循证口腔实践——如何使用文献辅助临床决策

doi:10.13701/j.cnki.kqyxyj.2021.01.001

口腔医学研究 ›› 2021, Vol. 37 ›› Issue (1): 1-5.DOI: 10.13701/j.cnki.kqyxyj.2021.01.001

• 特约述评 • 下一篇

循证口腔实践——如何使用文献辅助临床决策

花放^1,2*

1.武汉大学口腔医院循证口腔医学中心湖北武汉 430079;
2.曼彻斯特大学牙医学院Cochrane口腔健康组英国曼彻斯特 M13 9PL

收稿日期:2021-01-10 出版日期:2021-01-28 发布日期:2021-01-22
通讯作者: *花放,E-mail:huafang@whu.edu.cn
作者简介:花放武汉大学口腔正畸学硕士,英国曼彻斯特大学口腔公共卫生及社区口腔医学博士,武汉大学重点资助博士后,武汉中青年医学骨干人才。现任武汉大学口腔医院循证口腔医学中心常务副主任、临床研究中心办公室副主任;兼任曼彻斯特大学牙医学院名誉研究员、国际牙科研究协会循证牙医学专委会(IADR EBD Network)常委(Councilor)、Cochrane协作网口腔健康组编委、Journal of Evidence-Based Dental Practice编委、Frontiers in Medicine及Frontiers in Public Health客座副主编、中华口腔医学会口腔正畸专委会青年委员、湖北省睡眠研究会青年委员、20余本SCI或SSCI期刊审稿人。主要从事循证口腔医学、临床研究方法学、口腔正畸学研究,在Journal of Dental Research、Journal of Clinical Periodontology、Cochrane Database of Systematic Reviews、Annals of Oncology等权威期刊发表第一/通讯作者SCI论文40余篇,参编Wiley出版社《Evidence-Based Orthodontics (2nd Edition)》英文专著以及人民卫生出版社《循证医学(第2版)》、《循证口腔医学(第3版)》教材。主持国家自然科学基金、中国博士后科学基金各一项。
基金资助:
武汉中青年医学骨干人才培养工程(编号:[2019]87)

Evidence-based Dental Practice: How to Use the Literature to Inform Clinical Decision-making

HUA Fang^1,2*

1. Center for Evidence-Based Stomatology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
2. Cochrane Oral Health, Division of Dentistry, The University of Manchester, Manchester M13 9PL, UK

Received:2021-01-10 Online:2021-01-28 Published:2021-01-22

摘要/Abstract

摘要： 循证口腔实践是循证口腔医学的核心思想及主要目标。然而,长期以来循证口腔医学的发展主要集中在循证口腔研究领域,对高质量临床研究证据向临床实践的转化问题关注相对较少。目前,循证口腔实践知识、技能在我国的普及程度不高,与其有关的教育与培训仍有待加强。本文将以口腔医学文献的严格评读方法为主要内容,对循证口腔实践相关理念及注意事项做一简要介绍,以期帮助口腔医护人员更好地使用文献辅助临床决策。

关键词: 循证口腔医学, 循证医疗实践, 临床研究, 严格评读

Abstract: Evidence-based dental practice (EBDP) is the core idea and main objective of evidence-based dentistry (EBD). However, much of the development of EBD has been in the field of evidence-based dental research, with inadequate attention paid to the translation of high-quality clinical research evidence into clinical practice. Currently, EBDP-related knowledge and skills are not widely disseminated in China, relevant education and training still need to be strengthened. In order to help dental care workers use the literature to inform their clinical decision-making, this article will provide a brief introduction to EBDP-related concepts and common pitfalls, with a main focus on the critical appraisal of dental literature.

Key words: evidence-based dentistry, evidence-based practice, clinical research, citical appraisal

花放. 循证口腔实践——如何使用文献辅助临床决策[J]. 口腔医学研究, 2021, 37(1): 1-5.

HUA Fang. Evidence-based Dental Practice: How to Use the Literature to Inform Clinical Decision-making[J]. Journal of Oral Science Research, 2021, 37(1): 1-5.

