13 results on '"Makhija, Sonia K."'
Search Results
2. Practices participating in a dental PBRN have substantial and advantageous diversity even though as a group they have much in common with dentists at large
- Author
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Richman Joshua S, Benjamin Paul, Rindal D Brad, Gilbert Gregg H, Makhija Sonia K, Pihlstrom Daniel J, and Qvist Vibeke
- Subjects
Dentistry ,RK1-715 - Abstract
Abstract Background Practice-based research networks offer important opportunities to move recent advances into routine clinical practice. If their findings are not only generalizable to dental practices at large, but can also elucidate how practice characteristics are related to treatment outcome, their importance is even further elevated. Our objective was to determine whether we met a key objective for The Dental Practice-Based Research Network (DPBRN): to recruit a diverse range of practitioner-investigators interested in doing DPBRN studies. Methods DPBRN participants completed an enrollment questionnaire about their practices and themselves. To date, more than 1100 practitioners from the five participating regions have completed the questionnaire. The regions consist of: Alabama/Mississippi, Florida/Georgia, Minnesota, Permanente Dental Associates, and Scandinavia (Denmark, Norway, and Sweden). We tested the hypothesis that there are statistically significant differences in key characteristics among DPBRN practices, based on responses from dentists who participated in DPBRN's first network-wide study (n = 546). Results There were statistically significant, substantive regional differences among DPBRN-participating dentists, their practices, and their patient populations. Conclusion Although as a group, participants have much in common with practices at large; their substantial diversity offers important advantages, such as being able to evaluate how practice differences may affect treatment outcomes, while simultaneously offering generalizability to dentists at large. This should help foster knowledge transfer in both the research-to-practice and practice-to-research directions.
- Published
- 2009
- Full Text
- View/download PDF
3. Concordance between Clinical Practice and Published Evidence: Findings from The National Dental Practice-Based Research Network
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Gilbert, Gregg H., Frantsve-Hawley, Julie, Rindal, D. Brad, Makhija, Sonia K., Hilton, Thomas J., Gordan, Valeria V., Norton, Wynne E., Pihlstrom, Daniel J., Bader, James D., and Funkhouser, Ellen
- Subjects
Data Collection ,Surveys and Questionnaires ,Tooth Extraction ,Humans ,Molar, Third ,Evidence-Based Dentistry ,Guideline Adherence ,Dental Caries ,Dental Restoration, Permanent ,Article ,United States ,Practice Patterns, Dentists' - Abstract
Documenting the gap between what is occurring in clinical practice and what published research findings suggest should be happening is an important step toward improving care. The authors conducted a study to quantify the concordance between clinical practice and published evidence across preventive, diagnostic and treatment procedures among a sample of dentists in The National Dental Practice-Based Research Network ("the network").Network dentists completed one questionnaire about their demographic characteristics and another about how they treat patients across 12 scenarios/clinical practice behaviors. The authors coded responses to each scenario/clinical practice behavior as consistent ("1") or inconsistent ("0") with published evidence, summed the coded responses and divided the sum by the number of total responses to create an overall concordance score. The overall concordance score was calculated as the mean percentage of responses that were consistent with published evidence.The authors limited analyses to participants in the United States (N = 591). The study results show a mean concordance at the practitioner level of 62 percent (SD = 18 percent); procedure-specific concordance ranged from 8 to 100 percent. Affiliation with a large group practice, being a female practitioner and having received a dental degree before 1990 were independently associated with high concordance (≥ 75 percent).Dentists reported a medium-range concordance between practice and published evidence.Efforts to bring research findings into routine practice are needed.
- Published
- 2014
4. Rubber dam use during root canal treatment: findings from The Dental Practice-Based Research Network
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Anabtawi, Mona F., Gilbert, Gregg H., Bauer, Michael R., Reams, Gregg, Makhija, Sonia K., Benjamin, Paul L., and Williams, O. Dale
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Article - Published
- 2013
5. Practitioner, patient, and caries lesion characteristics associated with type of material used to restore carious teeth: findings from The Dental PBRN
- Author
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Makhija, Sonia K, Gordan, Valeria V., Gilbert, Gregg H., Litaker, Mark S., Rindal, D. Brad, Pihlstrom, Daniel J., and Qvist, Vibeke
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Male ,Dental Materials ,Dentistry, Operative ,Humans ,Female ,Dental Caries ,Dental Restoration, Permanent ,Composite Resins ,Education, Dental ,Article ,Practice Patterns, Dentists' - Published
- 2011
6. Oral Health-Related Quality of Life and Life-Space Mobility in Community-Swelling Older Adults
- Author
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Makhija, Sonia K., Gilbert, Gregg H., Clay, Olivio J., Matthews, Jonathan C., Sawyer, Patricia, and Allman, Richard M..
