Repositorio
Institucional

Zaror, Carlos

Seiffert, Andrea

Deana, Naira Figueiredo

Espinoza-Espinoza, Gerardo

Atala-Acevedo, Claudia

Diaz, Rodrigo

Carrasco-Labra, Alonso

Emergency and sequalae management of traumatic dental injuries: a systematic survey of clinical practice guidelines

BMC

BMC ORAL HEALTH

en

BackgroundThe prevalence and consequences of traumatic dental injuries (TDI) make them a public health problem. Trustworthy TDI clinical practice guidelines (CPGs) assist clinicians in determining a diagnosis and guide them to the most appropriate therapy. The aim of this systematic survey was to identify and evaluate the quality of CPGs for the diagnosis, emergency management, and follow-up of TDIs.Materials and methodsA systematic search was carried out in MEDLINE, EMBASE, Epistemonikos, Trip database, CPG websites, and dental societies to identify documents providing recommendations for the emergency and sequelae management of TDIs. Reviewers assessed the included guidelines independently and in duplicate, using the AGREE II instrument. ANOVA or Student's t-tests were used to determine the attributes of CPGs associated with the total score in AGREE II.ResultsTen CPGs published between 2010 and 2020 were included, mostly from Europe (n = 6). The overall agreement between reviewers was very good (0.94, 95%CI 0.91-0.97). The mean scores (the higher the score, the better the domain assessment) per domain were as follows: Scope and purpose 78.0 +/- 18.9%, stakeholder involvement 46.9 +/- 29.6%, rigour of development 41.8 +/- 26.7%, clarity of presentation 75.8 +/- 17.6%, applicability 15.3 +/- 18.8%, and editorial independence 41.7 +/- 41.7%. The overall mean rate was 4 +/- 1.3 out of a maximum score of 7. Two guidelines were recommended by the reviewers for use in practice and rated as high quality. CPGs developed by government organizations showed a significantly higher overall score.ConclusionsThe overall quality of CPGs on TDI was suboptimal. CPG developers should synthesize the evidence and formulate recommendations using high-quality methodologies and standards in a structured, transparent, and explicit way.

2023

artículo original

10.1186/s12903-023-03409-w

PDF

AGREE II

Clinical practice guidelines

Systematic review

Traumatic dental injuries

Odontología, Cirugía Bucal y Medicina

AGREE II

Guías de práctica clínica

Revisión sistemática

Lesiones dentales traumáticas

artículo original

versión publicada

CC BY 4.0

CC BY 4.0

acceso abierto

acceso abierto

WOS:001084403400001

1472-6831

verde# dorado

Odontología, Cirugía Bucal y Medicina