Evaluation of clinical practice guidelines for the care of maxillofacial polytrauma and maxillofacial severe trauma patients
Keywords:
clinical practice guidelines, evaluation, maxillofacial trauma, polytrauma patient.Abstract
Introduction: clinical practice guidelines are tools used to summarize the available scientific information.
Objective: evaluate two clinical practice guidelines for emergency care of maxillofacial polytrauma and maxillofacial severe trauma patients.
Methods: two guidelines were evaluated: one Cuban (Dental Practice Guidelines) and the other foreign (Management of Facial Trauma: A Practice Guideline), using the guideline evaluation tool Appraisal of Guidelines for Research and Evaluation. An evaluation team was formed who received information about and training in the use of the evaluation tool. For analysis, the data obtained were transferred to an Excel model, and standardized scores were estimated for each domain.
Results: in Management of Facial Trauma the scope and objectives domain was classed as improvable, whereas the clarity of presentation domain, with a 22.2% standardized score, was classed as poor. In the overall evaluation, three of the evaluators awarded a score of one, and another awarded a two. None of the four evaluators would recommend it for use. In Dental Practice Guidelines, the higher ranking domains were 6, 2 and 1, with 43.8 %, 22.2 % and 2.8 %, respectively, representing very improvable, poor and very poor results, in that order. In the overall evaluation, two evaluators awarded a score of 3, another awarded a 2, and the other a 1. Two evaluators would recommend the guideline for use, two would not, and the remaining ones stated they would recommend it if modified.
Conclusions: dental Practice Guidelines obtained higher standardized scores in most domains than Management of Facial Trauma: A Practical Guideline. Although the evaluation results are not satisfactory, the domains with the lowest scores in both tools are rigor in guideline development and applicability.
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