- Subjects
Male ,Cross-Sectional Studies ,Surveys and Questionnaires ,Activities of Daily Living ,Quality of Life ,Humans ,Female ,Oral Health ,Comorbidity ,Longitudinal Studies ,Geriatric Assessment ,Article ,Aged - Abstract
To quantify the associations between measures of oral health-related quality of life (OHRQoL) and life-space mobility (LSM) in community-dwelling older adults.Cross-sectional study using a 54-item OHRQoL questionnaire.Five counties in central Alabama: Jefferson and Tuscaloosa (urban), and Bibb, Hale, and Pickens (rural).The 288 dental study volunteers were recruited from participants in the University of Alabama at Birmingham Study of Aging, a longitudinal study of mobility in community-dwelling adults aged 65 and older.Participants completed an in-home interview about their OHRQoL and LSM. Life-space was assessed by asking questions about where and how often participants got to areas ranging from the home to beyond town and the degree of independence in getting there. Unadjusted and adjusted regression models were used to quantify associations between OHRQoL and LSM. Other factors examined were age, race, sex, income, education, residence, transportation difficulty, marital status, depressive symptoms, and comorbidity.Unadjusted and adjusted analyses suggested significant associations between OHRQoL and LSM in oral functional limitation, oral pain and discomfort, oral disadvantage, and self-rated oral health.OHRQoL decrements that participants reported were associated with less LSM, suggesting that perceptions of oral well-being have a significant effect on mobility and the social participation of older adults.
- Published
- 2011
7. Twenty-month follow-up of occlusal caries lesions deemed questionable at baseline:findings from the National Dental Practice-Based Research Network
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Makhija, Sonia K, Gilbert, Gregg H, Funkhouser, Ellen, Bader, James D, Gordan, Valeria V, Rindal, D Brad, Qvist, Vibeke, Nørrisgaard, Pia, Makhija, Sonia K, Gilbert, Gregg H, Funkhouser, Ellen, Bader, James D, Gordan, Valeria V, Rindal, D Brad, Qvist, Vibeke, and Nørrisgaard, Pia
- Abstract
BACKGROUND: A questionable occlusal caries (QOC) lesion can be defined as an occlusal surface with no radiographic evidence of caries, but caries is suspected because of clinical appearance. In this study, the authors report the results of a 20-month follow-up of these lesions.METHODS: Fifty-three clinicians from The National Dental Practice-Based Research Network participated in this study, recording lesion characteristics at baseline and lesion status at 20 months.RESULTS: At baseline, 1,341 QOC lesions were examined; the treatment that was planned for 1,033 of those at baseline was monitoring (oral hygiene instruction, applying or prescribing fluoride or varnish, or both), and the remaining 308 received a sealant (n = 192) or invasive therapy (n = 116). At the 20-month visit, clinicians continued to monitor 927 (90 percent) of the 1,033 monitored lesions. Clinicians decided to seal 61 (6 percent) of the 1,033 lesions (mean follow-up, 19 months) and invasively treat 45 (4 percent) of them (mean follow-up, 15 months). Young patient age (< 18 years) (odds ratio = 3.4; 95 percent confidence interval, 1.7-6.8) and the lesion's being on a molar (odds ratio = 1.8; 95 percent confidence interval, 1.3-2.6) were associated with the clinician's deciding at some point after follow-up to seal the lesion or treat it invasively.CONCLUSIONS: Almost all (90 percent) QOC lesions for which the treatment planned at baseline was monitoring still were planned to undergo monitoring after 20 months. This finding suggests that noninvasive management is appropriate for these lesions.PRACTICAL IMPLICATIONS: Previous study results from baseline indicated a high prevalence of QOC lesions (34 percent). Clinicians should consider long-term monitoring when making treatment decisions about these lesions.
- Published
- 2014
8. Satisfaction with dental care among patients who receive invasive or non-invasive treatment for non-cavitated early dental caries: findings from one region of the National Dental PBRN.
- Author
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Mitchell, Sonya T., Funkhouser, Ellen, Gordan, Valeria V., Riley III, Joseph L., Makhija, Sonia K., Litaker, Mark S., and Gilbert, Gregg H.
