Use of digital periodontal data to compare periodontal treatment outcomes in a practice-based research network (PBRN) – a proof of concept

Abstract Background: Scientific studies in dentistry are mainly conducted at universities. However, most patients are treated in dental practices, which differ in many ways from treatment at the university. Through the establishment of practice-based research networks, however, it is also possible to examine studies in a real-world setting in dental practices. For this reason the aim of this non-interventional, observational study was to develop and evaluate a digital procedure to access, extract and analyse recorded clinical data in practices to assess periodontal treatment outcomes.Methods: Participating periodontists were former or active postgraduate students of a master’s course in periodontics in Freiburg who routinely used a digital periodontal diagnostic program. All available stored periodontal patient charts were extracted, anonymized and digitally sent to the study centre.Results: In this study, data were collected from 6301 patients from 9 different practices. Information such as probing depth (PD), bleeding on probing (BOP), mobility, furcation and gingival attachment for 153163 teeth at first visit were successfully transferred to the study centre. During the average observational period of 9.77 years, only 2.8% of all teeth were lost. The number of visits was significantly negatively correlated with BOP (p<0.0001), and the number of BOP-positive sites was significantly correlated with deeper PDs (p<0.001).Conclusion: The presented procedure was able to gather a large amount of practice-based periodontal data, and thus this study may support practice-based research networks. The data indicate that systematic and supportive periodontal therapy is successful on a practice-based level.Trial registration: The study was internationally registered on 4 January 2017 in the German Clinical Trials Register (DRKS 00011448). https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00011448

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Use of digital periodontal data to compare periodontal treatment outcomes in a practice-based research network (PBRN) – a proof of concept

10.21203/rs.3.rs-15507/v4 ◽

2020 ◽

Author(s):

Stefanie Anna Peikert ◽

Felix Mittelhamm ◽

Eberhard Frisch ◽

Kirstin Vach ◽

Petra Ratka-Krüger ◽

...

Keyword(s):

Treatment Outcomes ◽

Study Data ◽

Periodontal Treatment ◽

Research Network ◽

Research Networks ◽

Postgraduate Students ◽

Supportive Periodontal Therapy ◽

Study Centre ◽

Practice Based Research ◽

Dental Practices

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Use of digital periodontal data to compare periodontal treatment outcomes in a practice-based research network (PBRN): a proof of concept

BMC Oral Health ◽

10.1186/s12903-020-01284-3 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Stefanie Anna Peikert ◽

Felix Mittelhamm ◽

Eberhard Frisch ◽

Kirstin Vach ◽

Petra Ratka-Krüger ◽

...

Keyword(s):

Treatment Outcomes ◽

Study Data ◽

Periodontal Treatment ◽

Research Network ◽

Research Networks ◽

Postgraduate Students ◽

Supportive Periodontal Therapy ◽

Study Centre ◽

Practice Based Research ◽

Dental Practices

Abstract Background Scientific studies in dentistry are mainly conducted at universities. However, most patients are treated in dental practices, which differ in many ways from treatment at the university. Through the establishment of practice-based research networks, however, it is also possible to examine studies in a real-world setting in dental practices. For this reason the aim of this non-interventional, observational study was to develop and evaluate a digital procedure to access, extract and analyse recorded clinical data in practices to assess periodontal treatment outcomes. Methods Participating periodontists were former or active postgraduate students of a master’s course in periodontics in Freiburg who routinely used a digital periodontal diagnostic program. All available stored periodontal patient charts were extracted, anonymized and digitally sent to the study centre. Results In this study, data were collected from 6301 patients from 9 different practices. Information such as probing depth (PD), bleeding on probing (BOP), mobility, furcation and gingival attachment for 153,163 teeth at first visit were successfully transferred to the study centre. During the average observational period of 9.77 years, only 2.8% of all teeth were lost. The number of visits was significantly negatively correlated with BOP (p < 0.0001), and the number of BOP-positive sites was significantly correlated with deeper PDs (p < 0.001). Conclusion The presented procedure was able to gather a large amount of practice-based periodontal data, and thus this study may support practice-based research networks. The data indicate that systematic and supportive periodontal therapy is successful on a practice-based level. Trial registration The study was internationally registered on 4 January 2017 in the German Clinical Trials Register (DRKS 00011448). https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00011448

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Use of digital periodontal software to compare periodontal treatment outcomes in a practice-based research network (PBRN) – a proof of concept

10.21203/rs.3.rs-15507/v2 ◽

2020 ◽

Author(s):

Stefanie Anna Peikert ◽

Felix Mittelhamm ◽

Eberhard Frisch ◽

Kirstin Vach ◽

Petra Ratka-Krüger ◽

...

