Factors That Drive Dentists towards or Away from Dental Caries Preventive Measures: Systematic Review and Metasummary
Identifieur interne : 001297 ( Ncbi/Merge ); précédent : 001296; suivant : 001298Factors That Drive Dentists towards or Away from Dental Caries Preventive Measures: Systematic Review and Metasummary
Auteurs : Uhana Seifert Guimarães Suga [Brésil] ; Raquel Sano Suga Terada [Brésil] ; Adriana Lemos Mori Ubaldini [Brésil] ; Mitsue Fujimaki [Brésil] ; Renata Corrêa Pascotto [Brésil] ; Adelia Portero Batilana [États-Unis] ; Ricardo Pietrobon [États-Unis] ; João Ricardo N. Vissoci [États-Unis, Brésil] ; Clarissa G. Rodrigues [États-Unis, Brésil]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
Dental caries is a serious public health concern. The high cost of dental treatment can be avoided by effective preventive measures, which are dependent on dentists’ adherence. This study aimed to evaluate the factors that drive dentists towards or away from dental caries preventive measures.
This systematic review was registered in PROSPERO (CRD42012002235). Several databases as well as the reference lists and citations of the included publications were searched according to PRISMA guidelines, yielding 18,276 titles and abstracts, which were assessed to determine study eligibility. Seven qualitative studies and 41 surveys (36,501 participants) remained after data extraction and interpretation. A total of 43 findings were abstracted from the reports and were grouped together into 6 categories that were judged to be topically similar: education and training, personal beliefs, work conditions, remuneration, gender, place of residence and patients. The main findings for adherence based on their calculated frequency effect sizes (ES) were teamwork (21%) and post-graduation (12%), while for non-adherence were biologicism (27%), and remuneration for preventive procedures (25%). Intensity ES were also calculated and demonstrated low prevalence of the findings. Quality assessment of the studies demonstrated that the methodological quality, particularly of surveys, varied widely among studies.
Despite the questionable quality of the included reports, the evidence that emerged seems to indicate that further education and training coupled with a fairer pay scheme would be a reasonable approach to change the balance in favor of the provision of dental caries preventive measures by dentists. The results of this review could be of value in the planning and decision making processes aimed at encouraging changes in professional dental practice that could result in the improvement of the oral health care provided to the population in general.
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DOI: 10.1371/journal.pone.0107831
PubMed: 25296335
PubMed Central: 4189795
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Uhana Seifert Guimaraes" sort="Suga, Uhana Seifert Guimaraes" uniqKey="Suga U" first="Uhana Seifert Guimarães" last="Suga">Uhana Seifert Guimarães Suga</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Dentistry, State University of Maringá, Maringá, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dentistry, State University of Maringá, Maringá</wicri:regionArea><wicri:noRegion>Maringá</wicri:noRegion></affiliation></author><author><name sortKey="Terada, Raquel Sano Suga" sort="Terada, Raquel Sano Suga" uniqKey="Terada R" first="Raquel Sano Suga" last="Terada">Raquel Sano Suga Terada</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Dentistry, State University of Maringá, Maringá, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dentistry, State University of Maringá, Maringá</wicri:regionArea><wicri:noRegion>Maringá</wicri:noRegion></affiliation></author><author><name sortKey="Ubaldini, Adriana Lemos Mori" sort="Ubaldini, Adriana Lemos Mori" uniqKey="Ubaldini A" first="Adriana Lemos Mori" last="Ubaldini">Adriana Lemos Mori Ubaldini</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Dentistry, State University of Maringá, Maringá, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dentistry, State University of Maringá, Maringá</wicri:regionArea><wicri:noRegion>Maringá</wicri:noRegion></affiliation></author><author><name sortKey="Fujimaki, Mitsue" sort="Fujimaki, Mitsue" uniqKey="Fujimaki M" first="Mitsue" last="Fujimaki">Mitsue Fujimaki</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Dentistry, State University of Maringá, Maringá, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dentistry, State University of Maringá, Maringá</wicri:regionArea><wicri:noRegion>Maringá</wicri:noRegion></affiliation></author><author><name sortKey="Pascotto, Renata Correa" sort="Pascotto, Renata Correa" uniqKey="Pascotto