An So-Youn, Kim Hyun Jeong, Kim Seungoh, Kim Jongbin, Seo Kwang-Suk, Lee Deok-Won, Hwang Kyung-Gyun
Department of Pediatric dentistry, College of Dentistry, Wonkwang University, Daejeon, Korea.
Department of Dental Anesthesiology, School of Dentistry, Seoul National University, Seoul, Korea.
J Dent Anesth Pain Med. 2016 Mar;16(1):31-37. doi: 10.17245/jdapm.2016.16.1.31. Epub 2016 Mar 31.
The definition of evidence-based clinical practice guidelines (CPGs) is "statements that are systematically developed to assist in the doctors' and patients' decision-making in certain situations." This study aims to establish the concept of evidence-based CPGs and investigate the development status to seek measures to apply evidence-based methods to CPG development for dental sedation in Korea.
The study conducted systematic searching methods based on evidence-based CPGs. Articles published between 1995 to 2015 were searched on a Korean database and the international database PubMed. The search was based on keywords related to four subjects (dentistry, clinical practice, guideline, recommendation). Two authors independently reviewed the searched articles to determine their analysis inclusion and the convergence stages, and to arrive at a conclusion through discussion.
A total of 65 Korean CPGs were included. There were 51 medical guidelines, of which seven were dental and seven were Oriental medicine.
As a basic direction for the development of evidence-based CPGs, this work suggests the following: increased awareness; consensus on the need to supply evidence-based development methods; education, computerization, and systematic observation of evidence-based CPG development methods; continuous research development and distribution of CPGs; and creation of a database for Korean clinical dentistry practice outcomes.
循证临床实践指南(CPG)的定义是“为协助医生和患者在特定情况下进行决策而系统制定的声明”。本研究旨在确立循证CPG的概念,调查其发展状况,以寻求将循证方法应用于韩国牙科镇静CPG制定的措施。
本研究基于循证CPG进行系统检索。在韩国数据库和国际数据库PubMed上检索1995年至2015年发表的文章。检索基于与四个主题(牙科、临床实践、指南、推荐)相关的关键词。两位作者独立审查检索到的文章,以确定其分析纳入情况和融合阶段,并通过讨论得出结论。
共纳入65项韩国CPG。其中有51项医学指南,其中7项为牙科指南,7项为东方医学指南。
作为循证CPG发展的基本方向,本研究提出以下建议:提高认识;就提供循证发展方法的必要性达成共识;对循证CPG发展方法进行教育、计算机化和系统观察;持续开展CPG的研究、开发和传播;建立韩国临床牙科实践结果数据库。