Keyword(s):

Treatment Outcomes ◽

Study Data ◽

Periodontal Treatment ◽

Research Network ◽

Proof Of Concept ◽

Postgraduate Students ◽

Probing Depth ◽

Supportive Periodontal Therapy ◽

Study Centre ◽

Practice Based Research

Abstract Background: The aim of this non-interventional, observationalstudy was to develop and evaluate a digital procedure to access, extract and analyse recorded clinical data in practices to assess periodontal treatment outcomes. Methods: Participating periodontists were former or active postgraduate students of a master’s course in periodontics in Freiburg who routinely used a digital periodontal diagnostic program. All available stored periodontal patient charts were extracted, anonymized and digitally sent to the study centre. Results: In this study, data were collected from6401 patients from 9 different practices. Information such as probing depth (PD), bleeding on probing (BOP), mobility, furcation and gingival attachment for 153163 teeth at first visit were successfully transferred to the study centre. During the observational period, which was from 2.08 years to 18.35 yearson average,only 2.8% of all teeth were lost. The number of visits was significantly negatively correlated withBOP (p<0.0001),and the number of BOP-positive sites was significantlycorrelated withdeeper PDs (p<0.001). Conclusion: The presented procedure was able to gather a large amount of practice-based periodontal data, and thus this study may support practice-based research networks. The data indicatethat systematic and supportive periodontal therapy is successful on a practice-based level. Trial registration: The study was internationally registered on 4 January 2017 in the German Clinical Trials Register (DRKS 00011448). https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00011448

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Use of digital periodontal software to compare periodontal treatment outcomes in a practice-based research network (PBRN) – a proof of concept

10.21203/rs.3.rs-15507/v1 ◽

2020 ◽

Author(s):

Stefanie Anna Peikert ◽

Felix Mittelhamm ◽

Eberhard Frisch ◽

Kirstin Vach ◽

Petra Ratka-Krüger ◽

...

Keyword(s):

Treatment Outcomes ◽

Study Data ◽

Periodontal Treatment ◽

Research Network ◽

Proof Of Concept ◽

Postgraduate Students ◽

Probing Depth ◽

Supportive Periodontal Therapy ◽

Study Centre ◽

Practice Based Research

Abstract Background: The aim of this non-interventional, observational study was to develop and evaluate a digital procedure to access, extract and analyse recorded clinical data in practices to assess periodontal treatment outcomes.Methods: Participating periodontists were former or active postgraduate students of a master’s course in periodontics in Freiburg who routinely used a digital periodontal diagnostic program. All available stored periodontal patient charts were extracted, anonymized and digitally sent to the study centre.Results: In this study, data were collected from 6401 patients from 9 different practices. Information such as probing depth (PD), bleeding on probing (BOP), mobility, furcation and gingival attachment for 153163 teeth at first visit were successfully transferred to the study centre. During the observational period, which was from 2.08 years to 18.35 years on average, only 2.8% of all teeth were lost. The number of visits was significantly negatively correlated with BOP (p<0.0001), and the number of BOP-positive sites was significantly correlated with deeper PDs (p<0.001).Conclusion: The presented procedure was able to gather a large amount of practice-based periodontal data, and thus this study may support practice-based research networks. The data indicate that systematic and supportive periodontal therapy is successful on a practice-based level.

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

Applied Clinical Informatics ◽

10.1055/s-0040-1709506 ◽

2020 ◽

Vol 11 (02) ◽

pp. 305-314 ◽

Cited By ~ 4

Author(s):

Thankam Paul Thyvalikakath ◽

William D. Duncan ◽

Zasim Siddiqui ◽

Michelle LaPradd ◽

George Eckert ◽

...

