Reusing electronic patient data for dental clinical research: A review of current status

Song, Mei; Liu, Kaihong; Abromitis, Rebecca; Schleyer, Titus

doi:10.1016/j.jdent.2013.04.006

Cited by 34 publications

(52 citation statements)

References 75 publications

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“…This large sample size affords considerable statistical power for detecting the real differences between the compared variables [38]. Furthermore, the patients' diagnosis criteria were applied blindly because the physicians submitting their claims were not aware that the data would be used for future academic research and analysis.…”

Section: Discussionmentioning

confidence: 99%

“…First, the diagnosis of TMDs, JHS, facial trauma, and psychosis were recognized by ICD-9-CM coding system and could not be differentiated further due to the detail study-specific information, such that clinical and laboratory data and radiographic images of each enrolled subject in the NHIRD were limited [38]. Second, the use of disc and non-disc-related disorders to further classify TMDs may not reflect the intricate clinical signs and symptoms of TMDs.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The association between temporomandibular disorders and joint hypermobility syndrome: a nationwide population-based study

Chang

Yuh

et al. 2015

Clin Oral Invest

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The association between temporomandibular disorders and joint hypermobility syndrome: a nationwide population-based study

Chang

Yuh

et al. 2015

Clin Oral Invest

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“…22,23 Conditional logistic regression provided multivariate adjusted odds ratios of covariates and yielded further insights on potential significant risk factors (such as temporized implants) and protective exposures (antibiotic use). [28][29][30] Future work on knowledge extraction from electronic dental records and data science applications incorporating information from large biorepositories will further promote evidencebased dentistry, improve dental education, and facilitate continuous dental care improvement. 24,25 Overall, our findings conformed with previous studies that found high potential of EHR in improving quality of dental care delivery 26,27 and outlined existing barriers and pitfalls of secondary analysis of EHR data.…”

Section: Discussionmentioning

confidence: 99%

Incidence and Determinants of Dental Implant Failure: A Review of Electronic Health Records in a U.S. Dental School

Hickin¹,

Shariff²,

Jennette

et al. 2017

Journal of Dental Education

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The aim of this study was to use electronic health care records (EHRs) to examine retrospectively the incidence of and attributes associated with dental implant failures necessitating implant removal in a large cohort of patients treated in the student clinics of a U.S. dental school over three and a half years. EHRs were searched for all patients who received dental implants between July 1, 2011, and December 31, 2014. Characteristics of patients and implants that were actively removed due to irrevocable failure of any etiology ("failure cohort") during this period were compared to those of all other patients who received dental implants during the same time frame ("reference cohort"). Differences in the frequency distribution of various characteristics between the failure and reference cohorts were compared. Of a total 6,129 implants placed in 2,127 patients during the study period, 179 implants (2.9%) in 120 patients (5.6%) were removed. In the multivariate analysis, presence of a removable (OR=2.86) or fixed temporary prosthesis (OR=3.71) was statistically significantly associated with increased risk for implant failure. In contrast, antibiotic coverage (pre- and post-surgery OR=0.16; post-surgery only OR=0.38) and implants of certain manufacturers were associated with lower risk of implant failure. In this sizeable cohort of patients receiving care in dental student clinics, the review of EHRs facilitated identification of multiple variables associated with implant failure resulting in removal; however, these findings do not suggest causative relationships. The adopted analytical approach can enhance quality assurance measures and may contribute to the identification of true risk factors for dental implant failure.

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“…The authors in [16] discuss the benefits of a clinical warehouse with data mining tools for collecting data for a radiotherapy trial, whereas [17] reviews the current status of reusing electronic patient records for dental research. Using the routinely collected EMRs for pediatric clinical research is inspected in [18], which finds that one barrier to this use is that pediatric health data are collected for the purpose of clinical documentation and billing rather than research.…”

Section: Benefits Of Hiementioning

confidence: 99%

A Security Framework for Nationwide Health Information Exchange based on Telehealth Strategy

et al. 2015

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This study focuses on the situation of health information exchange (HIE) in the context of a nationwide network. It aims to create a security framework that can be implemented to ensure the safe transmission of health information across the boundaries of care providers in Malaysia and other countries. First, a critique of the major elements of nationwide health information networks is presented from the perspective of security, along with such topics as the importance of HIE, issues, and main approaches. Second, a systematic evaluation is conducted on the security solutions that can be utilized in the proposed nationwide network. Finally, a secure framework for health information transmission is proposed within a central cloud-based model, which is compatible with the Malaysian telehealth strategy. The outcome of this analysis indicates that a complete security framework for a global structure of HIE is yet to be defined and implemented. Our proposed framework represents such an endeavor and suggests specific techniques to achieve this goal.

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Reusing electronic patient data for dental clinical research: A review of current status

Cited by 34 publications

References 75 publications

The association between temporomandibular disorders and joint hypermobility syndrome: a nationwide population-based study

The association between temporomandibular disorders and joint hypermobility syndrome: a nationwide population-based study

Incidence and Determinants of Dental Implant Failure: A Review of Electronic Health Records in a U.S. Dental School

A Security Framework for Nationwide Health Information Exchange based on Telehealth Strategy

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