Evidence-informed guidelines in oral health

Background: Oral diseases are a major global public health problem, impacting the quality of life of those affected. While consensus exists on the importance of high-quality, evidence-informed guidelines to inform practice and public health decisions in medicine, appropriate methodologies and standa...

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Autores: Verdugo-Paiva, Francisca|||0000-0003-0199-9744, Rojas-Gómez, Ana María, Wielandt, Vicente, Peña, Javiera, Silva-Ruz, Iván, Novillo, Francisco, Ávila-Oliver, Camila, Bonfill, X. (Xavier)|||0000-0003-1530-3509, Glick, Michael, Carrasco-Labra, Alonso|||0000-0003-3546-3526
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:307635
Acceso en línea:https://ddd.uab.cat/record/307635
https://dx.doi.org/urn:doi:10.1186/s12903-024-04445-w
Access Level:acceso abierto
Palabra clave:Evidence-based Dentistry, oral Health policies
Evidence-to-decision framework
GRADE
Guidance
Guidelines
Policy
Practice statements
Recommendations
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spelling Evidence-informed guidelines in oral healthinsights from a systematic surveyVerdugo-Paiva, Francisca|||0000-0003-0199-9744Rojas-Gómez, Ana MaríaWielandt, VicentePeña, JavieraSilva-Ruz, IvánNovillo, FranciscoÁvila-Oliver, CamilaBonfill, X. (Xavier)|||0000-0003-1530-3509Glick, MichaelCarrasco-Labra, Alonso|||0000-0003-3546-3526Evidence-based Dentistry, oral Health policiesEvidence-to-decision frameworkGRADEGuidanceGuidelinesPolicyPractice statementsRecommendationsBackground: Oral diseases are a major global public health problem, impacting the quality of life of those affected. While consensus exists on the importance of high-quality, evidence-informed guidelines to inform practice and public health decisions in medicine, appropriate methodologies and standards are not commonly adhered to among producers of oral health guidelines. This study aimed to systematically identify organizations that develop evidence-informed guidelines in oral health globally and survey the methodological process followed to formulate recommendations. Methods: We searched numerous electronic databases, guideline repositories, and websites of guideline developers, scientific societies, and international organizations (January 2012-October 2023) to identify organizations that develop guidelines addressing any oral health topic and that explicitly declare the inclusion of research evidence in their development. Pairs of reviewers independently evaluated potentially eligible organizations according to predefined selection criteria and extracted data about the organization's characteristics, key features of their guidelines, and the process followed when formulating formal recommendations. Descriptive statistics were used to analyze and summarize data. Results: We included 46 organizations that developed evidence-informed guidelines in oral health. The organizations were mainly professional associations and scientific societies (67%), followed by governmental organizations (28%). In total, organizations produced 55 different guideline document types, most of them containing recommendations for clinical practice (77%). Panels were primarily composed of healthcare professionals (87%), followed by research methodologists (40%), policymakers (24%), and patient partners (18%). Most (60%) of the guidelines reported their funding source, but only one out of three (33%) included a conflict of interest (COI) policy management. The methodology used in the 55 guideline document types varied across the organizations, but only 19 (35%) contained formal recommendations. Half (51%) of the guideline documents referred to a methodology handbook, 46% suggested a structured approach or system for rating the certainty of the evidence and the strength of recommendations, and 37% mentioned using a framework to move from evidence to decisions, with the GRADE-EtD being the most widely used (27%). Conclusion: Our findings underscore the need for alignment and standardization of both terminology and methodologies used in oral health guidelines with current international standards to formulate trustworthy recommendations. 22024-01-0120242024-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/307635https://dx.doi.org/urn:doi:10.1186/s12903-024-04445-wreponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3076352026-06-06T12:50:31Z
dc.title.none.fl_str_mv Evidence-informed guidelines in oral health
insights from a systematic survey
title Evidence-informed guidelines in oral health
spellingShingle Evidence-informed guidelines in oral health
Verdugo-Paiva, Francisca|||0000-0003-0199-9744