Keyword(s):

Clinical Research ◽

Small Group ◽

Patient Characteristics ◽

Research Network ◽

Permanent Teeth ◽

Data Completeness ◽

Learning Health System ◽

Practice Based Research ◽

Dental Practices ◽

Using Data

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.

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Practice-Based Research Networks and Massage Therapy: a Scoping Review

International Journal of Therapeutic Massage & Bodywork Research Education & Practice ◽

10.3822/ijtmb.v13i4.535 ◽

2020 ◽

Vol 13 (4) ◽

pp. 25-34

Author(s):

Samantha Zabel, MA ◽

Niki Munk, PhD, LMT

Keyword(s):

Scientific Evidence ◽

Massage Therapy ◽

Professional Associations ◽

The United States ◽

Database Search ◽

The Body ◽

Research Network ◽

Research Networks ◽

Massage Therapist ◽

Practice Based Research

Background: Practice-based research networks (PBRNs) are means to connect practitioners with researchers and increase the body of rigorous research. PBRNs have been used in medicine for decades, but efforts to create PBRNs in massage therapy (MT) are limited. Purpose: Examine and describe the amount of and nature of MT-related publications derived from PBRN-supported endeavors. Publication Selection: Databases: Scopus, CINAHL, PubMed, ClinicalKey, EMBASE, Google Scholar. Keywords: massage, massage therapy, practice-based research network, PBRN. Key items: publication year, operating PBRN, article type, study design, general theme, massage therapist involvement/MT application. Inclusion Criteria: studies conducted through a PBRN using MT/massage therapists as an investigated factor; articles/editorials focused on PBRN-related MT research. Results: Initial database search resulted in 444 records; 40 articles included in analysis from database search, PBRN website access, and PBRN staff contacts. Publication dates ranged from 2005 to 2019, with nearly all published since 2013. Nine PBRNs published 29 articles based on 20 studies and sub-studies as research papers (n=21) or poster/oral presentation abstracts (n=8), and articles discussing the need for PBRNs in MT (n=8). Most research studies were conducted as surveys (n=21), examining practice characteristics (n=9) and patient perspectives/utilization (n=7). Three articles discussing PBRNs in MT were not connected to any specific PBRN. Conclusion: The PBRN model holds promise to further the field of MT, but implementation needs significant development. Promoting the creation and growth of massage-specific PBRNs should be a focus of professional associations and research institutions to expand the body of scientific evidence supporting MT. While the United States has had the most PBRN-related research efforts, a sustainable implementation model is not evident as highlighted by inactivity from US-based PBRNs after initial productivity. An Australian PBRN may serve as a needed sustainability model for massage-related PBRNs in the US if their productivity trajectory continues.

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Preliminary Findings on the Use of Osteopathic Manipulative Treatment: Outcomes During the Formation of the Practice-Based Research Network, DO-Touch.NET

The Journal of the American Osteopathic Association ◽

10.7556/jaoa.2014.033 ◽

2014 ◽

Vol 114 (03) ◽

pp. 154-170 ◽

Cited By ~ 7

Author(s):

Brian Degenhardt ◽

Jane Johnson ◽

Shanin Gross ◽

Celia Hagan ◽

Gregg Lund ◽

...

Keyword(s):

Treatment Outcomes ◽

Research Network ◽

Osteopathic Manipulative Treatment ◽

Practice Based Research

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Improving Recruitment and Retention of Pharmacists in a Practice-Based Research Network

Pharmacy ◽

10.3390/pharmacy7030131 ◽

2019 ◽

Vol 7 (3) ◽

pp. 131 ◽

Cited By ~ 1

Author(s):

Katherine Rotzenberg ◽

Michelle A. Chui

Keyword(s):

Primary Care ◽

Literature Review ◽

Pharmacy Practice ◽

Research Network ◽

Research Networks ◽

Recruitment And Retention ◽

Research Challenges ◽

Practice Based Research ◽

Current Practices

Pharmacy practice-based research networks (PBRNs) are relatively new compared to their primary care forebears, representing a unique set of research challenges. Recruitment and retention of network members are essential to maintaining the integrity of the network and achieving its research goals. Many studies have evaluated recruitment and retention of practitioners to individual studies, while far fewer have reported on recruitment and retention to the network itself. This literature review summarizes current practices for PBRN member recruitment and retention from a pharmacy perspective.

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