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Quality analysis of the clinical practice guidelines for management of impacted maxillary central incisors: a systematic review

Evidence-Based Dentistry (2024)Cite this article

Subjects

Abstract

Purpose

To assess the quality of clinical practice guidelines (CPG) for management of impacted central incisors.

Methods

Search was performed in PubMed, LILACS, Web of Science, EMBASE, Scopus, and Cochrane databases, and guideline-focused databases/repositories on 15-09-2022 without any limitations and was updated on 15-07-2023. Grey literature search was also performed. Two independent reviewers were involved in the study selection and data extraction. Quality assessment of the included CPG was performed by four independent appraisers using the AGREE-II instrument. The degree of agreement among the appraisers was calculated using the intraclass correlation coefficient (ICC).

Results

Five CPG were included in the review. The Ministry of Health, Malaysia (MHM) guideline obtained the highest scores in all six domains of AGREE-II and an overall score of 73% demonstrating the “highest” quality. The remaining four guidelines obtained overall “low-quality” scores ranging from 34.57-37.52%. The ICC scores ranged from 0.530 to 0.990 for various domains of AGREE-II.

Conclusion

MHM guidelines demonstrated high-quality scores in domains of ‘scope and purpose’, ‘clarity of presentation’, ‘applicability domain’, and ‘editorial independence’, while others were found to have moderate or low quality. This review identified areas that can be addressed by future guideline developers to avoid these discrepancies.

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Authors and Affiliations

  1. Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India

    Rathika Asaithambi, Mohammad Atif, Nitesh Tewari, Saurabh Sharma, Vijay Prakash Mathur, Rahul Morankar & Kalpana Bansal

Authors
  1. Rathika Asaithambi
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  2. Mohammad Atif
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  3. Nitesh Tewari
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  4. Saurabh Sharma
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  5. Vijay Prakash Mathur
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  6. Rahul Morankar
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  7. Kalpana Bansal
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Contributions

The idea was conceptualized by RT and NT. The team comprising all the co-authors designed the protocol and the methods of the study. The extraction of data was conducted by RT and MA. The steps of analysis were conducted by VM, RT, MA, and SS. The initial draft of the manuscript was prepared by NT, RT. It was revised by all the authors.

Corresponding author

Correspondence to Nitesh Tewari.

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The authors declare no competing interests.

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Asaithambi, R., Atif, M., Tewari, N. et al. Quality analysis of the clinical practice guidelines for management of impacted maxillary central incisors: a systematic review. Evid Based Dent (2024). https://doi.org/10.1038/s41432-023-00965-6

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