R" first="Renata Corrêa" last="Pascotto">Renata Corrêa Pascotto</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Dentistry, State University of Maringá, Maringá, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dentistry, State University of Maringá, Maringá</wicri:regionArea><wicri:noRegion>Maringá</wicri:noRegion></affiliation></author><author><name sortKey="Batilana, Adelia Portero" sort="Batilana, Adelia Portero" uniqKey="Batilana A" first="Adelia Portero" last="Batilana">Adelia Portero Batilana</name><affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Department of Surgery, Duke University Medical Center, Durham, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Duke University Medical Center, Durham, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Pietrobon, Ricardo" sort="Pietrobon, Ricardo" uniqKey="Pietrobon R" first="Ricardo" last="Pietrobon">Ricardo Pietrobon</name><affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Department of Surgery, Duke University Medical Center, Durham, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Duke University Medical Center, Durham, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Vissoci, Joao Ricardo N" sort="Vissoci, Joao Ricardo N" uniqKey="Vissoci J" first="João Ricardo N." last="Vissoci">João Ricardo N. Vissoci</name><affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Department of Surgery, Duke University Medical Center, Durham, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Duke University Medical Center, Durham, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Department of Medicine, Faculdade Ingá, Maringá, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Medicine, Faculdade Ingá, Maringá</wicri:regionArea><wicri:noRegion>Maringá</wicri:noRegion></affiliation></author><author><name sortKey="Rodrigues, Clarissa G" sort="Rodrigues, Clarissa G" uniqKey="Rodrigues C" first="Clarissa G." last="Rodrigues">Clarissa G. Rodrigues</name><affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Department of Surgery, Duke University Medical Center, Durham, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Duke University Medical Center, Durham, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff4"><addr-line>Instituto de Cardiologia do Rio Grande do Sul - Fundação Universitária de Cardiologia (IC-FUC), Porto Alegre, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Instituto de Cardiologia do Rio Grande do Sul - Fundação Universitária de Cardiologia (IC-FUC), Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Dental caries is a serious public health concern. The high cost of dental treatment can be avoided by effective preventive measures, which are dependent on dentists’ adherence. This study aimed to evaluate the factors that drive dentists towards or away from dental caries preventive measures.</p></sec><sec><title>Methods and Findings</title><p>This systematic review was registered in PROSPERO (CRD42012002235). Several databases as well as the reference lists and citations of the included publications were searched according to PRISMA guidelines, yielding 18,276 titles and abstracts, which were assessed to determine study eligibility. Seven qualitative studies and 41 surveys (36,501 participants) remained after data extraction and interpretation. A total of 43 findings were abstracted from the reports and were grouped together into 6 categories that were judged to be topically similar: education and training, personal beliefs, work conditions, remuneration, gender, place of residence and patients. The main findings for adherence based on their calculated frequency effect sizes (ES) were teamwork (21%) and post-graduation (12%), while for non-adherence were biologicism (27%), and remuneration for preventive procedures (25%). Intensity ES were also calculated and demonstrated low prevalence of the findings. Quality assessment of the studies demonstrated that the methodological quality, particularly of surveys, varied widely among studies.</p></sec><sec><title>Conclusions</title><p>Despite the questionable quality of the included reports, the evidence that emerged seems to indicate that further education and training coupled with a fairer pay scheme would be a reasonable approach to change the balance in favor of the provision of dental caries preventive measures by dentists. The results of this review could be of value in the planning and decision making processes aimed at encouraging changes in professional dental practice that could result in the improvement of the oral health care provided to the population in general.