Serveur d'exploration sur le patient édenté

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In Search of Truth: The Role of Systematic Reviews and Meta‐Analyses for Assessing the Effectiveness of Rehabilitation with Oral Implants

Identifieur interne : 008978 ( Main/Exploration ); précédent : 008977; suivant : 008979

In Search of Truth: The Role of Systematic Reviews and Meta‐Analyses for Assessing the Effectiveness of Rehabilitation with Oral Implants

Auteurs : Marco Esposito [Suède] ; Helen V. Worthington [Royaume-Uni] ; Paul Coulthard [Royaume-Uni]

Source :

RBID : ISTEX:0469476C7B25B3B2341EAABBDD7E1D6BBB9DFBAF

Descripteurs français

English descriptors

Abstract

Background: It is difficult to determine the effectiveness or potential harm of dental therapies. Thus, any tools able to condense reliable scientific information would be of benefit. Purpose: To discuss methods for the assessment of the scientific literature and, in particular, of systematic reviews for evaluating the effectiveness of oral implant rehabilitation procedures. Materials and Methods: Various study designs and methods to identify scientific evidence are described, discussed, and ranked. Issues on how to critically appraise randomized controlled clinical trials (RCTs) and systematic reviews are presented. Results: Properly conducted RCTs and structured critical systematic reviews are the gold standard of clinical research for assessing whether a therapeutic intervention is effective. In the field of oral implantology, there is an urgent need to implement more RCTs and to summarize their results in systematic reviews. Conclusions: Searching of the truth requires training and critical skill. Dentists should be trained on how to integrate their clinical experience with evidence‐based research and on how to discriminate between clinically useful scientific information and less useful research.

Url:
DOI: 10.1111/j.1708-8208.2001.tb00234.x


Affiliations:


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Le document en format XML

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<term>Such study design</term>
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<term>Treatment groups</term>
<term>Trial participants</term>
<term>True outcome</term>
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<term>Typical example</term>
<term>Unequivocal evidence</term>
<term>Unknown factors</term>
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<term>Alternative treatment</term>
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<term>Animal studies</term>
<term>Attachment levels</term>
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<term>Biological factors</term>
<term>Blinding</term>
<term>Cell biology</term>
<term>Cell response</term>
<term>Chalmers</term>
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<term>Clin epidemiol</term>
<term>Clin periodontol</term>
<term>Clinical decision</term>
<term>Clinical decisions</term>
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<term>Clinical trials</term>
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<term>Cochrane reviews</term>
<term>Comparison groups</term>
<term>Consort statement</term>
<term>Control clin trials</term>
<term>Control group</term>
<term>Control groups</term>
<term>Critical appraisal</term>
<term>Data extraction</term>
<term>Database</term>
<term>Dent</term>
<term>Dental implant</term>
<term>Dental implants</term>
<term>Dental materials</term>
<term>Dental research</term>
<term>Dentistry</term>
<term>Drug administration</term>
<term>Early breast cancer</term>
<term>Easy task</term>
<term>Effect size</term>
<term>Electronic databases</term>
<term>Empirical evidence</term>
<term>Endpoint</term>
<term>English language</term>
<term>Esposito</term>
<term>European workshop</term>
<term>Evidencebased conclusions</term>
<term>Exclusion criteria</term>
<term>External validity</term>
<term>Goteborg university</term>
<term>Health care</term>
<term>Health care decisions</term>
<term>Health care intervention</term>
<term>Hirsch lekholm</term>
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<term>Implant dentistry</term>
<term>Implant system</term>
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<term>Indirect evidence</term>
<term>Individual patient</term>
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<term>Individual rcts</term>
<term>Jadad</term>
<term>Jama</term>
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<term>Oral hygiene</term>
<term>Oral implantology</term>
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<term>Oral rehabilitation</term>
<term>Oral surg</term>
<term>Original articles</term>
<term>Osseointegrated implants</term>
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<term>Outcome measures</term>
<term>Overall result</term>
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<term>Patient care</term>
<term>Patient data</term>
<term>Patient satisfaction</term>
<term>Periodontal treatment</term>
<term>Periodontology implant dentistry</term>
<term>Personal experience</term>
<term>Placebo</term>
<term>Placebo effect</term>
<term>Positive results</term>
<term>Potential harm</term>
<term>Present article</term>
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<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthodontic journals</term>
<term>Psychological factors</term>
<term>Publication bias</term>
<term>Publishing group</term>
<term>Quality assessment</term>
<term>Quantitative synthesis</term>
<term>Randomised trials</term>
<term>Randomization</term>
<term>Randomized</term>
<term>Randomized control trials</term>
<term>Rcts</term>
<term>Results change</term>
<term>Review articles</term>
<term>Sample size</term>
<term>Scientific evidence</term>
<term>Scientific literature</term>
<term>Scientific publications</term>
<term>Secondary research</term>
<term>Sensitivity analysis</term>
<term>Significant difference</term>
<term>Significant differences</term>
<term>Statistical differences</term>
<term>Statistical issues</term>
<term>Statistical power</term>
<term>Study design</term>
<term>Study groups</term>
<term>Study population</term>
<term>Study report</term>
<term>Success criteria</term>
<term>Such study design</term>
<term>Surface properties</term>
<term>Surrogate</term>
<term>Surrogate endpoints</term>
<term>Surrogate measures</term>
<term>Surrogate outcome measures</term>
<term>Surrogate outcomes</term>
<term>Systematic</term>
<term>Systematic review</term>
<term>Systematic reviews</term>
<term>Systemic treatment</term>
<term>Tangible benefits</term>
<term>Therapeutic intervention</term>
<term>Tissue response</term>
<term>Treatment assignment</term>
<term>Treatment effect</term>
<term>Treatment effectiveness</term>
<term>Treatment effects</term>
<term>Treatment groups</term>
<term>Trial participants</term>
<term>True outcome</term>
<term>True outcomes</term>
<term>Typical example</term>
<term>Unequivocal evidence</term>
<term>Unknown factors</term>
<term>Urgent need</term>
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<front>
<div type="abstract" xml:lang="en">Background: It is difficult to determine the effectiveness or potential harm of dental therapies. Thus, any tools able to condense reliable scientific information would be of benefit. Purpose: To discuss methods for the assessment of the scientific literature and, in particular, of systematic reviews for evaluating the effectiveness of oral implant rehabilitation procedures. Materials and Methods: Various study designs and methods to identify scientific evidence are described, discussed, and ranked. Issues on how to critically appraise randomized controlled clinical trials (RCTs) and systematic reviews are presented. Results: Properly conducted RCTs and structured critical systematic reviews are the gold standard of clinical research for assessing whether a therapeutic intervention is effective. In the field of oral implantology, there is an urgent need to implement more RCTs and to summarize their results in systematic reviews. Conclusions: Searching of the truth requires training and critical skill. Dentists should be trained on how to integrate their clinical experience with evidence‐based research and on how to discriminate between clinically useful scientific information and less useful research.</div>
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