Emergency and sequalae management of traumatic dental injuries: a systematic survey of clinical practice guidelines
| Primer Autor |
Zaror, Carlos
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| Co-autores |
Seiffert, Andrea
Deana, Naira Figueiredo
Espinoza-Espinoza, Gerardo
Atala-Acevedo, Claudia
Diaz, Rodrigo
Carrasco-Labra, Alonso
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| Título |
Emergency and sequalae management of traumatic dental injuries: a systematic survey of clinical practice guidelines
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| Editorial |
BMC
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| Revista |
BMC ORAL HEALTH
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| Lenguaje |
en
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| Resumen |
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.
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| Fecha Publicación |
2023
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| Tipo de Recurso |
artículo original
|
| doi |
10.1186/s12903-023-03409-w
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| Formato Recurso |
PDF
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| Palabras Claves |
AGREE II
Clinical practice guidelines
Systematic review
Traumatic dental injuries
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| Ubicación del archivo | |
| Categoría OCDE |
Odontología, Cirugía Bucal y Medicina
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| Materias |
AGREE II
Guías de práctica clínica
Revisión sistemática
Lesiones dentales traumáticas
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| Identificador del recurso (Mandatado-único) |
artículo original
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| Versión del recurso (Recomendado-único) |
versión publicada
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| License |
CC BY 4.0
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| Condición de la licencia (Recomendado-repetible) |
CC BY 4.0
|
| Derechos de acceso |
acceso abierto
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| Access Rights |
acceso abierto
|
| Id de Web of Science |
WOS:001084403400001
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| ISSN |
1472-6831
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| Tipo de ruta |
verde# dorado
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| Categoría WOS |
Odontología, Cirugía Bucal y Medicina
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