Académique Documents
Professionnel Documents
Culture Documents
Sergio Uribe
Universidad de Valparaíso - Universidad Austral de Chile Chile
Protocols
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Instructions on operational management of health problems identified. comprehens
ive review of the literature on a clearly defined question, which is done using
a systematic and explicit methods to identify, select and critically evaluate re
levant research. set of recommendations designed to support decision making of h
ealth professionals or patients
Systematic review
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series of procedures using a center any evidence, but generally are based on exp
ert opinion may be mandatory administrative part
Clinical protocols
CF Sumner et al. Operating room protocol. Bull Contra Costa Dent Soc 1967 Jun; 1
2 (4) :19-24. Turco M et al. Treatment of Severe temporomandibular joint bilater
al ankylosis in adults: our protocol. Minerva Stomatol. 2007 Apr; 56 (4) :181-90
.
Clinical Protocol
Systematic reviews
solve a specific problem using a specific type of evidence can be found that the
research results by themselves do not detect professionals involved
Systematic reviews
Clinical guidelines
solve general problems using all available evidence used to support the particip
ating decision-making professionals, patients and agencies
Clinical guidelines
Infection control guidelines Tomasi NJ from Ohio State Dental Board. Cincinnati
Dent Soc Bull. 1986 Sep; 55 (7): 21, 23-4. Flores MT et al. Guidelines for the m
anagement of traumatic dental injuries. III. Primary teeth. Dent Traumatol. 2007
Aug; 23 (4) :196-202.
Clinical guidelines
sergio.uribe @ gmail.com
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Clinical guidelines
Levels of evidence
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Ia Evidence obtained from a meta-analysis of controlled trials (RCT) Ib Evidence
obtained from at least one RCT IIa Evidence obtained from at least one well-des
igned study without randomization IIb Evidence obtained from at least one well-d
esigned quasi-experimental evidence III obtained from at least one well-designed
non-experimental studies IV Evidence obtained from expert opinion or consensus
reports
sergio.uribe @ gmail.com 14
Clinical guidelines
Grades of recommendation
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- -
A Requires at least one RCT and all the literature agrees quality B requires at
least one non-randomized clinical trial or well designed observational studies,
there may be conflicting evidence C requires the consensus of experts. It's easy
to find differences of opinion GPP Recommended Best Practice
sergio.uribe @ gmail.com 15
sergio.uribe @ gmail.com
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Authors SIGN Pages patient groups Dating Period Objective review from 1996 to 20
03 115 42 30 If you define effective strategies for prevention and management of
dental caries in children between 6-16 years 2 5 pages No Yes Yes Yes
MINSAL 38 No 47 1993-2005 32 maintain and restore oral health of children (a) 6
years
Pages Pages dedicated to restoring patients involved in clinical Sheet Quick Ref
erence Guide Recommendations for implementing recommendations for audit
No Yes No No No
What is most useful?