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Beltran Aguilar, Ed" uniqKey="Beltran Aguilar E">ED Beltrán-Aguilar</name></author><author><name sortKey="Barker, Lk" uniqKey="Barker L">LK Barker</name></author><author><name sortKey="Canto, Mt" uniqKey="Canto M">MT Canto</name></author><author><name sortKey="Dye, Ba" uniqKey="Dye B">BA Dye</name></author><author><name sortKey="Gooch, Bf" uniqKey="Gooch B">BF Gooch</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Petersen, Pe" uniqKey="Petersen P">PE Petersen</name></author><author><name sortKey="Bourgeois, D" uniqKey="Bourgeois D">D 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<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25296335</article-id><article-id pub-id-type="pmc">4189795</article-id><article-id pub-id-type="publisher-id">PONE-D-13-47631</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0107831</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine and Health Sciences</subject><subj-group><subject>Infectious Diseases</subject><subj-group><subject>Bacterial Diseases</subject><subj-group><subject>Caries</subject></subj-group></subj-group></subj-group><subj-group><subject>Oral Medicine</subject><subj-group><subject>Dentistry</subject></subj-group></subj-group><subj-group><subject>Pediatrics</subject><subj-group><subject>Child Health</subject></subj-group></subj-group><subj-group><subject>Public and Occupational Health</subject><subj-group><subject>Global Health</subject></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Physical Sciences</subject><subj-group><subject>Mathematics</subject><subj-group><subject>Statistics (Mathematics)</subject><subj-group><subject>Statistical Methods</subject><subj-group><subject>Meta-Analysis</subject></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Research and Analysis Methods</subject><subj-group><subject>Research Assessment</subject><subj-group><subject>Systematic Reviews</subject></subj-group></subj-group><subj-group><subject>Research Design</subject><subj-group><subject>Clinical Research Design</subject></subj-group></subj-group></subj-group></article-categories><title-group><article-title>Factors That Drive Dentists towards or Away from Dental Caries Preventive Measures: Systematic Review and Metasummary</article-title><alt-title alt-title-type="running-head">Provision of Caries Prevention: Metasummary</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Suga</surname><given-names>Uhana Seifert Guimarães</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Terada</surname><given-names>Raquel Sano Suga</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Ubaldini</surname><given-names>Adriana Lemos Mori</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Fujimaki</surname><given-names>Mitsue</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Pascotto</surname><given-names>Renata Corrêa</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Batilana</surname><given-names>Adelia Portero</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Pietrobon</surname><given-names>Ricardo</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Vissoci</surname><given-names>João Ricardo N.</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Rodrigues</surname><given-names>Clarissa G.</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Department of Dentistry, State University of Maringá, Maringá, Brazil</addr-line></aff><aff id="aff2"><label>2</label><addr-line>Department of Surgery, Duke University Medical Center, Durham, North Carolina, United States of America</addr-line></aff><aff id="aff3"><label>3</label><addr-line>Department of Medicine, Faculdade Ingá, Maringá, Brazil</addr-line></aff><aff id="aff4"><label>4</label><addr-line>Instituto de Cardiologia do Rio Grande do Sul - Fundação Universitária de Cardiologia (IC-FUC), Porto Alegre, Brazil</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Wen</surname><given-names>Zezhang</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>LSU Health Sciences Center School of Dentistry, United States of America</addr-line></aff><author-notes><corresp id="cor1">* E-mail: <email>rssterada@uem.br</email></corresp><fn fn-type="conflict"><p><bold>Competing Interests: </bold>The authors have declared that no competing interests exist.</p></fn><fn fn-type="con"><p>Conceived and designed the experiments: RSST MF RCP RP CGR. Performed the experiments: USGS ALMU RSST. Analyzed the data: USGS RSST MF RCP CGR. Contributed reagents/materials/analysis tools: RSST USGS JRNV CGR APB. Wrote the paper: USGS RSST MF RCP CGR.