Krohn Sebastian, Kopp Ina B, Proff Peter
Poliklinik für Kieferorthopädie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.
Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e. V. (AWMF), Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Dec;66(12):1409-1413. doi: 10.1007/s00103-023-03798-x. Epub 2023 Nov 14.
Evidence-based treatment recommendations are gaining importance within the framework of both medical and dental quality management systems. The scientific findings, which have been evaluated critically by expert committees with regard to their methodological quality, are summarized in easy-to-understand guidelines. All guidelines are evaluated qualitatively in accordance with a balance between consensus and evidence during the drafting process regarding their stages of scientific development. The publication of guidelines and the coordination of guideline development has been carried out by the Association of the Scientific Medical Societies in Germany (AWMF) since its foundation in the 1960s. Forty-four dental guidelines are currently available, which are mostly rated at the highest level (S3) of scientific development. Therefore, recommendations for various treatment protocols are defined for both dental staff at university sites or practices and the implementation of these guidelines into the daily clinical routine is desirable. Poor acceptance and adverse resource requirements are major limitations of the establishment of guidelines with regard to the expansion of evidence-based dentistry. However, these limitations might be overcome by the introduction of basic scientific training within dental universities and increased funding of young researchers in order to ensure high treatment quality and economy in dentistry in the future. Guidelines can facilitate education by providing scientifically validated procedural templates to dental students and assisting educators in meeting the requirements of practical skills.
在医学和牙科质量管理体系框架内,基于证据的治疗建议正变得越来越重要。专家委员会已就其方法学质量进行严格评估的科学发现,被总结在易于理解的指南中。在起草过程中,所有指南都根据科学发展阶段,在共识与证据之间的平衡基础上进行定性评估。自20世纪60年代成立以来,德国科学医学协会(AWMF)一直负责指南的发布以及指南制定的协调工作。目前有44项牙科指南,其中大多数被评定为科学发展的最高水平(S3)。因此,为大学或诊所的牙科工作人员定义了各种治疗方案的建议,并且将这些指南纳入日常临床实践是可取的。在循证牙科的推广方面,指南接受度低和资源需求不利是建立指南的主要限制因素。然而,通过在牙科大学引入基础科学培训以及增加对年轻研究人员的资金投入,这些限制可能会被克服,以便在未来确保牙科治疗的高质量和经济性。指南可以通过为牙科学生提供经过科学验证的程序模板并协助教育工作者满足实践技能要求来促进教育。