Dental caries prevention in children and adolescents: a systematic quality assessment of clinical practice guidelines

Andrea Seiffert, Carlos Zaror*, Claudia Atala-Acevedo, Andrea Ormeño, María José Martínez-Zapata, Pablo Alonso-Coello

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Objectives: To evaluate the quality of clinical practice guidelines (CPGs) for dental caries prevention in children and adolescents Materials and methods: We performed a systematic search of CPGs on caries preventive measures between 2005 and 2016. We searched MEDLINE, EMBASE, LILACS, TripDatabase, websites of CPG developers, compilers of CPGs, scientific societies and ministries of health. We included CPGs with recommendations on sealants, fluorides and oral hygiene. Three reviewers independently assessed the included CPGs using the AGREE II instrument. We calculated the standardised scores for the six domains and made a final recommendation about each CPG. Also, we calculated the overall agreement among calibrated reviewers with the intraclass correlation coefficient (ICC). Results: Twenty-two CPGs published were selected from a total of 637 references. Thirteen were in English and nine in Spanish. The overall agreement between reviewers was very good (ICC = 0.90; 95%CI 0.89–0.92). The mean score for each domain was the following: Scope and purpose 89.6 ± 12%; Stakeholder involvement 55.0 ± 15.6%; Rigour of development 64.9 ± 21.2%; Clarity of presentation 84.8 ± 14.1%; Applicability 30.6 ± 31.5% and Editorial independence 59.3 ± 25.5%. Thirteen CPGs (59.1%) were assessed as “recommended”, eight (36.4%) “recommended with modifications” and one (4.5%) “not recommended”. Conclusions: The overall quality of CPGs in caries prevention was moderate. The domains with greater deficiencies were Applicability, Stakeholder involvement and Editorial independence. Clinical relevance: Clinicians should use the best available CPGs in dental caries prevention to provide optimal oral health care to patients.

Original languageEnglish
Pages (from-to)3129-3141
Number of pages13
JournalClinical Oral Investigations
Volume22
Issue number9
DOIs
StatePublished - 1 Dec 2018

Bibliographical note

Publisher Copyright:
© 2018, Springer-Verlag GmbH Germany, part of Springer Nature.

Keywords

  • Adolescents
  • Child
  • Dental caries
  • Guideline

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