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Evaluating Reporting Completeness in Oral Health Clinical Guidelines: A Meta-Research Study.

P Lancry1, P Lyra1, J J Mendes1

  • 1Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health and Science, Almada, Portugal.

JDR Clinical and Translational Research
|August 16, 2025
PubMed
Summary

Oral health clinical practice guidelines (CPGs) show suboptimal reporting completeness, with adherence averaging only 48.7%. Quality is linked to journal impact factor and endorsement, necessitating better guideline awareness and application.

Keywords:
agreeevidence-based medicineguidelinesmeta-researchoral healthreporting guidelines

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Area of Science:

  • Oral Health
  • Clinical Practice Guidelines
  • Evidence-Based Dentistry

Background:

  • Assessing adherence to reporting guidelines for oral health clinical practice guidelines (CPGs) is crucial for evidence-based practice.
  • Current reporting standards in oral health CPGs require evaluation to identify areas for improvement.

Purpose of the Study:

  • To evaluate the adherence of oral health clinical practice guidelines (CPGs) to established reporting guidelines.
  • To identify factors influencing the quality of reporting in oral health CPGs.

Main Methods:

  • A systematic literature search was conducted across PubMed, Embase, and Web of Science (March 2016-December 2023) for oral health CPGs.
  • Guidelines were assessed using the 23-item Appraisal of Guidelines, Research, and Evaluation (AGREE) instrument by two independent researchers.
  • Regression analyses examined the association between reporting adherence and journal characteristics (quartile, endorsement).

Main Results:

  • Twenty-one oral health CPGs were analyzed, with a mean overall AGREE adherence of 48.7%.
  • Highest adherence was observed in "Clarity of Presentation" (83.6%) and "Scope and Purpose" (74.0%), while "Applicability" showed the lowest (18.5%).
  • Lower adherence was significantly associated with guidelines published in lower-quartile journals and those without journal endorsement.

Conclusions:

  • Reporting completeness in oral health CPGs is suboptimal and influenced by journal metrics.
  • Improving adherence requires increased awareness and rigorous implementation of reporting guidelines.
  • Enhancing the quality of CPG reporting is essential for effective knowledge transfer and clinical decision-making.