Loading...
Publication
Adesão às directrizes de comunicação da prática clínica em saúde oral : um estudo de meta-análise
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 999.99 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Objetivos: O objetivo deste estudo foi avaliar a adesão das diretrizes de prática clínica (GPCs) em Saúde Oral às diretrizes de reporte.
Materiais e Métodos: Foi realizada uma pesquisa bibliográfica nas bases de dados MEDLINE, Embase, Web of Science, Google Scholar, de março de 2016 a dezembro de 2023, selecionando GPCs relativas a Saúde Oral. As diretrizes foram cruzadas com o 23- item Appraisal of Guidelines, Research and Evaluation (AGREE). Os resultados foram recolhidos, e a adesão geral e a adesão a cada item e secção AGREE foram calculadas. Em seguida, realizámos análises de regressão considerando as características das revistas, como o fator de impacto, o ano ou as opções de publicação
Resultados: Vinte e uma GPCs foram incluídas neste estudo. A taxa média de adesão ao AGREE foi de 48,7% e a taxa média global de exaustividade foi de 29,7%. Os resultados mostram uma elevada variabilidade nas taxas de adesão às diretrizes de reporte. Duas áreas parecem ter taxas de conformidade mais elevadas do que as restante, nomeadamente “Âmbito e objetivo” e “Clareza da apresentação”, com taxas de conformidade de 74,0% e 84,0%, respetivamente. Os níveis mais baixos de concordância foram encontrados em 'Independência editorial' e 'Aplicabilidade', com um nível de concordância de 37,0% e 19,0%, respetivamente. Quatro dos seis domínios não foram cumpridos de todo (0,0%). Os quartis de periódicos foram significativos, com as diretrizes publicadas em periódicos do segundo (B= -27,3%; SE = 6,1, p=0,0002) e terceiro quartis (B= -22,8%; SE = 10,6, p=0,0435) a apresentarem uma adesão global inferior à das diretrizes publicadas em periódicos do primeiro quartil.
Conclusões: O nível de adesão das GPCs dentárias/orais às diretrizes de reporte é subóptima e está associada com a classificação por quartil das revistas. Estes resultados sublinham a importância de aumentar a consciencialização dos investigadores, autores e editores sobre as diretrizes de reporte das GPC e de reforçar os esforços para garantir a sua aplicação rigorosa.
Objectives: We aimed to assess the adherence to clinical practice guidelines (CPGs) reporting guidelines for oral health. Materials and Methods: A literature search was carried out in MEDLINE, Embase, Web of Science, Google Scholar from March 2016 to December 2023, selecting CPGs related to oral health. Guidelines were cross-checked against the 23-item Appraisal of Guidelines, Research and Evaluation (AGREE). The results were then collected, and the overall adherence and adherence to each AGREE item and section were calculated. We then performed regression analyses considering journal characteristics, such as impact factor, year, or publishing options Results: Twenty-one CPGs were included in this study. The mean overall AGREE adherence rate was 48,7% and the mean overall completeness rate was 29,7%. The results show a wide variability in compliance rates with reporting guidelines. Two areas appear to have higher compliance rates than the others, namely ‘Scope and purpose’ and ‘Clarity of presentation’ with compliance rates of 74,0% and 84,0%, respectively. The lowest levels of agreement were found in ‘Editorial Independence’ and ‘Applicability’ with a level of agreement of 37,0% and 19,0%, respectively. Four of the six domains were not met at all (0,0%). Journal quartiles were significant, with guidelines published in journals in the second (B= -27,3% ; SE = 6,1, p=0,0002) and third quartiles (B= -22,8%; SE = 10,6, p=0,0435) showing lower overall adherence than guidelines published in journals in the first quartile. Conclusions: Reporting completeness in dental/oral CPGs is suboptimal and is associated with journal quartile ranking. These results highlight the importance of increasing awareness of CPGs reporting guidelines among researchers, authors and publishers, and of strengthening efforts to ensure their rigorous application.
Objectives: We aimed to assess the adherence to clinical practice guidelines (CPGs) reporting guidelines for oral health. Materials and Methods: A literature search was carried out in MEDLINE, Embase, Web of Science, Google Scholar from March 2016 to December 2023, selecting CPGs related to oral health. Guidelines were cross-checked against the 23-item Appraisal of Guidelines, Research and Evaluation (AGREE). The results were then collected, and the overall adherence and adherence to each AGREE item and section were calculated. We then performed regression analyses considering journal characteristics, such as impact factor, year, or publishing options Results: Twenty-one CPGs were included in this study. The mean overall AGREE adherence rate was 48,7% and the mean overall completeness rate was 29,7%. The results show a wide variability in compliance rates with reporting guidelines. Two areas appear to have higher compliance rates than the others, namely ‘Scope and purpose’ and ‘Clarity of presentation’ with compliance rates of 74,0% and 84,0%, respectively. The lowest levels of agreement were found in ‘Editorial Independence’ and ‘Applicability’ with a level of agreement of 37,0% and 19,0%, respectively. Four of the six domains were not met at all (0,0%). Journal quartiles were significant, with guidelines published in journals in the second (B= -27,3% ; SE = 6,1, p=0,0002) and third quartiles (B= -22,8%; SE = 10,6, p=0,0435) showing lower overall adherence than guidelines published in journals in the first quartile. Conclusions: Reporting completeness in dental/oral CPGs is suboptimal and is associated with journal quartile ranking. These results highlight the importance of increasing awareness of CPGs reporting guidelines among researchers, authors and publishers, and of strengthening efforts to ensure their rigorous application.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Medicina baseada em evidência Diretrizes Diretrizes de reporte AGREE Saúde oral Meta-estudo