目的:评估适用于COVID-19大流行的儿科牙科紧急情况管理的临床实践指南(CPG)的质量,通过使用测量仪器AGREEII(评估欧洲研究和评估指南)。
■在主要的CPG编译器中完成了对CPG的在线搜索:国家卫生与护理卓越研究所(NICE),国家准则信息交换所,医疗保健机构,研究与质量(AHRQ),安达卢西亚卫生技术评估部(AETSA),美国家庭医师学会,Tripdatabase.此外,由于需要确定符合纳入标准的CPG,手动搜索,在主要的国家和国际牙科组织以及公认的网站中,也完成了。
■所有指南都集中在儿科牙科紧急情况上,在数据库和“灰色”文献中可用,并在2000年至2020年期间出版(适用于COVID-19大流行),没有任何语言限制。CPG不包含完整的文件或针对有特殊需要的成人或儿童,被排除在选择之外。对CPG的评估,独立包括在内,是由四(04)名专家通过使用AGREEII实现的。
结果:二十三(23)个选定的CPG中有五(05)个,根据协议II被归类为“可接受”。对这五个指南进行了评估,以确定他们的“推荐程度”。只有一个(01)CPG\“GuíaClínicaAUGEdeUrgenciasOdonológicasAmbulatorias-Chile,2011年“得分达到75%,在其他指南中最高(5个领域的分数≥60%,包括III域“发展的严谨度”)被认为是“强烈推荐的”CPG。
结论:根据AGREEII的质量评估和推荐度标准,高,确定了中低质量CPG。只有一个CPG达到了75%的分数,被归类为“强烈推荐”。因此,建议现有的CPG更新和未来的CPG在制定过程中使用可用的工具和方法,以保证其质量。
结论:用于牙科紧急情况管理的高质量CPG旨在支持牙科保健专业人员在当前COVID-19大流行中决策采用特定的牙科程序。事实上,这些CPG可能有助于降低传播风险,以防疾病再次爆发。同样,它们可能有助于确定哪些病例需要在拥有COVID-19特殊设施的中心进行医疗护理。
OBJECTIVE: To assess the quality of Clinical Practice
Guidelines (CPG) related to the management of paediatric dental emergencies applicable to the COVID-19 pandemic, through the use of the measuring instrument AGREE II (Appraisal of
Guidelines for Research and Evaluation in Europe).
UNASSIGNED: A rigurous online search of CPG was accomplished among the main CPG compilers: National Institute for Health and Care Excellence (NICE), National
Guideline Clearinghouse, Agency for Healthcare, Research and Quality (AHRQ), Andalusian Health Technology Assessment Department (AETSA), American Academy of Family Physicians, Tripdatabase. Furthermore, because of the need to identify CPG that meet the inclusion criteria, a manual search, among the main national and international dental organizations as well as recognized web sites, was also accomplished.
UNASSIGNED: All of the guides focused on paediatric dental emergencies, available in the database and \"gray\" literature, and published between 2000 and 2020 (applicable to COVID-19 pandemic) were included without any language restrictions. The CPG that did not contain the full paper or were addressed to adults or children with special needs, were excluded from the selection. The evaluation of the CPG, independently included, were achieved by four (04) experts by using AGREE II.
RESULTS: Five (05) out of twenty-three (23) selected CPG, were classified as \"acceptable\" according to AGREE II. These five guides were evaluated to determine their \"Recommendation degree\". Only one (01) CPG \"Guía Clínica AUGE de Urgencias Odontológicas Ambulatorias-Chile, 2011\" reached a score of 75%, the highest among the other guides (5 domains with a score ≥ 60%, including the domain III \"Rigour of Development\") to be considered as a \"highly recommended\" CPG.
CONCLUSIONS: According to the quality assessment and recommendation degrees criteria from AGREE II, high, middle and low quality CPG were identified. Only one CPG reached a score of 75%, to be classified as \"highly recommended\". Therefore, it is suggested that the existing CPG updates and future CPG use the available tools and methodologies during their elaboration, in order to guarantee their quality.
CONCLUSIONS: High quality CPG for the management of dental emergencies are designed to support dental health professionals in decision-making to adopt specific dental procedures in the current COVID-19 pandemic. As a matter of fact, these CPG might contribute to reduce the risk of transmission, in case of fresh outbreak of the illness. Likewise, they might help to determine which cases warrant medical attention in centres with special facilities for COVID-19.