- 1.Evidence Based DentistryResources Prof. PedroA. Del Valle
Lpez, MLS [email protected] Bibliotecario Enlace Escuela
de Medicina Dental
2. ADA Policy on Evidence-Based Dentistry ADA defines the term
evidence-based dentistry asfollows:Evidence-based dentistry is an
approach to oral health care that requires the judicious
integration of systematic assessments of clinically relevant
scientific evidence, relating to the patient's oral and medical
condition and history, with the dentist's clinical expertise and
the patient's treatment needs and preferences. (Trans. 2001:462).
Available at: http://www.ada.org/1754.aspx. 3. ADA Policy on
Evidence-Based Dentistry In adopting this definition for EBD, the
ADA recognizes thattreatment recommendations should be determined
for each patient by his or her dentist, and that patient
preferences should be considered in all decisions. Dentist
experience and other circumstances, such as patients
characteristics, should also be considered in treatment planning.
EBD does not provide a cookbook that dentists must follow, nor does
it establish a standard of care. The EBD process must not be used
to interfere in the dentist/patient relationship, nor is it to be
used as a costcontainment tool by third-party payers.Available at:
http://www.ada.org/1754.aspx. 4. Where to Look for Evidence Based
Dentistry Resources? 5. TEXTBOOKS 6. THE COCHRANE HANDBOOKS 7. The
Cochrane Handbook for Systematic Reviews of Interventions The
Cochrane Handbook for Systematic Reviews ofInterventions is the
official document that describes in detail the process of preparing
and maintaining Cochrane systematic reviews on the effects of
healthcare interventions. The current version of the Handbook is
5.1.0The Cochrane Handbook for Systematic Reviews of Interventions
(2011). Julian PT Higgins and Sally Green, Eds. The Cochrane
Collaboration. Last modified on March 2011. accessed on: September
12th, 2013. Available online at: http://handbook.cochrane.org/. 8.
The Cochrane Handbook for Systematic Reviews of Interventions Also
available in spanish: Manual Cochrane derevisiones sistemticas de
intervenciones (PDF only)URL:
http://www.cochrane.es/files/handbookcast/Manual_CochraneThe
Cochrane Handbook for Systematic Reviews of Interventions (2011).
Julian PT Higgins and Sally Green, Eds. The Cochrane Collaboration.
Last modified on March 2011. accessed on: September 12th, 2013.
Available online at: http://handbook.cochrane.org/. 9. The Cochrane
Handbook for Systematic Reviews of Diagnostic Test Accuracy This is
the webpage for three related entities of theCochrane
Collaboration; the Diagnostic Test Accuracy Working Group, the
Regional Support Units and the Diagnostic Test Accuracy Editorial
Team. The combined roles of these entities is to implement the
Cochrane Steering Group's decision to publish systematic reviews of
diagnostic test accuracy in The Cochrane Library.The Cochrane
Handbook for Systematic Reviews of Diagnostic Test Accuracy.
(2011). Diagnostic Test Accuracy Working Group. Last modified on
Friday, September 13th, 2013. accessed on: September 17th, 2013.
Available online at:
http://srdta.cochrane.org/handbook-dta-reviews. 10. Textbooks The
BAD side: Are out of date when published. [I]nclude[s] 'established
knowledge' that doesn't change (much) such as anatomy, physical
properties of dental materials, drug adverse effects. The GOOD
side: Most of the time, provide useful summaries. Evidence Based
Dentistry (2013). University Library. The University of Adelaide.
Last modified on September 16, 2013 . Available at:
http://www.adelaide.edu.au/library/guide/med/tut/dent/ebd1.html.
11. eTEXTBOOKS 12. SpringerLink Books 13. SpringerLink Books 14.
SpringerLink Books 15. JOURNAL ARTICLES 16. Journals High impact
general journals These are useful for keeping up to date with the
broad discipline: Nature Lancet Journal of Dental ResearchEvidence
Based Dentistry (2013). University Library. The University of
Adelaide. Last modified on September 16, 2013 . Available at:
http://www.adelaide.edu.au/library/guide/med/tut/dent/ebd1.html.