- Subjects
TREATMENT of dental caries ,INTERVIEWING ,LONGITUDINAL method ,RESEARCH methodology ,PATIENT satisfaction ,QUESTIONNAIRES ,RESEARCH funding ,OPERATIVE surgery ,DATA analysis software ,MANN Whitney U Test ,PATIENT decision making - Abstract
Background: The objectives were to: (1) quantify patient satisfaction with treatment for early dental caries overall, and according to whether or not (2a) the patient received invasive treatment; (2b) was high-risk for dental caries, and had dental insurance; and (3) encourage practitioners to begin using non-invasive approaches to early caries management. Methods: Ten practitioners recorded patient, lesion, and treatment information about non-cavitated early caries lesions. Information on 276 consecutive patients with complete data was included, who received either non-invasive (no dental restoration) or invasive (dental restoration) treatment. Patients completed a patient satisfaction questionnaire and were classified as dissatisfied if they did not "agree" or "strongly agree" with any of 14 satisfaction items. Results: Patients had a mean (± SD) age of 41.8 (±15.8) years, 64% were female and 88% were white. Twenty-five percent (n = 68) were dissatisfied in at least one of the 14 satisfaction items. Satisfaction levels did not significantly vary by patient's gender, race, caries risk category, or affected tooth surface location. Overall, 11% (28 of 276) received invasive treatment; satisfaction did not differ between patients who had invasive or non-invasive treatment. Seven patients received invasive treatment at their request even though that was not what their practitioner recommended; 5 out of 6 were satisfied with their treatment nonetheless. Conclusions: About one-fourth of patients treated for non-cavitated early caries were dissatisfied with at least some aspect of their dental care experience. Satisfaction of patients who received invasive treatment did not differ from those who received non-invasive treatment. [ABSTRACT FROM AUTHOR]
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- 2017
- Full Text
- View/download PDF
9. The prevalence of questionable occlusal caries:findings from the Dental Practice-Based Research Network
- Author
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Makhija, Sonia K, Gilbert, Gregg H, Funkhouser, Ellen, Bader, James D, Gordan, Valeria V, Rindal, D Brad, Bauer, Michael, Pihlstrom, Daniel J, Qvist, Vibeke, Makhija, Sonia K, Gilbert, Gregg H, Funkhouser, Ellen, Bader, James D, Gordan, Valeria V, Rindal, D Brad, Bauer, Michael, Pihlstrom, Daniel J, and Qvist, Vibeke
- Abstract
Questionable occlusal caries (QOC) can be defined as clinically suspected caries with no cavitation or radiographic evidence of occlusal caries. To the authors' knowledge, no one has quantified the prevalence of QOC, so this quantification was the authors' objective in conducting this study
- Published
- 2012
10. Practitioner, patient and carious lesion characteristics associated with type of restorative material:findings from The Dental Practice-Based Research Network
- Author
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Makhija, Sonia K, Gordan, Valeria V, Gilbert, Gregg H, Litaker, Mark S, Rindal, D Brad, Pihlstrom, Daniel J, Qvist, Vibeke, Makhija, Sonia K, Gordan, Valeria V, Gilbert, Gregg H, Litaker, Mark S, Rindal, D Brad, Pihlstrom, Daniel J, and Qvist, Vibeke
- Abstract
The authors conducted a study to identify factors associated with the materials that dentists in The Dental Practice-Based Research Network (DPBRN) use when placing the first restoration on permanent posterior tooth surfaces.
- Published
- 2011
11. Practices participating in a dental PBRN have substantial and advantageous diversity even though as a group they have much in common with dentists at large
- Author
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Makhija, Sonia K, Gilbert, Gregg H, Rindal, D Brad, Benjamin, Paul, Richman, Joshua S, Pihlstrom, Daniel J, Qvist, Vibeke, Makhija, Sonia K, Gilbert, Gregg H, Rindal, D Brad, Benjamin, Paul, Richman, Joshua S, Pihlstrom, Daniel J, and Qvist, Vibeke
- Abstract
Udgivelsesdato: 2009-null, BACKGROUND: Practice-based research networks offer important opportunities to move recent advances into routine clinical practice. If their findings are not only generalizable to dental practices at large, but can also elucidate how practice characteristics are related to treatment outcome, their importance is even further elevated. Our objective was to determine whether we met a key objective for The Dental Practice-Based Research Network (DPBRN): to recruit a diverse range of practitioner-investigators interested in doing DPBRN studies. METHODS: DPBRN participants completed an enrollment questionnaire about their practices and themselves. To date, more than 1100 practitioners from the five participating regions have completed the questionnaire. The regions consist of: Alabama/Mississippi, Florida/Georgia, Minnesota, Permanente Dental Associates, and Scandinavia (Denmark, Norway, and Sweden). We tested the hypothesis that there are statistically significant differences in key characteristics among DPBRN practices, based on responses from dentists who participated in DPBRN's first network-wide study (n = 546). RESULTS: There were statistically significant, substantive regional differences among DPBRN-participating dentists, their practices, and their patient populations. CONCLUSION: Although as a group, participants have much in common with practices at large; their substantial diversity offers important advantages, such as being able to evaluate how practice differences may affect treatment outcomes, while simultaneously offering generalizability to dentists at large. This should help foster knowledge transfer in both the research-to-practice and practice-to-research directions.
