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J Am Dent Assoc. 2004 Jun;135(6):747-53.

Conducting systematic reviews and creating clinical practice guidelines in dentistry: lessons learned.

Author information

1
Department of Dentistry, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada. susan.sutherland@sw.ca

Abstract

BACKGROUND:

High-quality systematic reviews are the basis of valid, reliable clinical practice guidelines, or CPGs. In 1999, a Canadian collaboration of dentists embarked on the process of developing guidelines.

METHODS:

The Canadian Collaboration on Clinical Practice Guidelines in Dentistry, or CCCD, is a coalition of multiple stakeholders from organized dentistry and academia whose mandate is to develop CPGs for practicing dentists. In the development of the first CPG based on a systematic review of the literature, the CCCD Methodology Resource Group (of which the authors were co-chairs) gained some valuable insights. The authors wrote this article to share their experiences and lessons learned and to offer practical advice to others who may undertake similar projects.

RESULTS:

The authors identify a number of methodological issues and logistical problems and make suggestions for effective management of the review and guideline development processes.

CONCLUSIONS AND PRACTICE IMPLICATIONS:

Systematic reviews and the development of CPGs require rigorous methodology, as well as input from content experts and clinicians, to ensure validity and relevance. The processes are costly and time-intensive, but the anticipated outcome is enhanced clinical decision making and improved oral health.

PMID:
15270157
[Indexed for MEDLINE]
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