Evidence-based Evaluation of Clinical Practice Guidelines on Stomatology in China_Chinese Journal of Evidence-Based Medicine

Authors：

 ZENGXian-tao ^1,2,3 ,  WUFan ^1,2 , WULan ^1,2 , XIALing-yun ^1,2,4 , LENGWei-dong ¹ ,  FANMing-wen ⁴

1. Department of Stomatology, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China;
2. Center for Evidence-based Medicine and Clinical Research, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China;
3. Center for Evidence-based and Translational Medicine, Zhongnan Hospital, Wuhan University, Wuhan 430071, China;
4. State Key Laboratory Breeding Base of Basic Science of Stomatology(Hubei-MOST) & Key Laboratory for Oral Biomedical Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan 430071, China;

Corresponding author：

FANMing-wen, Email: fmwwhu@163.com

Keywords：

Stomatology; Clinical practice guideline; AGREE Ⅱ; Evidence-based medicine; Evidence-based guideline

DOI：

10.7507/1672-2531.20150046

Video：

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Objective To evaluate the quality, status of clinical practice guidelines on stomatology in China and discuss existing problems, so as to provide references for developing evidence-based guidelines. Methods Comprehensive search was conducted up to January 2014 for relevant clinical practice guidelines on stomatology, and the retrieval date was January 30th, 2014. After data extraction from eligibility guidelines, the quality was evaluated using the AGREE Ⅱ instrument and then descriptive analysis was performed. Results Finally a total of 18 guidelines were included, of which, 13 were for oral and maxillofacial surgery diseases. Based on the AGREE Ⅱ instrument, the average scores on the six domains were as follows:71.1% for scope and purpose, 40.1% for stakeholder involvement, 28.8% for rigor of development, 71.5% for clarity of presentation, 42.6% for applicability, and 8.6% for editorial independence. Conclusion The overall quality of clinical practice guidelines on stomatology in China is relatively poor, only a few diseases are concerned, and no evidence-based guideline has been developed so far. However, considered the limitations of this study, the results of this study is only for a reference.

Citation： ZENGXian-tao, WUFan, WULan, XIALing-yun, LENGWei-dong, FANMing-wen. Evidence-based Evaluation of Clinical Practice Guidelines on Stomatology in China. Chinese Journal of Evidence-Based Medicine, 2015, 15(3): 264-269. doi: 10.7507/1672-2531.20150046 Copy

