Title: Effectiveness of Electronic Data Management in the National Dental PBRN
Sarah Basile (Presenter)
Casey Easterday, HealthPartners Institute
SanthoshAnand RamiaRamasubramanian, HealthPartners Institute
Kayla Dean, HealthPartners Institute
Jeanette Ziegenfuss, HealthPartners Institute
Deepika Appana, HealthPartners Institute
Ernest Lam, University of Toronto
Alan Law, The Dental Specialists
Prashant Verma, Centreville Endodontics
Timothy Stewart, McComb & Stewart Dentistry
Radha Sachdeva-Munk, Smithtown Dental PC
Stephanie Reyes, University of Texas San Antonio
Shermetria Massingale, University of Alabama Birmingham
Rita Cacciato, University of Rochester
Jeffrey Fellows, Kaiser Permanente Center for Health Research
The National Dental PBRN, University of Alabama at Birmingham
Objectives: Severe time constraints limit the time dental office staff can devote to recruiting patients and collecting clinical data. Electronic data capture (EDC) from patients can streamline patient screening and in-office data collection, ease clinical data capture from practitioners, and improve follow-up data collection following a clinic visit. This analysis describes the EDC system used to manage clinical data for an ongoing National Dental Practice-Based Research Network (www.NationalDentalPBRN.org) study.
Methods: We describe the EDC system and process outcomes for baseline and 1-week data collection from the Predicting Outcomes of Root Canal Treatment (PREDICT) study, a prospective observational study of patient pain following initial orthograde root canal treatment (RCT). Data were captured using a web-based EDC application and REDCap core. Patients completed in-office surveys using Wifi-enabled tablets and were emailed a survey link 1-week following RCT completion. Practitioners used a tablet or other device to complete questionnaires and recruitment logs. PCs were used to upload pre- and post-operative radiographs. Study staff used the EDC system to share files, track patient and provider progress in real-time.
Results: The study included 172 practitioners (119 general dentists; 53 endodontists) and 1883 patients enrolled over 6 months. To-date, 1,650 patients completed the RCT visit, 1,582 were sent the 1-week questionnaire, and 1,370 (87%) completed the 1-week questionnaire. The EDC showed initially lower-than-expected 1-week response rates, which improved after adapting patient communications. Practitioners completed 89% of before and after RCT completion surveys, and uploaded 3,729 pre- and post-operative periapical radiographs. Acceptability of the uploaded radiographs was high.
Conclusions: The EDC system tailored for the PREDICT study was effective at capturing and managing study data in clinical settings. Screening, enrollment, survey completion, and acceptable radiograph upload rates were high. Real-time access to process data allowed adaptations that improved data collection. Support: U19-DE-22516.