Dental caries prevention in children and adolescents: a systematic quality assessment of clinical practice guidelines

Primer Autor
Zaror, Carlos
Co-autores
Seiffert, Andrea#Atala-Acevedo, Claudia#Ormeno, Andrea#Jose Martinez-Zapata, Maria#Alonso-Coello, Pablo
Título
Dental caries prevention in children and adolescents: a systematic quality assessment of clinical practice guidelines
Editorial
SPRINGER HEIDELBERG
Revista
CLINICAL ORAL INVESTIGATIONS
Lenguaje
en
Resumen
ObjectivesTo evaluate the quality of clinical practice guidelines (CPGs) for dental caries prevention in children and adolescentsMaterials and methodsWe performed a systematic search of CPGs on caries preventive measures between 2005 and 2016. We searched MEDLINE, EMBASE, LILACS, TripDatabase, websites of CPG developers, compilers of CPGs, scientific societies and ministries of health. We included CPGs with recommendations on sealants, fluorides and oral hygiene. Three reviewers independently assessed the included CPGs using the AGREE II instrument. We calculated the standardised scores for the six domains and made a final recommendation about each CPG. Also, we calculated the overall agreement among calibrated reviewers with the intraclass correlation coefficient (ICC).ResultsTwenty-two CPGs published were selected from a total of 637 references. Thirteen were in English and nine in Spanish. The overall agreement between reviewers was very good (ICC=0.90, 95%CI 0.89-0.92). The mean score for each domain was the following: Scope and purpose 89.612%, Stakeholder involvement 55.015.6%, Rigour of development 64.9 +/- 21.2%, Clarity of presentation 84.8 +/- 14.1%, Applicability 30.6 +/- 31.5% and Editorial independence 59.3 +/- 25.5%. Thirteen CPGs (59.1%) were assessed as recommended, eight (36.4%) recommended with modifications and one (4.5%) not recommended.Conclusions The overall quality of CPGs in caries prevention was moderate. The domains with greater deficiencies were Applicability, Stakeholder involvement and Editorial independence.Clinical relevance Clinicians should use the best available CPGs in dental caries prevention to provide optimal oral health care to patients.
Tipo de Recurso
Artículo original
Description
This project was partially funded by a grant from Universidad de La Frontera, DIUFRO No. DI16-0087.
Este proyecto fue financiado parcialmente por una subvención de la Universidad de La Frontera, DIUFRO No. DI16-0087.
doi
10.1007/s00784-018-2405-2
Formato Recurso
pdf
Palabras Claves
Guideline# Dental caries# Child# Adolescents
Ubicación del archivo
http://dx.doi.org/10.1007/s00784-018-2405-2
Categoría OCDE
Dentistry, Oral Surgery & Medicine
Materias
Pauta# Caries dentales# Niño# Adolescentes
Disciplinas de la OCDE
Odontología, Cirugía y Medicina Oral
Política de Salud y Servicios
Servicios y Cuidados en Ciencias de la Salud
Id de Web of Science
WOS:000449496900020
Título de la cita (Recomendado-único)
Dental caries prevention in children and adolescents: a systematic quality assessment of clinical practice guidelines
Identificador del recurso (Mandatado-único)
Artículo original
Versión del recurso (Recomendado-único)
version publicada
Editorial
SPRINGER HEIDELBERG
Revista/Libro
CLINICAL ORAL INVESTIGATIONS
Categoría WOS
Odontología, Cirugía Bucal y Medicina
ISSN
1432-6981
Idioma
en
Referencia del Financiador (Mandatado si es aplicable-repetible)
UFRO DI16-0087
Descripción
This project was partially funded by a grant from Universidad de La Frontera, DIUFRO No. DI16-0087.
Formato
pdf
Tipo de ruta
hibrida
Access Rights
restringido
Derechos de acceso
restringido
Página de inicio (Recomendado-único)
42800
Página final (Recomendado-único)
42811
Revisa las metricas alternativas de Almetrics
Revisa las citaciones de Dimensions