Tasneem Tejani1, Suhaym Mubeen2, Jadbinder Seehra2, Martyn T Cobourne2. 1. Department of Orthodontics, King's College London Dental Institute, Kings College Hospital NHS Foundation Trust, London, UK. 2. Department of Orthodontics, King's College London Dental Institute, Floor 22, Guy's Hospital, Guy's and St Thomas NHS Foundation Trust, London, UK.
Abstract
OBJECTIVES: Clinical guidelines act as a means of assisting clinicians in improving the quality of healthcare provided. We aim to assess the quality of currently available international orthodontic guidelines. MATERIALS AND METHODS: A cross-sectional systematic assessment of orthodontic clinical guidelines was undertaken. A Medline search using the keywords 'guideline', 'orthodontics', and 'dent', and search of specific dental and orthodontic organization websites for orthodontic-related clinical guidelines. Relevant guidelines published between 1999 and 2012 in English were identified. Draft guidelines and endorsements were excluded. The quality of each guideline was evaluated by a single calibrated assessor using the AGREE II instrument. Variation in the quality of guidelines produced by different organizations was also assessed. RESULTS: Seventeen guidelines were included in this study. Overall, the reporting of scope and purpose (84.31, 95% CI: 70.91-97.72) and clarity of presentation (75.49, 95% CI: 61.68-89.3) domains of the AGREE II instrument were deemed of high quality. Lower scores were obtained for the following domains: rigour of development (52.08, 95% CI: 37.59-66.57), editorial independence (47.06, 95% CI: 20.6-73.51), stakeholder agreement (46.41, 95% CI: 29.66-63.15), and applicability (27.45, 95% CI: 8.26-46.64). There was a noted difference in the individual domain scores of orthodontic guidelines produced by the different organizations. CONCLUSIONS: In relation to the AGREE II instrument, the quality of orthodontic guidelines for use in clinical practice are deemed sub-optimal. Variation in the quality of guidelines produced different organizations is evident.
OBJECTIVES: Clinical guidelines act as a means of assisting clinicians in improving the quality of healthcare provided. We aim to assess the quality of currently available international orthodontic guidelines. MATERIALS AND METHODS: A cross-sectional systematic assessment of orthodontic clinical guidelines was undertaken. A Medline search using the keywords 'guideline', 'orthodontics', and 'dent', and search of specific dental and orthodontic organization websites for orthodontic-related clinical guidelines. Relevant guidelines published between 1999 and 2012 in English were identified. Draft guidelines and endorsements were excluded. The quality of each guideline was evaluated by a single calibrated assessor using the AGREE II instrument. Variation in the quality of guidelines produced by different organizations was also assessed. RESULTS: Seventeen guidelines were included in this study. Overall, the reporting of scope and purpose (84.31, 95% CI: 70.91-97.72) and clarity of presentation (75.49, 95% CI: 61.68-89.3) domains of the AGREE II instrument were deemed of high quality. Lower scores were obtained for the following domains: rigour of development (52.08, 95% CI: 37.59-66.57), editorial independence (47.06, 95% CI: 20.6-73.51), stakeholder agreement (46.41, 95% CI: 29.66-63.15), and applicability (27.45, 95% CI: 8.26-46.64). There was a noted difference in the individual domain scores of orthodontic guidelines produced by the different organizations. CONCLUSIONS: In relation to the AGREE II instrument, the quality of orthodontic guidelines for use in clinical practice are deemed sub-optimal. Variation in the quality of guidelines produced different organizations is evident.
Authors: Salvatore Gitto; Sotirios Bisdas; Ilaria Emili; Luca Nicosia; Lorenzo Carlo Pescatori; Kunwar Bhatia; Ravi K Lingam; Francesco Sardanelli; Luca Maria Sconfienza; Giovanni Mauri Journal: Endocrine Date: 2019-03-22 Impact factor: 3.633
Authors: Andrea Seiffert; Carlos Zaror; Claudia Atala-Acevedo; Andrea Ormeño; María José Martínez-Zapata; Pablo Alonso-Coello Journal: Clin Oral Investig Date: 2018-03-09 Impact factor: 3.573