A brief guide to clinical guidelines

Bateman, Geoffrey; Saha, Shuva

doi:10.1038/bdj.2007.1044

Cited by 16 publications

(15 citation statements)

References 3 publications

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“…Where research has been undertaken in settings removed from primary care, distrust may be associated with difficulty in assessing similarities between trial and practice populations, as described by Lee and Gin (26). Other changes, supported by research, were perceived as being contrary to patients’ wishes or politically driven (5, 27). To reduce this scepticism, guidelines should be based upon research in appropriate settings, and primary care dentists should be included in guideline production.…”

Section: Discussionmentioning

confidence: 99%

How primary care dentists perceive and are influenced by research

Hopper¹,

Morris

Tickle

2010

Community Dentistry and Oral Epidemiology

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Section: Discussionmentioning

confidence: 99%

How primary care dentists perceive and are influenced by research

Hopper¹,

Morris

Tickle

2010

Community Dentistry and Oral Epidemiology

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“…National clinical guidelines are considered a reliable information source to improve the quality of clinical decision making and assure clinicians about the appropriateness of the treatments they provide (41).…”

Section: Discussionmentioning

confidence: 99%

“It’s really no more difficult than putting on fluoride varnish”: A qualitative exploration of dental professionals’ views of silver diamine fluoride for the management of carious lesions in children

Seifo

Cassie

Radford

et al. 2020

Preprint

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BackgroundDespite evidence that Silver Diamine Fluoride (SDF) can be effective in managing carious lesions in primary teeth, the use of SDF in the UK remains limited. This study explored dental professionals’ views and experiences of using SDF for managing carious lesions in children. In addition, it explored what they perceived to be the advantages, disadvantages, barriers and enablers to the use of SDF in practice.MethodsFifteen semi-structured face-to-face or over-the-phone interviews were conducted with 14 dental professionals from NHS Tayside and NHS Grampian in Scotland. Interviews were transcribed verbatim, coded and analysed using a thematic approach.ResultsThirteen of 14 dental professionals interviewed were familiar with, or had some existing knowledge of, SDF. Four had used it to treat patients. The majority of participants thought that the main advantage of SDF was that it required minimal patient cooperation. SDF was also perceived as a simple, pain-free and non-invasive treatment approach that could help acclimatise children to the dental environment. However, SDF-induced black staining of arrested carious lesions was most commonly reported as the main disadvantage and greatest barrier to using it in practice. Participants believed that this discolouration would concern some parents who may fear that the black appearance may instigate bullying at school and that others may judge parents as neglecting their child’s oral health. Participants thought that education of clinicians about SDF use and information sheets for parents would enhance the uptake of SDF in dental practice. Participants believed that younger children might not be as bothered by the discolouration as older ones and they anticipated greater acceptance of SDF for posterior primary teeth by both parents and children.ConclusionDental professionals were aware that SDF can be used for arresting carious lesions. They pointed out that the staining effect of carious lesions is a major disadvantage that could be a barrier for many parents. Participants considered the application process to be simple and non-invasive and requires a minimum level of child cooperation. Participants appreciated the potential of SDF in paediatric dentistry and suggested actions that could help overcome the barriers they highlighted.

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“…Though these guidelines may be available, it is difficult to determine how widely they are used in LMICs. While the use of guidelines produced by international organizations and professional bodies may be helpful, there is evidence to support the fact that local guidelines are more likely to be implemented than those developed elsewhere (Bateman & Saha, 2007).…”

Section: Guideline Development and Review In Lmicsmentioning

confidence: 99%

“…Guidelines can positively change practice and patient outcome; they promote beneficial interventions while discouraging those that are ineffective or possibly dangerous. However, they do not in themselves authorize or outlaw treatment options (Grimshaw et al, 2004;Pantin et al, 2006;Bateman & Saha, 2007).…”

Section: Introductionmentioning

confidence: 99%

“…Thus, the practitioner should seek the opinion of his/ her patient before using a particular guideline. When used appropriately, guidelines make healthcare more consistent and efficient (Woolf et al, 1999;Pantin et al, 2006;Bateman & Saha, 2007). There is evidence in the literature to suggest that successful implementation of guidelines reduces mortality and morbidity (Lindsay et al, 2014;Griesdale et al, 2015;Lee et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Guidelines in lower‐middle income countries

2017

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Summary Guidelines include recommendations intended to optimize patient care; used appropriately, they make healthcare consistent and efficient. In most lower‐middle income countries (LMICs), there is a paucity of well‐designed guidelines; as a result, healthcare workers depend on guidelines developed in Higher Income Countries (HICs). However, local guidelines are more likely to be implemented because they are applicable to the specific environment; and consider factors such as availability of resources, specialized skills and local culture. If guidelines developed in HICs are to be implemented in LMICs, developers need to incorporate local experts in their development. Involvement of local stakeholders may improve the rates of implementation by identifying and removing barriers to implementation in LMICs. Another option is to encourage local experts to adapt them for use in LMICs; these guidelines may recommend strategies different from those used in HICs, but will be aimed at achieving the best practicable standard of care. Infrastructural deficits in LMICs could be improved by learning from and building on the successful response to the human immunodeficiency virus/acquired immunodeficiency syndrome pandemic through interactions between HICs and LMICs. Similarly, collaborations between postgraduate medical colleges in both HICs and LMICs may help specialist doctors training in LMICs develop skills required for guideline development and implementation.

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A brief guide to clinical guidelines

Abstract: PRACTICE• Highlights the rise of clinical guidelines in dentistry.• Explores the purpose of guidelines.• Provides advice on how guidelines should be used.• Gives examples of useful guidelines and where these may be found.

Cited by 16 publications

References 3 publications

How primary care dentists perceive and are influenced by research

How primary care dentists perceive and are influenced by research

“It’s really no more difficult than putting on fluoride varnish”: A qualitative exploration of dental professionals’ views of silver diamine fluoride for the management of carious lesions in children

Guidelines in lower‐middle income countries

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