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1. Eccles MP, Grimshaw JM, Shekelle P, et al. Developing clinical practice guidelines:target audiences, identifying topics for guidelines, guideline group composition and functioning and conflicts of interest. Implement Sci, 2012, 7:60.
2. Woolf SH1, Grol R, Hutchinson A, et al. Clinical guidelines:potential benefits, limitations, and harms of clinical guidelines. BMJ, 1999, 318(7182):527-530.
3. 赵亚利, 崔树起. 国际临床实践指南的研究进展. 全科医师临床与教育, 2004, 2(3):177.
4. Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China:1993-2010. Chin Med J (Engl), 2012, 125(20):3660-3664.
5. Zhang ZW, Liu XW, Xu BC, et al. Analysis of quality of clinical practice guidelines for otorhinolaryngology in China. PLoS One, 2013, 8(1):e53566.
6. Hu J, Chen R, Wu S, et al. The quality of clinical practice guidelines in China:a systematic assessment. J Eval Clin Pract, 2013, 19(5):961-967.
7. Zeng X, Zhang Y, Kwong JS, et al. The methodological quality assessment tools for pre-clinical and clinical studies, systematic review and meta-analysis, and clinical practice guideline:a systematic review. J Evid Based Med, 2015, doi:10.1111/jebm.12141.[Epubaheadofprint].
8. 郑家伟, 赵怡芳, 秦中平, 等. 口腔颌面-头颈部静脉畸形诊治指南. 中国口腔颌面外科杂志, 2011, 9(6):510-517.
9. 范新东, 郑家伟. 口腔颌面部动静脉畸形诊治指南. 中国口腔颌面外科杂志, 2011, 9(3):242-247.
10. 中华口腔医学会口腔颌面外科专业委员会肿瘤学组. 口腔颌面部恶性肿瘤颈淋巴结转移的外科诊治指南. 中国口腔颌面外科杂志, 2005, 3(1):3-9.
11. 郑家伟, 李金忠, 涂文勇, 等. 口腔颌面部恶性肿瘤治疗指南. 中国口腔颌面外科杂志, 2010, 8(2):98-106.
12. 郑家伟, 麦华明, 骆泉丰, 等. 口腔颌面部淋巴管畸形治疗指南. 中国口腔颌面外科杂志, 2010, 8(5):386-390.
13. 中华口腔医学会口腔颌面外科专业委员会脉管性疾病学组. 口腔颌面部血管瘤及脉管畸形的诊断和治疗指南(草案). 中华口腔医学杂志, 2005, 40(3):185-186.
14. 郑家伟, 周琴, 王延安, 等. 口腔颌面部血管瘤治疗指南. 中国口腔颌面外科杂志, 2011, 9(1):61-67.
15. 中华口腔医学会. 口腔治疗中笑气-氧气吸人镇静技术应用操作指南(试行). 中华口腔医学杂志, 2010, 45(11):645-647.
16. 中华口腔医学会口腔颌面外科专业委员会脉管性疾病学组. 平阳霉素治疗脉管性疾病规范. 中国口腔颌面外科杂志, 2011, 9(1):68-69.
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18. 血管化自体颌下腺移植治疗重症角结膜干燥症研究项目组. 血管化自体颌下腺移植治疗重症角结膜干燥症指南. 中华口腔医学杂志, 2010, 45(7):391-393.
19. 中华口腔医学会牙本质敏感专家组. 牙本质敏感的诊断和防治指南. 中华口腔医学杂志, 2009, 44(3):132-134.
20. 胡静, 沈国芳, 刘彦普, 等. 牙颌面畸形诊断与治疗指南. 中国口腔颌面外科杂志, 2011, 9(5):415-419.
21. 中华口腔医学会口腔颌面外科专业委员会肿瘤外科学组. 牙源性肿瘤诊疗指南. 中国口腔颌面外科杂志, 2011, 9(4):337-342.
22. 中华口腔医学会《义齿护理指南》专家组. 义齿护理指南. 中华口腔医学杂志, 2011, 46(1):4-6.
23. 中华口腔医学会"非侵入性牙齿美白治疗指南"编写组. 非侵入性牙齿美白治疗指南(讨论稿). 中华口腔医学杂志, 2012, 47(6):321-323.
24. 复发性阿弗他溃疡诊疗指南(试行). 中华口腔医学杂志, 2012, 47(7):402-404.
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27. 李金忠,郑家伟. NCCN头颈癌诊疗指南(2007版)(2). 中国口腔颌面外科杂志, 2008, 6(2):154-160.
28. 李金忠,郑家伟. NCCN头颈癌诊疗指南(2007版)(3). 中国口腔颌面外科杂志, 2008, 6(3):233-240.
29. 李金忠,郑家伟. NCCN头颈癌诊疗指南(2007版)(4). 中国口腔颌面外科杂志, 2008, 6(4):313-320.
30. 李金忠,郑家伟. NCCN头颈癌诊疗指南(2007版)(5). 中国口腔颌面外科杂志, 2008, 6(5):393-400.
31. 李金忠,郑家伟. NCCN头颈癌诊疗指南(2007版)(6). 中国口腔颌面外科杂志, 2008, 6(6):475-480.
32. 美国国立癌症综合信息网头颈肿瘤专家组. 头颈部恶性肿瘤诊断治疗指南. 中华口腔医学杂志, 2006, 41(8):453-455.
33. 复发性阿弗它溃疡疗效评价试行标准. 华西口腔医学杂志, 2001, 19(5):337-338.
34. 中华口腔医学会牙体牙髓病学专业委员会. 复合树脂粘结修复操作规范及评定标准(建议稿). 中华口腔医学杂志, 2011, 46(12):728-729.
35. 四川大学华西口腔医院牙体牙髓病科. 根管治疗技术规范与疗效评价标准. 华西口腔医学杂志, 2004, 22(3):196-197.
36. 中华口腔医学会口腔黏膜病专业委员会. 口腔白斑病的定义与分级标准(试行). 中华口腔医学杂志, 2011, 46(10):579-580.
37. 中华口腔医学会牙体牙髓病学专业委员会. 全国根管治疗技术规范和质量控制标准. 华西口腔医学杂志, 2004, 22(5):379-380.
38. 孟焕新, 张立. 牙周临床治疗I. 侵袭性牙周炎的诊断及治疗. 中华口腔医学杂志, 2005, 40(1):81-83.
39. 中华口腔医学会. 口腔治疗中笑气-氧气吸入镇静技术管理规范. 中华口腔医学杂志, 2010, 45(11):648-649.
40. 中华人民共和国卫生部办公厅. 中国居民口腔健康指南. 中华口腔医学杂志, 2010, 45(6):325-330.
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Chinese Journal of Evidence-Based Medicine

Evidence-based Evaluation of Clinical Practice Guidelines on Stomatology in China

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