17. Journals Specialist journals These provide information on
professional news, government policy, research and practice trends:
Angle Orthodontist Community Dentistry and Oral Epidemiology
Journal of Periodontology Journal of Prosthetic Dentistry Oral
Surgery, Oral Medicine, Oral Pathology, Oral Radiologyand
EndodontologyEvidence Based Dentistry (2013). University Library.
The University of Adelaide. Last modified on September 16, 2013 .
Available at:
http://www.adelaide.edu.au/library/guide/med/tut/dent/ebd1.html.
18. Journals There are now more journals that are specifically
aimed at evidence based dentistry practice.Evidence Based Dentistry
(2013). University Library. The University of Adelaide. Last
modified on September 16, 2013 . Available at:
http://www.adelaide.edu.au/library/guide/med/tut/dent/ebd1.html.
19. Article types useful for EBD (1) Laboratory experiments While
test tube experiments are essential in all areas ofmedicine
including dentistry, clinicians can't base treatment on the
results.Animal experiments Some useful results have come from
animal experiments,and while these may indicate the usefulness of
human trials, clinicians can't use these articles. Evidence Based
Dentistry (2013). University Library. The University of Adelaide.
Last modified on September 16, 2013 . Available at:
http://www.adelaide.edu.au/library/guide/med/tut/dent/ebd1.html.
20. Article types useful for EBD (2) Case reports These are often
memorable and can serve as a reminderfor diagnosis and treatment,
but you can't base a practice on small populations (1 patient)
where bias may be present.Evidence Based Dentistry (2013).
University Library. The University of Adelaide. Last modified on
September 16, 2013 . Available at:
http://www.adelaide.edu.au/library/guide/med/tut/dent/ebd1.html.
21. Article types useful for EBD (3) Phase I trials Usually
conducted on small numbers of healthy volunteers tolook for adverse
effects. These results aren't appropriate for clinicians working
with patients.Phase II trials (Case Series) Mostly these use small
numbers of selected patients, or a seriesof patients often without
a control group to test the outcome of an intervention. Results of
Phase II Trials are not usually considered sufficiently objective
and rigorous enough to use in clinical decisions.Evidence Based
Dentistry (2013). University Library. The University of Adelaide.
Last modified on September 16, 2013 . Available at:
http://www.adelaide.edu.au/library/guide/med/tut/dent/ebd1.html.
22. Article types useful for EBD (4) Phase III trials Large long
term trials on patients, usually with randomizedcontrol, double or
single blinding, control groups, placebos etc. These trials can be
used to make clinical decisions.Phase IV trials These are usually
post marketing trials on very large numbers ofpatients to gauge the
long term safety and find rare adverse effects of interventions.
Useful for clinical decision making.Evidence Based Dentistry
(2013). University Library. The University of Adelaide. Last
modified on September 16, 2013 . Available at:
http://www.adelaide.edu.au/library/guide/med/tut/dent/ebd1.html.
23. Article types useful for EBD (5) Systematic Reviews These are
peer reviewed articles that bring together all theobjective studies
on interventions for particular conditions. Sometimes authors do
this to compare interventions, and sometimes to join study results
to increase the size of the population tested. If the original
articles are not randomized controlled trials, then the authors
should explain why they are used in the analysis and what
adjustments were made in the statistical analysis to include them.
These are useful for clinical decisions, often called the gold
standard.Evidence Based Dentistry (2013). University Library. The
University of Adelaide. Last modified on September 16, 2013 .
Available at:
http://www.adelaide.edu.au/library/guide/med/tut/dent/ebd1.html.
24. Article types useful for EBD (6) Cohort Studies Patients with a
particular condition are followed over time andcompared with a
control group. Cohort studies aren't as reliable as controlled
trials but are useful in situations where it wouldn't be ethical to
run a randomised trial. Types of cohort studies include:
Longitudinal Studies where particular groups or individuals within
acohort are studied. Follow-up Studies study the effect of
exposures, procedures, or characteristics such as a disease.
Prospective Studies study the incidence or mortality in subgroups
after their selection.Cohort studies can be used for making
clinical decisions. Evidence Based Dentistry (2013). University
Library. The University of Adelaide. Last modified on September 16,
2013 . Available at:
http://www.adelaide.edu.au/library/guide/med/tut/dent/ebd1.html.
