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Study on the trends in Korean clinical practice guidelines development.

So-Youn An1, Hyun Jeong Kim2, Seungoh Kim3

  • 1Department of Pediatric dentistry, College of Dentistry, Wonkwang University, Daejeon, Korea.

Journal of Dental Anesthesia and Pain Medicine
|September 8, 2017
PubMed
Summary

This study examines the development of clinical practice guidelines (CPGs) in Korea, with a focus on dental sedation. It finds that dental CPGs are less developed compared to general medical guidelines. The researchers propose several measures to improve evidence-based CPG development, including increased awareness, education, and the creation of a database for Korean dental outcomes. The study emphasizes the need for systematic observation and continuous research to align Korean guidelines with international standards.

Keywords:
Clinical practiceDentistryEvidence-basedGuidelinesDental guidelinesEvidence-based medicineClinical practice developmentHealth policyGuideline implementation

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Area of Science:

  • Clinical dentistry practice guidelines
  • Evidence-based medicine in healthcare
  • Health policy and guideline development

Background:

Prior research has shown that clinical practice guidelines (CPGs) serve as decision-making tools for healthcare providers and patients. Established knowledge includes the role of CPGs in standardizing care and reducing variability in treatment approaches. However, the specific development of evidence-based CPGs in dental sedation remains underexplored. This gap motivated a closer examination of how evidence-based methods are applied in Korea. No prior work had resolved the extent to which dental sedation guidelines incorporate evidence-based practices. Prior studies focused on general medical guidelines but not dental-specific ones. This study addresses the need for a Korea-specific analysis of dental CPGs. It highlights the importance of aligning guideline development with international evidence-based standards. The study also identifies the current state of dental CPGs in Korea.

Purpose Of The Study:

This study aims to clarify the concept of evidence-based clinical practice guidelines (CPGs) and assess their development status in Korea, with a focus on dental sedation. The specific problem is the lack of clarity on how evidence-based methods are applied in Korean dental CPGs. The motivation is to identify ways to improve the evidence-based development of these guidelines. The study seeks to bridge the gap between international standards and local practices in Korea. It also aims to propose practical measures for enhancing the quality of dental CPGs. The researchers propose that increased awareness and training could improve guideline development. They also suggest the need for a centralized database to support evidence-based practices. The study emphasizes the importance of systematic observation and continuous research in this area.

Main Methods:

The study employed systematic searching methods to identify relevant articles on evidence-based clinical practice guidelines (CPGs). It searched Korean and international databases, including PubMed, for articles published between 1995 and 2015. The search focused on four subjects: dentistry, clinical practice, guidelines, and recommendations. Two authors independently reviewed the articles to determine inclusion criteria and convergence stages. They used discussion to reach a final conclusion on the analysis. The study included 65 Korean CPGs, with a breakdown of medical and dental guidelines. The researchers proposed a structured approach to developing evidence-based CPGs. They emphasized the importance of consensus and education in guideline development.

Main Results:

A total of 65 Korean clinical practice guidelines (CPGs) were included in the study. Of these, 51 were medical guidelines, with seven being dental and seven related to Oriental medicine. The study found that dental sedation guidelines in Korea are underdeveloped compared to general medical guidelines. The researchers identified a need for increased awareness and training in evidence-based methods. They also noted a lack of systematic observation and continuous research in the field. The study proposed the creation of a database to support evidence-based CPG development. It suggested that education and computerization could improve guideline quality. The findings highlight the importance of aligning Korean dental CPGs with international standards.

Conclusions:

The authors suggest that increased awareness and consensus on evidence-based methods are essential for improving clinical practice guidelines (CPGs) in Korea. They propose education and computerization as key steps toward better guideline development. The study emphasizes the need for continuous research and distribution of CPGs. It also highlights the importance of creating a database for Korean dental outcomes. The authors propose that systematic observation can enhance the quality of dental CPGs. They suggest that aligning Korean guidelines with international standards is crucial. The study concludes that evidence-based CPGs require ongoing research and distribution efforts. It calls for a structured approach to guideline development in dental sedation.

The study focuses on dental sedation guidelines in Korea and how evidence-based methods can be applied to their development.

A total of 65 Korean clinical practice guidelines were included, with seven related to dental sedation.

Systematic observation ensures that evidence-based methods are consistently applied in guideline development.

A database supports evidence-based CPG development by storing and organizing Korean dental outcomes systematically.

The study reviewed articles published between 1995 and 2015 to assess the development of Korean CPGs.

The authors suggest increased awareness, education, and the creation of a database to support evidence-based CPG development.