Leveraging Electronic Dental Record Data for Clinical Research in the National Dental PBRN Practices

Thankam Paul Thyvalikakath; William D. Duncan; Zasim Siddiqui; Michelle LaPradd; George Eckert; Titus Schleyer; Donald Brad Rindal; Mark Jurkovich; Tracy Shea; Gregg H. Gilbert; National Dental PBRN Collaborative Group

doi:10.1055/s-0040-1709506

Applied Clinical Informatics, Inhaltsverzeichnis

Appl Clin Inform 2020; 11(02): 305-314
DOI: 10.1055/s-0040-1709506

Research Article

Georg Thieme Verlag KG Stuttgart · New York

Leveraging Electronic Dental Record Data for Clinical Research in the National Dental PBRN Practices

Thankam Paul Thyvalikakath^*

¹Dental Informatics Core, Department of Cariology, Operative Dentistry & Dental Public Health, Indiana University School of Dentistry, IUPUI, Indianapolis, Indiana, United States

²Center for Biomedical Informatics, Regenstrief Institute, Inc., Indianapolis, Indiana, United States

,

William D. Duncan^*

³Environmental Genomics and Systems Biology, Lawrence Berkeley National Laboratory, Berkeley, California, United States

,

Zasim Siddiqui

¹Dental Informatics Core, Department of Cariology, Operative Dentistry & Dental Public Health, Indiana University School of Dentistry, IUPUI, Indianapolis, Indiana, United States

,

Michelle LaPradd

⁴Department of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana, United States

,

George Eckert

⁴Department of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana, United States

,

Titus Schleyer

²Center for Biomedical Informatics, Regenstrief Institute, Inc., Indianapolis, Indiana, United States

⁵Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, Indiana, United States

,

Donald Brad Rindal

⁶HealthPartners Institute, Minneapolis, Minnesota, United States

,

Mark Jurkovich

⁶HealthPartners Institute, Minneapolis, Minnesota, United States

,

Tracy Shea

⁶HealthPartners Institute, Minneapolis, Minnesota, United States

,

Gregg H. Gilbert

⁷Department of Clinical and Community Sciences, University of Alabama at Birmingham, Birmingham, Alabama, United States

,

National Dental PBRN Collaborative Group

› Institutsangaben

Abstract

Objectives The aim of this study is to determine the feasibility of conducting clinical research using electronic dental record (EDR) data from U.S. solo and small-group general dental practices in the National Dental Practice-Based Research Network (network) and evaluate the data completeness and correctness before performing survival analyses of root canal treatment (RCT) and posterior composite restorations (PCR).

Methods Ninety-nine network general dentistry practices that used Dentrix or EagleSoft EDR shared de-identified data of patients who received PCR and/or RCT on permanent teeth through October 31, 2015. We evaluated the data completeness and correctness, summarized practice, and patient characteristics and summarized the two treatments by tooth type and arch location.

Results Eighty-two percent of practitioners were male, with a mean age of 49 and 22.4 years of clinical experience. The final dataset comprised 217,887 patients and 11,289,594 observations, with the observation period ranging from 0 to 37 years. Most patients (73%) were 18 to 64 years old; 56% were female. The data were nearly 100% complete. Eight percent of observations had incorrect data, such as incorrect tooth number or surface, primary teeth, supernumerary teeth, and tooth ranges, indicating multitooth procedures instead of PCR or RCT. Seventy-three percent of patients had dental insurance information; 27% lacked any insurance information. While gender was documented for all patients, race/ethnicity was missing in the dataset.

Conclusion This study established the feasibility of using EDR data integrated from multiple distinct solo and small-group network practices for longitudinal studies to assess treatment outcomes. The results laid the groundwork for a learning health system that enables practitioners to learn about their patients' outcomes by using data from their own practice.

Keywords

dental record - data quality - electronic health record

Volltext

Referenzen

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