参考文献

[1] Chiappelli F. Evidence-based dentistry: two decades and beyond [J]. J Evid Based Dent Pract, 2019, 19(1): 7-16.
[2] Hutter J. The history of evidence-based dentistry in the ADA [J]. J Evid Based Dent Pract, 2004, 4(1): 8-11.
[3] Brignardello-Petersen R, Carrasco-Labra A, Glick M, et al. A practical approach to evidence-based dentistry: understanding and applying the principles of EBD [J]. J Am Dent Assoc, 2014, 145(11): 1105-1107.
[4] Patel K, Pajpani M. Making sense of the literature: an introduction to critical appraisal for the primary care practitioner [J]. Br Dent J, 2020, 229(8): 551-555.
[5] Brignardello-Petersen R, Carrasco-Labra A, Booth HA, et al. A practical approach to evidence-based dentistry: How to search for evidence to inform clinical decisions [J]. J Am Dent Assoc, 2014, 145(12): 1262-1267.
[6] Chen Y, Hua F, Mei Y, et al. The characteristics and level of evidence of clinical studies published in 5 leading orthodontic journals [J]. J Evid Based Dent Pract, 2019, 19(3): 273-282.
[7] 史宗道,华成舸,李春洁.循证口腔医学(第3版)[M].北京: 人民卫生出版社, 2020.
[8] Hong B, Plugge E. Critical appraisal skills teaching in UK dental schools [J]. Br Dent J, 2017, 222(3): 209-213.
[9] Aronson JK, Barends E, Boruch R, et al. Key concepts for making informed choices [J]. Nature, 2019, 572(7769): 303-306.
[10] Hua F, Deng L, Kau CH, et al. Reporting quality of randomized controlled trial abstracts: survey of leading general dental journals [J]. J Am Dent Assoc, 2015, 146(9): 669-678 e1.
[11] Hua F, Walsh T, Glenny AM, et al. Reporting quality of randomized controlled trial abstracts presented at European Orthodontic Society congresses [J]. Eur J Orthod, 2016, 38(6): 584-492.
[12] Wu X, Yan Q, Fang X, et al. Spin in the abstracts of randomized controlled trials in periodontology and oral implantology: A cross-sectional analysis [J]. J Clin Periodontol, 2020:1079-1086.
[13] Fang X, Hua F, Riley P, et al. Abstracts of published randomised controlled trials in Endodontics: Reporting quality and spin [J]. Int Endod J, 2020:1050-1061.
[14] Brignardello-Petersen R, Carrasco-Labra A, Glick M, et al. A practical approach to evidence-based dentistry: Ⅴ: how to appraise and use an article about diagnosis [J]. J Am Dent Assoc, 2015, 146(3): 184-191 e1.
[15] Brignardello-Petersen R, Carrasco-Labra A, Glick M, et al. A practical approach to evidence-based dentistry: Ⅳ: how to use an article about harm [J]. J Am Dent Assoc, 2015, 146(2): 94-101 e1.
[16] Brignardello-Petersen R, Carrasco-Labra A, Glick M, et al. A practical approach to evidence-based dentistry: Ⅲ : how to appraise and use an article about therapy [J]. J Am Dent Assoc, 2015, 146(1): 42-49 e1.
[17] Carrasco-Labra A, Brignardello-Petersen R, Azarpazhooh A, et al. A practical approach to evidence-based dentistry: Ⅹ: How to avoid being misled by clinical studies' results in dentistry [J]. J Am Dent Assoc, 2015, 146(12): 919-924.
[18] Brignardello-Petersen R, Carrasco-Labra A, Glick M,et al. A practical approach to evidence-based dentistry: Ⅵ: How to use a systematic review [J]. J Am Dent Assoc, 2015, 146(4): 255-265 e1.
[19] Carrasco-Labra A, Brignardello-Petersen R, Glick M, et al. A practical approach to evidence-based dentistry: Ⅶ: How to use patient management recommendations from clinical practice guidelines [J]. J Am Dent Assoc, 2015, 146(5): 327-336 e1.
[20] 王吉耀.循证医学与临床实践[M].北京:科学出版社,2012.
[21] 刘晓清,吴东,费宇彤.循证临床实践手册[M].北京:中国协和医科大学出版社, 2019.
[22] Richards D. Critically appraising systematic reviews [J]. Evid Based Dent, 2010, 11(1): 27-29.
[23] Needleman I, Clarkson J, Worthington H. A practitioner's guide to developing critical appraisal skills: reviews of research [J]. J Am Dent Assoc, 2013, 144(5): 527-530.
[24] Koletsi D, Valla K, Fleming PS, et al. Assessment of publication bias required improvement in oral health systematic reviews [J]. J Clin Epidemiol, 2016, 76:118-124.
[25] Guyatt G, Oxman AD, Akl EA, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables [J]. J Clin Epidemiol, 2011, 64(4): 383-394.
[26] Koletsi D, Pandis N, Polychronopoulou A, et al. Mislabeling controlled clinical trials (CCTs) as "randomized clinical trials (RCTs)" in dental specialty journals [J]. J Evid Based Dent Pract, 2012, 12(3): 124-130.
[27] Pandis N, Polychronopoulou A, Eliades T. Randomization in clinical trials in orthodontics: its significance in research design and methods to achieve it [J]. Eur J Orthod, 2011, 33(6): 684-690.
[28] Richards D. Critically appraising randomised trials [J]. Evid Based Dent, 2009, 10(3): 88-90.
[29] Barnett ML, Pihlstrom BL. A practitioner's guide to developing critical appraisal skills: interventional studies [J]. J Am Dent Assoc, 2012, 143(10): 1114-1119.
[30] Qin D, Hua F, He H, et al. Quality of split-mouth trials in dentistry: 1998, 2008, and 2018 [J]. J Dent Res, 2020, 99(13): 1453-1460.
[31] Schulz KF, Grimes DA. Allocation concealment in randomised trials: defending against deciphering[J]. Lancet, 2002, 359(9306): 614-618.
[32] Bondemark L, Abdulraheem S. Intention to treat (ITT) analysis as reported in orthodontic randomized controlled trials-evaluations of methodology and recommendations for the accurate use of ITT analysis and handling dropouts [J]. Eur J Orthod, 2018, 40(4): 409-413.

循证口腔实践——如何使用文献辅助临床决策

Evidence-based Dental Practice: How to Use the Literature to Inform Clinical Decision-making

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 5

编辑推荐

Metrics

[1]	郭锦材, 谢辉. 中医药治疗口腔黏膜下纤维化的临床研究进展[J]. 口腔医学研究, 2019, 35(5): 423-426.
[2]	丁美丽, 秦满, 郑佳佳, 张红梅, 林碧琛, 陈小贤. 新型生物陶瓷材料用于年轻恒牙牙髓切断术的效果评价[J]. 口腔医学研究, 2018, 34(7): 766-770.
[3]	董十月, 吴豪阳, 张艳靖. 种植固定义齿邻接触丧失状况及其可能影响因素的5年随访研究[J]. 口腔医学研究, 2018, 34(5): 527-531.
[4]	花放. 循证口腔医学25年:从理念迈向实践[J]. 口腔医学研究, 2018, 34(11): 1149-1153.
[5]	李玲, 梅丽琴, 李骏, 魏智渊. 牙髓血运重建术治疗年轻恒牙根尖周病的临床及影像学评价[J]. 口腔医学研究, 2017, 33(11): 1189-1192.