Evidence-based Dentistry, oral Health policies
Evidence-to-decision framework
GRADE
Guidance
Guidelines
Policy
Practice statements
Recommendations
title_short Evidence-informed guidelines in oral health
title_full Evidence-informed guidelines in oral health
title_fullStr Evidence-informed guidelines in oral health
title_full_unstemmed Evidence-informed guidelines in oral health
title_sort Evidence-informed guidelines in oral health
dc.creator.none.fl_str_mv Verdugo-Paiva, Francisca|||0000-0003-0199-9744
Rojas-Gómez, Ana María
Wielandt, Vicente
Peña, Javiera
Silva-Ruz, Iván
Novillo, Francisco
Ávila-Oliver, Camila
Bonfill, X. (Xavier)|||0000-0003-1530-3509
Glick, Michael
Carrasco-Labra, Alonso|||0000-0003-3546-3526
author Verdugo-Paiva, Francisca|||0000-0003-0199-9744
author_facet Verdugo-Paiva, Francisca|||0000-0003-0199-9744
Rojas-Gómez, Ana María
Wielandt, Vicente
Peña, Javiera
Silva-Ruz, Iván
Novillo, Francisco
Ávila-Oliver, Camila
Bonfill, X. (Xavier)|||0000-0003-1530-3509
Glick, Michael
Carrasco-Labra, Alonso|||0000-0003-3546-3526
author_role author
author2 Rojas-Gómez, Ana María
Wielandt, Vicente
Peña, Javiera
Silva-Ruz, Iván
Novillo, Francisco
Ávila-Oliver, Camila
Bonfill, X. (Xavier)|||0000-0003-1530-3509
Glick, Michael
Carrasco-Labra, Alonso|||0000-0003-3546-3526
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Evidence-based Dentistry, oral Health policies
Evidence-to-decision framework
GRADE
Guidance
Guidelines
Policy
Practice statements
Recommendations
topic Evidence-based Dentistry, oral Health policies
Evidence-to-decision framework
GRADE
Guidance
Guidelines
Policy
Practice statements
Recommendations
description Background: Oral diseases are a major global public health problem, impacting the quality of life of those affected. While consensus exists on the importance of high-quality, evidence-informed guidelines to inform practice and public health decisions in medicine, appropriate methodologies and standards are not commonly adhered to among producers of oral health guidelines. This study aimed to systematically identify organizations that develop evidence-informed guidelines in oral health globally and survey the methodological process followed to formulate recommendations. Methods: We searched numerous electronic databases, guideline repositories, and websites of guideline developers, scientific societies, and international organizations (January 2012-October 2023) to identify organizations that develop guidelines addressing any oral health topic and that explicitly declare the inclusion of research evidence in their development. Pairs of reviewers independently evaluated potentially eligible organizations according to predefined selection criteria and extracted data about the organization's characteristics, key features of their guidelines, and the process followed when formulating formal recommendations. Descriptive statistics were used to analyze and summarize data. Results: We included 46 organizations that developed evidence-informed guidelines in oral health. The organizations were mainly professional associations and scientific societies (67%), followed by governmental organizations (28%). In total, organizations produced 55 different guideline document types, most of them containing recommendations for clinical practice (77%). Panels were primarily composed of healthcare professionals (87%), followed by research methodologists (40%), policymakers (24%), and patient partners (18%). Most (60%) of the guidelines reported their funding source, but only one out of three (33%) included a conflict of interest (COI) policy management. The methodology used in the 55 guideline document types varied across the organizations, but only 19 (35%) contained formal recommendations. Half (51%) of the guideline documents referred to a methodology handbook, 46% suggested a structured approach or system for rating the certainty of the evidence and the strength of recommendations, and 37% mentioned using a framework to move from evidence to decisions, with the GRADE-EtD being the most widely used (27%). Conclusion: Our findings underscore the need for alignment and standardization of both terminology and methodologies used in oral health guidelines with current international standards to formulate trustworthy recommendations.
publishDate 2024
dc.date.none.fl_str_mv 2
2024-01-01
2024
2024-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/307635
https://dx.doi.org/urn:doi:10.1186/s12903-024-04445-w
url https://ddd.uab.cat/record/307635
https://dx.doi.org/urn:doi:10.1186/s12903-024-04445-w
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
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