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Evidence gaps in orthognathic surgery: an international Delphi study.

J Bendersky1, S Zapata2, M Uribe3

  • 1Department of Oral and Maxillofacial Surgery and Cochrane Associated Center at Faculty of Dentistry, University of Chile, Santiago, Chile; Universitat Autónoma de Barcelona, UAB Campus, Barcelona, Spain.

International Journal of Oral and Maxillofacial Surgery
|November 27, 2024
PubMed
Summary

Maxillofacial surgeons identified and prioritized clinical research gaps in orthognathic surgery using the Delphi technique. This collaborative study offers a roadmap for future evidence-based investigations in the field.

Keywords:
Delphi techniqueEvidence gapsOral and maxillofacial surgeonsOrthognathic surgerySurveys and questionnaires

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Clinical Research Methodology

Background:

  • Orthognathic surgery literature reviews have identified evidence gaps.
  • Assessing the clinical relevance of these gaps is crucial for guiding future research.

Purpose of the Study:

  • To evaluate the clinical relevance of identified evidence gaps in orthognathic surgery.
  • To engage maxillofacial surgeons in prioritizing research questions.

Main Methods:

  • The Delphi technique was employed with a panel of experienced maxillofacial surgeons.
  • Two rounds of surveys with Likert-type and open-ended questions were administered.
  • A 60% consensus threshold was used to determine clinical relevance.

Main Results:

  • Seventy-four surgeons participated in round one, with 55 in round two (74% retention).
  • Participants proposed 11 new evidence gaps.
  • A list of 15 clinically relevant research questions was compiled.

Conclusions:

  • The study successfully assessed the clinical relevance of evidence gaps in orthognathic surgery.
  • Findings provide a prioritized list of research questions to guide future investigations.
  • Collaboration between researchers and clinicians enhances the understanding of clinical needs.