Evaluation of management guidelines for cleft lip and/or palate patients

Authors

Keywords:

congenital anomalies, clinical practice guideline, cleft palate.

Abstract

Introduction: Developmental defects are due to congenital malformations, deformations or disruptions. Lip and/or palate fissures are congenital structural deficiencies caused by lack of conjunction between developing embryonic facial processes.

Objective: Evaluate the quality of cleft lip and/or palate management guidelines.

Methods: A descriptive study was conducted. Evaluation was performed of six cleft lip and/or palate management guidelines published in English and Spanish from 1990 to 2012. The search was both electronic (global level) and manual (local level). The electronic search included databases such as MEDLINE, PubMed, EMBASE and SciELO, whereas for the manual search written requests for guidelines were sent to public and private organizations that manage cleft lip and/or palate patients, such as the Military Hospital, San José Hospital, Operación Sonrisa (Operation Smile) and El Bosque University. For their selection, the guidelines were filtered by title and content. Before assessing the guidelines, the evaluators standardized them. Finally, evaluation of the guidelines was performed following the instructions in the AGREE II tool.

Results: The Chilean clinical guideline obtained 100 % in domains 1 and 4, whereas the guideline from Saint Thomas University in Bucaramanga obtained less than 50 % in the six domains.

Conclusions: None of the management guidelines for cleft lip and/or palate evaluated met all the quality criteria in the AGREE II tool.

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Author Biographies

Flora María Campos Charris, Universidad Cooperativa de Colombia. Bogotá

Odontóloga. Especialista en Estomatología Pediátrica. Especialista en Ortopedia Maxilar.

Martha Janneth Díaz Galindo, Universidad Cooperativa de Colombia. Bogotá

OD. Especialista en Ortodoncia y Ortopedia Maxilar

Franci Giovanna Gil Lizcano, Universidad Cooperativa de Colombia. Bogotá

OD. Especialista en Ortodoncia y Ortopedia Maxilar

Mery Mendoza Castro, Universidad Cooperativa de Colombia. Bogotá

OD. Especialista en Ortodoncia y Ortopedia Maxilar

María Alejandra González-Bernal, Universidad Cooperativa de Colombia. Bogotá

Odontóloga, MSc en Administración en Salud, MSc en Informática aplicada a la educación, Esp. en multimedia para la docencia.

Cargo: Coordinadora de Investigación, Facultad de Odontología, Universidad Cooperativa de Colombia, sede Bogotá 

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Published

2019-09-13

How to Cite

1.
Campos Charris FM, Díaz Galindo MJ, Gil Lizcano FG, Mendoza Castro M, González-Bernal MA. Evaluation of management guidelines for cleft lip and/or palate patients. Rev Cubana Estomatol [Internet]. 2019 Sep. 13 [cited 2025 Feb. 18];56(3):1-14. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/1863

Issue

Vol. 56 No. 3 (2019): JUL- SEP

Section

Research Article

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