25. Article types useful for EBD (7) Clinical Practice Guidelines
Should be evidence based serial statements to assist in
diagnosisand treatment of particular conditions. Care should be
taken to ensure that these are NOT based only on expert opinion.
Look carefully at the evidence summary to ensure that the evidence
is both comprehensive and up to date. You'll also need to see if
it's possible to follow through with the guideline in your
situation.Evidence Based Dentistry (2013). University Library. The
University of Adelaide. Last modified on September 16, 2013 .
Available at:
http://www.adelaide.edu.au/library/guide/med/tut/dent/ebd1.html.
26. EBD JOURNALS 27. Evidence-Based Dentistry (Nature Publishing
Group) ISSN: 1462-0049 eISSN: 1476-5446 From 1998 to present
Publisher: British Dental AssociationEditor: Derek Richards 28.
Journal of Evidence Based Dental Practice (Elsevier) ISSN:
1532-3382 eISSN: 1532-3390 From 2001 to present Publisher: MOSBY An
Elsevier ImprintEditor: Michael G. Newman 29. Journal of Evidence
Based Dental Practice (Elsevier) ISSN: 1532-3382 eISSN: 1532-3390
From 2001 to present Publisher: MOSBY An Elsevier ImprintEditor:
Michael G. Newman 30. Journal of Evidence Based Dental Practice
(Elsevier) ISSN: 1532-3382 eISSN: 1532-3390 From 2001 to present
Publisher: MOSBY An Elsevier ImprintEditor: Michael G. Newman 31.
Journal of Evidence Based Dental Practice (Elsevier) ISSN:
1532-3382 eISSN: 1532-3390 From 2001 to present Publisher: MOSBY An
Elsevier ImprintEditor: Michael G. Newman 32. Journal of Evidence
Based Dental Practice (Elsevier) ISSN: 1532-3382 eISSN: 1532-3390
From 2001 to present Publisher: MOSBY An Elsevier ImprintEditor:
Michael G. Newman 33. Bandolier Journal (Bandolier Team) ISSN: N/A
eISSN: N/A From February 1994 to July 2007 Publisher: Bandolier
TeamEditor: Bandolier Team 34. Bandolier Journal (Bandolier Team)
ISSN: N/A eISSN: N/A From February 1994 to July 2007 Publisher:
Bandolier TeamEditor: Bandolier Team 35. Bandolier Journal Updates
(Bandolier Team)ISSN: N/A eISSN: N/A From February 1994 to July
2007 Publisher: Bandolier TeamEditor: Bandolier Team 36. Bandolier
Extra (Bandolier Team) 37. EBD DATABASES 38. Conrado F. Asenjos
PubMed 39. PubMed Clinical Querries Results of searches on this
page arelimited to specific clinical research areas. For
comprehensive searches, use PubMed directly.PubMed Help. Accessed
on September 12th, 2013. Last Update June 25, 2013. Available at:
http://www.ncbi.nlm.nih.gov/books/NBK3827/#pubmedhelp.Clinical_Queries_Filters
40. Clinical Queries using Research Methodology FiltersPubMed Help.
Accessed on September 12th, 2013. Last Update June 25, 2013.
Available at:
http://www.ncbi.nlm.nih.gov/books/NBK3827/#pubmedhelp.Clinical_Queries_Filters
41. Systematic Reviews Search FilterSearch Strategy Used to Create
the Systematic Reviews Subset on PubMed. Accessed on September
12th, 2013. Last Update February, 2013. Available at:
http://www.ncbi.nlm.nih.gov/books/NBK3827/#pubmedhelp.Clinical_Queries_Filters
42. Medical Genetics Search FiltersPubMed Help. Accessed on
September 12th, 2013. Last Update June 25, 2013. Available at:
http://www.ncbi.nlm.nih.gov/books/NBK3827/#pubmedhelp.Clinical_Queries_Filters
43. PubMed Health (1) PubMed Health provides information for
consumers andclinicians on prevention and treatment of diseases and
conditions.PubMed Health specializes in reviews of
clinicaleffectiveness research, with easy-to-read summaries for
consumers as well as full technical reports. Clinical effectiveness
research finds answers to the question What works? in medical and
health care.PubMed Health. Accessed on September 12th, 2013. Last
Update June 25, 2013. Available at:
http://www.ncbi.nlm.nih.gov/books/NBK3827/#pubmedhelp.Clinical_Queries_Filters
44. PubMed Health (2) PubMed Health is based on systematic reviews
of clinicaltrials. These clinical effectiveness reviews can show
what treatments and prevention methods have been proven to workand
what remains unknown.PubMed Health provides summaries and full
texts ofselected systematic reviews in one place. The reviews were
generally published or updated from 2003. There is also information
for consumers and clinicians based on those reviews.PubMed Health.
