TY - JOUR
T1 - Systematic review of clinical practice guidelines for traumatic dental injuries
AU - Saikia, Ankita
AU - Patil, Sneha S.
AU - Muthu, M. S.
AU - Divyambika, C. V.
AU - Sabarish, Ram
AU - Pandian, Senthoor
AU - Anthonappa, Robert
AU - Walia, Tarun
AU - Shahwan, Moayad Jamal Saeed Al
N1 - Publisher Copyright:
© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
PY - 2023/8
Y1 - 2023/8
N2 - Background/Aims: Traumatic dental injuries (TDI) are considered a public health problem due to their high prevalence and associated physical, economic, psychological and social consequences. Hence, good Clinical Practice Guidelines are essential to achieving a favourable prognosis. The aim of this review was to appraise the existing Clinical Practice Guidelines (CPGs) on TDI using AGREE II and AGREE-REX. Materials and Methods: A systematic search for existing guidelines on TDI was performed on PubMed, EMBASE, CINAHL, Cochrane Library, ProQuest, National Institute for Health Care Excellence, BMJ Best Practice, Trip database, Guideline International Network, Scottish Intercollegiate Guidelines Network, World Health Organisation, Web of Science and ‘Ministry of Health worldwide’ databases. Four appraisers independently appraised the included CPGs. The AGREE II tool was applied to assess the methodological quality, while AGREE REX assessed the quality of recommendations of the included guidelines. Results: Of the 7736 titles screened, three guidelines, namely the International Association of Dental Traumatology Guidelines (IADT), and the Italian and Malaysian guidelines, were included for the final analysis. These guidelines were published between 2019 and 2020. The AGREE II analysis demonstrated scores above 80% for the IADT and Italian guidelines for the scope and purpose domain. Overall, the Malaysian guidelines achieved the highest score for all domains. The AGREE REX analysis indicated variability in implementation across the nine items, with five that scored above the midpoint of 4.0 on the response scale. Both the Italian and the IADT guidelines had a similar score for the values and preference domains (36.36%). Conclusions: Several deficiencies exist in the methodological quality of existing CPGs on TDI. Future guidelines should consider improvements for domains such as ‘rigour of development’, ‘stakeholder involvement’ and ‘applicability’ to overcome the existing limitations.
AB - Background/Aims: Traumatic dental injuries (TDI) are considered a public health problem due to their high prevalence and associated physical, economic, psychological and social consequences. Hence, good Clinical Practice Guidelines are essential to achieving a favourable prognosis. The aim of this review was to appraise the existing Clinical Practice Guidelines (CPGs) on TDI using AGREE II and AGREE-REX. Materials and Methods: A systematic search for existing guidelines on TDI was performed on PubMed, EMBASE, CINAHL, Cochrane Library, ProQuest, National Institute for Health Care Excellence, BMJ Best Practice, Trip database, Guideline International Network, Scottish Intercollegiate Guidelines Network, World Health Organisation, Web of Science and ‘Ministry of Health worldwide’ databases. Four appraisers independently appraised the included CPGs. The AGREE II tool was applied to assess the methodological quality, while AGREE REX assessed the quality of recommendations of the included guidelines. Results: Of the 7736 titles screened, three guidelines, namely the International Association of Dental Traumatology Guidelines (IADT), and the Italian and Malaysian guidelines, were included for the final analysis. These guidelines were published between 2019 and 2020. The AGREE II analysis demonstrated scores above 80% for the IADT and Italian guidelines for the scope and purpose domain. Overall, the Malaysian guidelines achieved the highest score for all domains. The AGREE REX analysis indicated variability in implementation across the nine items, with five that scored above the midpoint of 4.0 on the response scale. Both the Italian and the IADT guidelines had a similar score for the values and preference domains (36.36%). Conclusions: Several deficiencies exist in the methodological quality of existing CPGs on TDI. Future guidelines should consider improvements for domains such as ‘rigour of development’, ‘stakeholder involvement’ and ‘applicability’ to overcome the existing limitations.
KW - AGREE II
KW - clinical practices
KW - dental trauma
KW - guideline
KW - recommendations
KW - traumatic dental injuries
UR - http://www.scopus.com/inward/record.url?scp=85151925942&partnerID=8YFLogxK
U2 - 10.1111/edt.12838
DO - 10.1111/edt.12838
M3 - Review article
C2 - 36920339
AN - SCOPUS:85151925942
SN - 1600-4469
VL - 39
SP - 371
EP - 380
JO - Dental Traumatology
JF - Dental Traumatology
IS - 4
ER -