</p></fn></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>8</day><month>10</month><year>2014</year></pub-date><volume>9</volume><issue>10</issue><elocation-id>e107831</elocation-id><history><date date-type="received"><day>20</day><month>12</month><year>2013</year></date><date date-type="accepted"><day>22</day><month>8</month><year>2014</year></date></history><permissions><copyright-year>2014</copyright-year><copyright-holder>Suga et al</copyright-holder><license><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><abstract><sec><title>Background</title><p>Dental caries is a serious public health concern. The high cost of dental treatment can be avoided by effective preventive measures, which are dependent on dentists’ adherence. This study aimed to evaluate the factors that drive dentists towards or away from dental caries preventive measures.</p></sec><sec><title>Methods and Findings</title><p>This systematic review was registered in PROSPERO (CRD42012002235). Several databases as well as the reference lists and citations of the included publications were searched according to PRISMA guidelines, yielding 18,276 titles and abstracts, which were assessed to determine study eligibility. Seven qualitative studies and 41 surveys (36,501 participants) remained after data extraction and interpretation. A total of 43 findings were abstracted from the reports and were grouped together into 6 categories that were judged to be topically similar: education and training, personal beliefs, work conditions, remuneration, gender, place of residence and patients. The main findings for adherence based on their calculated frequency effect sizes (ES) were teamwork (21%) and post-graduation (12%), while for non-adherence were biologicism (27%), and remuneration for preventive procedures (25%). Intensity ES were also calculated and demonstrated low prevalence of the findings. Quality assessment of the studies demonstrated that the methodological quality, particularly of surveys, varied widely among studies.</p></sec><sec><title>Conclusions</title><p>Despite the questionable quality of the included reports, the evidence that emerged seems to indicate that further education and training coupled with a fairer pay scheme would be a reasonable approach to change the balance in favor of the provision of dental caries preventive measures by dentists. The results of this review could be of value in the planning and decision making processes aimed at encouraging changes in professional dental practice that could result in the improvement of the oral health care provided to the population in general.</p></sec></abstract><funding-group><funding-statement>The authors have no support or funding to report.</funding-statement></funding-group><counts><page-count count="1"></page-count></counts></article-meta></front></pmc><affiliations><list><country><li>Brésil</li><li>États-Unis</li></country><region><li>Caroline du Nord</li><li>Rio Grande do Sul</li></region><settlement><li>Porto Alegre</li></settlement></list><tree><country name="Brésil"><noRegion><name sortKey="Suga, Uhana Seifert Guimaraes" sort="Suga, Uhana Seifert Guimaraes" uniqKey="Suga U" first="Uhana Seifert Guimarães" last="Suga">Uhana Seifert Guimarães Suga</name></noRegion><name sortKey="Fujimaki, Mitsue" sort="Fujimaki, Mitsue" uniqKey="Fujimaki M" first="Mitsue" last="Fujimaki">Mitsue Fujimaki</name><name sortKey="Pascotto, Renata Correa" sort="Pascotto, Renata Correa" uniqKey="Pascotto R" first="Renata Corrêa" last="Pascotto">Renata Corrêa Pascotto</name><name sortKey="Rodrigues, Clarissa G" sort="Rodrigues, Clarissa G" uniqKey="Rodrigues C" first="Clarissa G." last="Rodrigues">Clarissa G. Rodrigues</name><name sortKey="Terada, Raquel Sano Suga" sort="Terada, Raquel Sano Suga" uniqKey="Terada R" first="Raquel Sano Suga" last="Terada">Raquel Sano Suga Terada</name><name sortKey="Ubaldini, Adriana Lemos Mori" sort="Ubaldini, Adriana Lemos Mori" uniqKey="Ubaldini A" first="Adriana Lemos Mori" last="Ubaldini">Adriana Lemos Mori Ubaldini</name><name sortKey="Vissoci, Joao Ricardo N" sort="Vissoci, Joao Ricardo N" uniqKey="Vissoci J" first="João Ricardo N." last="Vissoci">João Ricardo N. Vissoci</name></country><country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Batilana, Adelia Portero" sort="Batilana, Adelia Portero" uniqKey="Batilana A" first="Adelia Portero" last="Batilana">Adelia Portero Batilana</name></region><name sortKey="Pietrobon, Ricardo" sort="Pietrobon, Ricardo" uniqKey="Pietrobon R" first="Ricardo" last="Pietrobon">Ricardo Pietrobon</name><name sortKey="Rodrigues, Clarissa G" sort="Rodrigues, Clarissa G" uniqKey="Rodrigues C" first="Clarissa G." last="Rodrigues">Clarissa G. Rodrigues</name><name sortKey="Vissoci, Joao Ricardo N" sort="Vissoci, Joao Ricardo N" uniqKey="Vissoci J" first="João Ricardo N." last="Vissoci">João Ricardo N. Vissoci</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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