Accessed on September 12th, 2013. Last Update June 25, 2013.
Available at:
http://www.ncbi.nlm.nih.gov/books/NBK3827/#pubmedhelp.Clinical_Queries_Filters
45. PubMed Health (3) A search on PubMed Health runs simultaneously
inPubMed.A filter is used to identify all the indexed scientific
articlesat the NLM that might be systematic reviews.This search
includes articles from before 2003.PubMed Health. Accessed on
September 12th, 2013. Last Update June 25, 2013. Available at:
http://www.ncbi.nlm.nih.gov/books/NBK3827/#pubmedhelp.Clinical_Queries_Filters
46. PubMed Health (4) Information partners selected by PubMed
Health tocontribute their clinical effectiveness information are:
Agency for Health Care Research and Quality (US) (AHRQ) Centre for
Reviews and Dissemination (CRD) The Cochrane Collaboration (CC)
German Institute for Quality and Efficiency in Health Care (IQWiG)
National Cancer Institute (NCI) National Institute for Health and
Care Excellence guidelines program (NICE) National Institute for
Health Research (NIHR) Health Technology Assessment Programme (NIHR
HTA) Oregon Health and Science University's Drug Effectiveness
Review Project (DERP) Department of Veterans Affairs'
Evidence-based Synthesis Program from the Veterans Health
Administration R&D (VA ESP)PubMed Health. Accessed on September
12th, 2013. Last Update June 25, 2013. Available at:
http://www.ncbi.nlm.nih.gov/books/NBK3827/#pubmedhelp.Clinical_Queries_Filters
47. Guidelines and Evidence Sources 48. Guidelines and Evidence
Sources Includes links to systematic reviews and lists of reviews
in process, protocols etc.Evidence Based Dentistry (2013).
University Library. The University of Adelaide. Last modified on
September 16, 2013 . Available at:
http://www.adelaide.edu.au/library/guide/med/tut/dent/ebd1.html.
49. Guidelines Sources 50. EBD Sources 51. FeatureNarrative
reviewSystematic ReviewQuestionBroad ScopeFocussedSources &
SearchNot usually specifiedAppraisalVariableComprehensive &
explicit RigorousSynthesisOften qualitative summary Sometimes
evidencebasedInferencesQuantitative summary Usually evidencebased
52. Guidance PRISMA - (Preferred Reporting Items for Systematic
Reviews and MetaAnalyses) the PRISMA Statement is an update and
expansion of the now-out dated QUOROM Statement. MOOSE - a proposal
for reporting meta-analysis of observational studies in
epidemiology QUADAS - quality assessment tool for use in systematic
reviews of diagnostic accuracy studies Cochrane Reviewers Handbook
Cochrane review production resources Undertaking Systematic Reviews
of Research on Effectiveness - CRD Report Number 4. 2nd Edition
Systematic Reviews: CRDs guidance for undertaking reviews in health
care -Mar09 PROSPERO - prospective register of systematic reviews
53. Evidence General Sources 54. Subscribed Sources 55. Free
Sources 56. Trip is a clinical search engine designed to allow
users to quicklyand easily find and use high-quality research
evidence to support their practice and/or care. Trip has been
online since 1997 and in that time has developedinto the internets
premier source of evidence-based content. Our motto is Find
evidence fast and this is something we aim to deliver for every
single search. As well as research evidence we also allow
clinicians to searchacross other content types including images,
videos, patient information leaflets, educational courses and news.
57. http://pesquisa.bvsalud.org/evidences/?
where=GROUP_REVIEWS&lang=es 58. GRAY LITERATURE: THESES AND
DISSERTATIONS
