{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T23:01:54Z","timestamp":1788562914265,"version":"build-2803163510"},"reference-count":21,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T00:00:00Z","timestamp":1569542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JDR Clinical &amp; Translational Research"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Oral health mirrors systemic health; yet, few clinics worldwide provide dental care as part of primary medical care, nor are dental records commonly integrated with medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To determine the degree to which misreporting of underlying health conditions poses problems for dental clinicians, we assessed misreporting of 2 common medical health conditions\u2014hypertension and diabetes\u2014at the time of dental examination and assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using comparative chart analysis, we analyzed medical records of a diverse group of patients previously seen at the University of Texas Physician outpatient practice and then treated at the University of Texas Health Science Center at Houston School of Dentistry. Electronic health records of patients aged \u226518 y were extracted from 2 databases: Allscripts (University of Texas Physician) and axiUm (University of Texas Health Science Center at Houston). We identified 1,013 patients with the commonly occurring conditions of diabetes, hypertension, or both, with nonintegrated records contained in Allscripts and axiUm. We identified the percentage of those patients previously diagnosed with diabetes and\/or hypertension by their physicians who failed to report these conditions to their dental clinicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of those patients with diabetes, 15.1% misreported their diabetes condition to their dental clinicians, while 29.0% of patients with hypertension also misreported. There was no relationship between sex and misreporting of hypertension or diabetes, but age significantly affected reporting of hypertension, with misreporting decreasing with age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Because these conditions affect treatment planning in the dental clinic, misreporting of underlying medical conditions can have negative outcomes for dental patients. We conclude that policies that support the integration of medical and dental records would meaningfully increase the quality of health care delivered to patients, particularly those dental patients with underlying medical conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Knowledge Transfer Statement:<\/jats:title>\n                    <jats:p>Our study illustrates an urgent need for policy innovation within a currently fragmented health care delivery system. Dental clinicians rely on the accuracy of health information provided by patients, which we found was misreported in ~15% to 30% of dental patient records. An integrated health care system can close these misreporting gaps. Policies that support the integration of medical and dental records can improve the quality of health care delivered, particularly for dental patients with underlying medical conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2380084419879387","type":"journal-article","created":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T13:12:05Z","timestamp":1569589925000},"page":"278-283","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Medical and Dental Electronic Health Record Reporting Discrepancies in Integrated Patient Care"],"prefix":"10.1177","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9538-9431","authenticated-orcid":false,"given":"S.","family":"Adibi","sequence":"first","affiliation":[{"name":"Department of General Practice and Dental Public Health, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Li","sequence":"additional","affiliation":[{"name":"The Gateway Program, School of Social Sciences, Rice University, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Salazar","sequence":"additional","affiliation":[{"name":"The Gateway Program, School of Social Sciences, Rice University, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Seferovic","sequence":"additional","affiliation":[{"name":"Department of General Practice and Dental Public Health, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Kookal","sequence":"additional","affiliation":[{"name":"Technology Services and Informatics, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5525-8816","authenticated-orcid":false,"given":"J.N.","family":"Holland","sequence":"additional","affiliation":[{"name":"Office of Research, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Walji","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Biomedical Sciences, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4526-3088","authenticated-orcid":false,"given":"M.C.","family":"Farach-Carson","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Biomedical Sciences, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,9,27]]},"reference":[{"key":"bibr1-2380084419879387","doi-asserted-by":"publisher","DOI":"10.1177\/2380084418759496"},{"key":"bibr2-2380084419879387","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.2011.06460.x"},{"key":"bibr3-2380084419879387","doi-asserted-by":"crossref","unstructured":"Alpert PT. 2017. Oral health: the oral-systemic health connection. Home Health Care Manag Pract. 29:56\u201359.","DOI":"10.1177\/1084822316651658"},{"key":"bibr4-2380084419879387","doi-asserted-by":"crossref","unstructured":"Buse JB, Ginsberg HN, Bakris GL, Clark NG, Costa F, Eckel R, Fonseca V, Gerstein HC, Grundy S, Nesto RW, et al. American Heart Association; American Diabetes Association. 2007. Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientific statement from the American Heart Association and the American Diabetes Association. Diabetes Care. 30(1):162\u201372.","DOI":"10.1161\/CIRCULATIONAHA.106.179294"},{"issue":"11","key":"bibr5-2380084419879387","first-page":"1381","volume":"82","author":"Chi AC","year":"2010","journal-title":"Am Fam Physician"},{"key":"bibr6-2380084419879387","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAQ.0000305946.31193.61"},{"key":"bibr7-2380084419879387","doi-asserted-by":"publisher","DOI":"10.3121\/cmr.2017.1348"},{"key":"bibr8-2380084419879387","doi-asserted-by":"publisher","DOI":"10.1177\/1524839917737752"},{"key":"bibr9-2380084419879387","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-016078"},{"key":"bibr10-2380084419879387","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2004.0244"},{"key":"bibr11-2380084419879387","doi-asserted-by":"publisher","DOI":"10.1002\/pdi.1960140408"},{"key":"bibr12-2380084419879387","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2891-9-48"},{"key":"bibr13-2380084419879387","doi-asserted-by":"crossref","unstructured":"Kidambi S, Patel SB. 2008. Diabetes mellitus: considerations for dentistry. J Am Dent Assoc. 139:8S\u201318S.","DOI":"10.14219\/jada.archive.2008.0364"},{"key":"bibr14-2380084419879387","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(99)00158-0"},{"key":"bibr15-2380084419879387","doi-asserted-by":"publisher","DOI":"10.2337\/dc18-1865"},{"key":"bibr16-2380084419879387","unstructured":"R Core Team. 2017. R: a language and environment for statistical computing. 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