- Published
- 2009
12. Practitioner Participation in National Dental Practice-based Research Network (PBRN) Studies: 12-Year Results.
- Author
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Mungia R, Funkhouser E, Buchberg Trejo MK, Cohen R, Reyes SC, Cochran DL, Makhija SK, Meyerowitz C, Rindal BD, Gordan VV, Fellows JL, McCargar JD, McMahon PA, and Gilbert GH
- Subjects
- Clinical Trials as Topic statistics & numerical data, Dentists psychology, Female, Health Services Research methods, Humans, Male, Retrospective Studies, Surveys and Questionnaires statistics & numerical data, United States, Attitude of Health Personnel, Dentistry organization & administration, Dentists statistics & numerical data, Health Services Research statistics & numerical data, Stakeholder Participation psychology
- Abstract
Purpose: This study examines practitioner participation over 12 years in the National Dental Practice-Based Research Network (PBRN) studies and practitioner meetings, average length of participation, and association of practitioner- and practice-level characteristics with participation. Little information exists about practitioners' long-term participation in PBRNs., Methods: The network conducted a retrospective analysis of practitioner participation in 3 main network activities during 2005 to 2017. Practitioners who completed an enrollment questionnaire, practiced in the United States, and either attended a network meeting or received an invitation to complete a questionnaire or clinical study were included in the analysis. Practitioners (n = 3669) met inclusion criteria. The network implemented 38 studies (28 clinical and 10 questionnaire), 23 of which (15 clinical and 8 questionnaire) met the criteria for the current analysis., Results: Overall, 86% (N = 3148) participated in at least 1 network activity during 2005 to 2017. Questionnaire studies had the highest rate with 81% (N = 2963) completing at least 1, 21% (N = 762) completed at least 1 clinical study and 19% (N = 700) attended at least 1 network meeting. Among 1578 practitioners enrolled in the first 5 years of the Network launch, 20% (N = 320) participated in multiple network activities over 5 to 9 years, and 14% (N = 238) for 10 to 12 years. Practitioner characteristics associated with participation varied depending on the activity assessed., Conclusion: The network engaged practitioners in its research activities with relatively high participation rates over a 12-year period. Strategies employed by the network to engage practitioners may serve as a model for PBRN networks for other allied health professions., Competing Interests: Conflict of interest: none declared., (© Copyright 2018 by the American Board of Family Medicine.)
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- 2018
- Full Text
- View/download PDF
13. Practices participating in a dental PBRN have substantial and advantageous diversity even though as a group they have much in common with dentists at large.
- Author
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Makhija SK, Gilbert GH, Rindal DB, Benjamin P, Richman JS, Pihlstrom DJ, and Qvist V
- Subjects
- General Practice, Dental, Humans, Information Dissemination, Practice Patterns, Dentists', Surveys and Questionnaires, Clinical Trials as Topic, Cultural Diversity, Dental Research, Translational Research, Biomedical methods
- Abstract
Background: Practice-based research networks offer important opportunities to move recent advances into routine clinical practice. If their findings are not only generalizable to dental practices at large, but can also elucidate how practice characteristics are related to treatment outcome, their importance is even further elevated. Our objective was to determine whether we met a key objective for The Dental Practice-Based Research Network (DPBRN): to recruit a diverse range of practitioner-investigators interested in doing DPBRN studies., Methods: DPBRN participants completed an enrollment questionnaire about their practices and themselves. To date, more than 1100 practitioners from the five participating regions have completed the questionnaire. The regions consist of: Alabama/Mississippi, Florida/Georgia, Minnesota, Permanente Dental Associates, and Scandinavia (Denmark, Norway, and Sweden). We tested the hypothesis that there are statistically significant differences in key characteristics among DPBRN practices, based on responses from dentists who participated in DPBRN's first network-wide study (n = 546)., Results: There were statistically significant, substantive regional differences among DPBRN-participating dentists, their practices, and their patient populations., Conclusion: Although as a group, participants have much in common with practices at large; their substantial diversity offers important advantages, such as being able to evaluate how practice differences may affect treatment outcomes, while simultaneously offering generalizability to dentists at large. This should help foster knowledge transfer in both the research-to-practice and practice-to-research directions.
- Published
- 2009
- Full Text
- View/download PDF
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