evidence map›Paper›PMID 38419131›Full record

ArticlePilot and feasibility studies2024

Pragmatic Return to Effective Dental Infection Control through Triage and Testing (PREDICT): an observational, feasibility study to improve dental office safety.

Janine Fredericks-Younger, Cecile A Feldman, Veerasathpurush Allareddy, Ellen Funkhouser, MaryAnn McBurnie, Cyril Meyerowitz, Pat Ragusa, Julie Chapman-Greene, Modupe Coker, Daniel Fine and 2 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pilot and feasibility studies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05123742 (Pragmatic Return to Effective Dental Infection Control Through Triage and Testing), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05123742 completednot on this map

Pragmatic Return to Effective Dental Infection Control Through Triage and Testing (PREDICT): A PBRN Feasibility Study on COVID-19 Screening in Dental

TypeobservationalSponsorRutgers, The State University of New JerseyRan2021 to 2022Enrolled72ConditionsCOVID-19 InfectionArmsCOVID-19 Testing
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Janine Fredericks-YoungerSchool of Dental Medicine, Rutgers University, Office of Academic Affairs, 110 Bergen Street, Rm B813, Newark, NJ, 07103, USA. frederja@rutgers.edu.ORCID http://orcid.org/0000-0003-4500-5932
Cecile A FeldmanSchool of Dental Medicine, Rutgers University, Office of Academic Affairs, 110 Bergen Street, Rm B813, Newark, NJ, 07103, USA.
Veerasathpurush AllareddyCollege of Dentistry, University of Illinois Chicago, Urbana, IL, USA.
Ellen FunkhouserUniversity of Alabama, Tuscaloosa, AL, USA.
MaryAnn McBurnieKaiser Permanente, Center for Health Research, Portland, OR, USA.
Cyril MeyerowitzEastman Institute for Oral Health, University of Rochester, Rochester, USA.
Pat RagusaEastman Institute for Oral Health, University of Rochester, Rochester, USA.
Julie Chapman-GreeneSchool of Dental Medicine, Rutgers University, Office of Academic Affairs, 110 Bergen Street, Rm B813, Newark, NJ, 07103, USA.
Modupe CokerSchool of Dental Medicine, Rutgers University, Office of Academic Affairs, 110 Bergen Street, Rm B813, Newark, NJ, 07103, USA.
Daniel FineSchool of Dental Medicine, Rutgers University, Office of Academic Affairs, 110 Bergen Street, Rm B813, Newark, NJ, 07103, USA.
Maria Laura GennaroNew Jersey Medical School, PHRI Center, Rutgers University, Office of Academic Affairs, 110 Bergen Street, Rm B813, Newark, NJ, 07103, USA.
Gayathri SubramanianSchool of Dental Medicine, Rutgers University, Office of Academic Affairs, 110 Bergen Street, Rm B813, Newark, NJ, 07103, USA.

Funding

The National Dental PBRN - Administrative CoreU19DE028717 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2019 to 2025
$23.5M
NDPBRN Opioid SurveyU01DE028727 · NIDCR · KAISER FOUNDATION RESEARCH INSTITUTE · PI CARMIT Kurn MCMULLEN · 2019 to 2026
$16.0M
NIDCR NIH HHS U01 DE028727NIDCR NIH HHS U01DE028727NIDCR NIH HHS U19 DE028717NIDCR NIH HHS U19DE028717NIDCR NIH HHS X01DE030407
6 · The paper itself

Abstract

backgroundDuring the COVID-19 pandemic, there was a substantial interruption of care, with patients and workers fearful to return to the dental office. As dental practice creates a highly aerosolized environment, the potential for spread of airborne illness is magnified. As a means to increase safety and mitigate risk, pre-visit testing for SARS-CoV-2 has the potential to minimize disease transmission in dental offices. The Pragmatic Return to Effective Dental Infection Control through Testing (PREDICT) Feasibility Study examined the logistics and impact of two different testing mechanisms (laboratory-based PCR viral testing and point-of-care antigen testing) in dental offices.

methodsDental healthcare workers (DHCWs) and patients in four dental offices within the National Dental Practice-based Research Network participated in this prospective study. In addition to electronic surveys, participants in two offices completed POC testing, while participants in two offices used lab-based PCR methods to detect SARS-CoV-2 infection. Analysis was limited to descriptive measures, with median and interquartile ranges reported for Likert scale responses and mean and standard deviation for continuous variables.

resultsOf the total 72 enrolled, 28 DHCWs and 41 patients completed the protocol. Two patients (4.9%) tested positive prior to their visit, while 2 DHCWs (12.5%) tested positive for SARS-CoV-2 infection at the start of the study. DHCWs and patients shared similar degree of concern (69% and 63%, respectively) for contracting COVID-19 from patients, while patients feared contracting COVID-19 from DHCWs less (49%). Descriptive statistics calculations revealed that saliva, tongue epithelial cells, and nasal swabs were the most desirable specimen collection method; both testing (LAB and POC) protocols took similar amounts of total time to complete; and DHCWs and patients reported feeling more comfortable when both groups were tested.

conclusionsWhile a larger-scale, network study is necessary for generalizability of results, this feasibility study suggests that SARS-CoV-2 testing can be effectively implemented into dental practice workflows and positively impact perception of safety for DHCWs and patients. As new virulent infectious diseases emerge, preparing dental personnel to employ an entire toolbox of risk mitigation strategies, including testing, may have the potential to decrease dental practice closure time, maintaining continuity of dental care services for patients.

trial registrationClinicalTrials.gov: NCT05123742.

Indexed as

Continuity of patient careCOVID-19 testingDentalDental careDental officesFeasibility studiesHealth personnelInfection controlPerceptionSARS-CoV-2Workforce

Identifiers

PMID38419131
PMCPMC10900666

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Registered trials

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.