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Otolaryngology - Head and Neck Surgery ; 167(1 Supplement):P109, 2022.
Article in English | EMBASE | ID: covidwho-2064491

ABSTRACT

Introduction: Human papillomavirus (HPV) vaccination remains inadequate in the United States, and lack of provider-prompted initiation presents a critical barrier to broader coverage. This study aims to determine the efficacy of an electronic health record (EHR) intervention on primary and catch-up HPV vaccination. Method(s): A retrospective analysis was performed of 22,517 patients aged 9 to 26 years receiving HPV 9-valent or quadrivalent vaccines by primary care providers in a single health care system from 2016 to 2021. Vaccine administrations and sociodemographic characteristics were compared before and after the implementation of an EHR health maintenance reminder (HMR) prompting HPV vaccination in February 2020. Multivariate logistic regression modeling was used to ascertain independent variables associated with early (<18 years) vs late vaccination (>18 years) across the study period. Result(s): In the cohort, most were female (52.7%) and White (55.9%). Mean age was 15.4 and 16.3 years before and after HMR implementation, respectively (P<.001). There was a 48% increase in vaccinations given in those over 18 years in 2020 compared with the year prior. Of patients, 34.5% receiving the vaccine post-HMR were older than 18 years, compared with 26.2% pre-HMR (P<.001). On multivariate analysis, Black (odds ratio [OR]=1.27;95% CI, 1.18-1.36;P<.001) and Asian (OR=1.52;95% CI, 1.36-1.71;P<.001) patients were more likely to be greater than 18. Notably, outpatient visits decreased by about 18% in 2020 during the pandemic compared with the prior 3 years. Conclusion(s): EHR reminders are an effective provider-level intervention in improving catch-up HPV vaccination numbers, despite waning health care utilization during the COVID- 19 pandemic. This may be particularly important for patients who are more likely to have received the vaccine at a later age.

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