Developing and Testing Electronic Health Record-Derived Caries Indices.

Algorithms Automation DMF Index Dental Caries / diagnosis Dentition, Permanent Electronic Health Records Female Humans Male
Caries detection/diagnosis/prevention Dental informatics/bioinformatics Electronic dental records Epidemiology Outcomes research

Journal

Caries research
ISSN: 1421-976X
Titre abrégé: Caries Res
Pays: Switzerland
ID NLM: 0103374

Informations de publication

Date de publication:
2019
Historique:
received: 27 09 2018
accepted: 18 03 2019
pubmed: 6 6 2019
medline: 8 7 2020
entrez: 6 6 2019
Statut: ppublish

Résumé

Caries indices, the basis of epidemiologic caries measures, are not easily obtained in clinical settings. This study's objective was to design, test, and validate an automated program (Valid Electronic Health Record Dental Caries Indices Calculator Tool [VERDICT]) to calculate caries indices from an electronic health record (EHR). Synthetic use case scenarios and actual patient cases of primary, mixed, and permanent dentition, including decayed, missing, and filled teeth (DMFT/dmft) and tooth surfaces (DMFS/dmfs) were entered into the EHR. VERDICT measures were compared to a previously validated clinical electronic data capture (EDC) system and statistical program to calculate caries indices. Four university clinician-researchers abstracted EHR caries exam data for 45 synthetic use cases into the EDC and post-processed with SAS software creating a gold standard to compare the -VERDICT-derived caries indices. Then, 2 senior researchers abstracted EHR caries exam data and calculated caries indices for 24 patients, allowing further comparisons to VERDICT indices. Agreement statistics were computed among abstractors, and discrepancies were resolved by consensus. Agreement statistics between the 2 final-phase abstractors and the VERDICT measures showed extremely high concordance: Lin's concordance coefficients (LCCs) >0.99 for dmfs, dmft, DS, ds, DT, dt, ms, mt, FS, fs, FT, and ft; LCCs >0.95 for DMFS and DMFT; and LCCs of 0.92-0.93 for MS and MT. Caries indices, essential to developing primary health outcome measures for research, can be reliably derived from an EHR using VERDICT. Using these indices will enable population oral health management approaches and inform quality improvement efforts.

Identifiants

DOI: 10.1159/000499700 PMID: 31167186 PMC: PMC6864222
pubmed: 31167186
pii: 000499700
doi: 10.1159/000499700
pmc: PMC6864222
mid: NIHMS1022066
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

650-658

Subventions

Organisme : NIDCR NIH HHS
ID : U01 DE025507
Pays : United States
Organisme : NIDCR NIH HHS
ID : U54 DE014251
Pays : United States
Organisme : NIDCR NIH HHS
ID : U54 DE019285
Pays : United States
Organisme : NIDCR NIH HHS
ID : UH2 DE025504
Pays : United States

Informations de copyright

© 2019 S. Karger AG, Basel.

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Auteurs

Joel M White (JM)

Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California, USA, joel.white@ucsf.edu.
Center to Address Disparities in Children's Oral Health, University of California, San Francisco, San Francisco, California, USA, joel.white@ucsf.edu.

Elizabeth A Mertz (EA)

Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California, USA.
Center to Address Disparities in Children's Oral Health, University of California, San Francisco, San Francisco, California, USA.
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California, USA.

Joanna M Mullins (JM)

Willamette Dental Group and Skourtes Institute, Hillsboro, Oregon, USA.

Joshua B Even (JB)

Willamette Dental Group and Skourtes Institute, Hillsboro, Oregon, USA.

Trey Guy (T)

Willamette Dental Group and Skourtes Institute, Hillsboro, Oregon, USA.

Elena Blaga (E)

Willamette Dental Group and Skourtes Institute, Hillsboro, Oregon, USA.

Aubri M Kottek (AM)

Center to Address Disparities in Children's Oral Health, University of California, San Francisco, San Francisco, California, USA.
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California, USA.

Shwetha V Kumar (SV)

School of Dentistry, The University of Texas Health Science Center at Houston, Houston, Texas, USA.

Suhasini Bangar (S)

School of Dentistry, The University of Texas Health Science Center at Houston, Houston, Texas, USA.

Ram Vaderhobli (R)

Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California, USA.

Ryan Brandon (R)

Willamette Dental Group and Skourtes Institute, Hillsboro, Oregon, USA.

William Santo (W)

Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California, USA.
Center to Address Disparities in Children's Oral Health, University of California, San Francisco, San Francisco, California, USA.

Larry Jenson (L)

Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California, USA.

Stuart A Gansky (SA)

Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California, USA.
Center to Address Disparities in Children's Oral Health, University of California, San Francisco, San Francisco, California, USA.
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California, USA.
Bakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, California, USA.

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Classifications MeSH

questionsmedicales.fr › Sciences de l'information › Méthodologies informatiques › Algorithmes › Developing and Testing Electronic Health...
questionsmedicales.fr › Technologie, industrie et agriculture › Technologie › Automatisation › Developing and Testing Electronic Health...
questionsmedicales.fr › Environnement et santé publique › Odontologie en santé publique › Enquêtes de santé dentaire › Indice DCAO › Developing and Testing Electronic Health...
questionsmedicales.fr › Maladies du système stomatognathique › Maladies des dents › Déminéralisation dentaire › Caries dentaires › Developing and Testing Electronic Health...
questionsmedicales.fr › Système stomatognathique › Bouche › Denture › Denture permanente › Developing and Testing Electronic Health...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Documents › Dossiers médicaux › Systèmes informatisés de dossiers médicaux › Dossiers médicaux électroniques › Developing and Testing Electronic Health...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Developing and Testing Electronic Health...