Do the clinical practice guidelines for paediatric dentistry meet the quality standards? A meta-research and quality appraisal using the AGREE II tool.

Autor: Elagami RA; Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil., Laux CM; Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil., Gallegos CL; Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil., Tedesco TK; Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil., Cóvos TG; School of Dentistry, Metropolitan University of Santos, São Paulo, Brazil., Braga MM; Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil., Mendes FM; Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil., Cenci MS; Department of Dentistry, Radboud University Medical Center, Research Institute for Medical Innovation, Nijmegen, The Netherlands., Raggio DP; Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.; School of Dentistry, Cardiff University, Cardiff, UK.
Jazyk: angličtina
Zdroj: International journal of paediatric dentistry [Int J Paediatr Dent] 2024 Jul; Vol. 34 (4), pp. 360-371. Date of Electronic Publication: 2023 Nov 20.
DOI: 10.1111/ipd.13133
Abstrakt: Background: Clinical practice guidelines (CPGs) enhance health care and aid clinicians' decisions.
Aim: To evaluate the quality of clinical guidelines in paediatric dentistry using the AGREE II tool.
Design: PubMed, EMBASE, Scopus, LIVIVO, Lilacs, international guidelines websites, scientific societies, and gray literature were searched until September 2021. We included paediatric dental clinical guidelines and excluded drafts or guidelines for patients with special needs. Two independent reviewers performed quality assessment using the APPRAISAL OF GUIDELINES FOR RESEARCH & EVALUATION II (AGREE II) instrument. We calculated the mean overall domain scores (95% confidence interval) for each guideline. We used regression analysis to correlate the score of overall assessment and the six domains of AGREE II with guideline characteristics.
Results: Forty-four guidelines were included in this study. Highest mean score was for Domain 4 (Clarity of Presentation; 58%, 95% CI: 50.8-64.9), whereas the lowest was for Domain 5 (Applicability; 16%, 95% CI: 10.8-21.4). The reporting quality was improved in Domains 1-5 with reporting checklists (p < .001), whereas that of Domain 6 was improved by decreasing years since publication (p = .047).
Conclusion: Paediatric dental guidelines do not comply with the methodological quality standard, especially in Domain 5 (Applicability). The AGREE reporting checklist should be implemented with a system to evaluate the certainty of evidence for future guidelines.
(© 2023 The Authors. International Journal of Paediatric Dentistry published by BSPD, IAPD and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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