Professional Documents
Culture Documents
Dentistry
Author: Gkhan Alpaslan DMD,Ph.D
e-vident
Objectives
Evidence Based Dentistry
Hierarchy Of Evidence
Levels of Evidence in EBD
Steps of Evidence Based Practice
Outline
EBD definition
Why Dentists Practice Evidence Based Dentistry
Glossary of Terms Relating to EBD
Hierarchy Of Evidence
Levels of Evidence in EBD
Steps of EBD Process
The Stages in Evidence Based Practice
References
Outcome
Will learn what is EBD
Be familiar with EBD search tools
Understand the previlages of EBD approach
Will know the stages in Evidence Based
Practice
Will seek for best evidence
Evidence-based dentistry is
an approach to oral health
that requires the judicious
integration of systematic
assessments
of
clinically
relevant scientific evidence,
relating to the patients oral
and medical condition and
history, with the dentists
clinical expertise and the
patients treatment needs
and preferences.
The goal of the EBM process is to help practitioners provide the best
care for their patients. This process uses clinical and methodological
experts to synthesize all of the evidence relative to a defined "question
of interest. Information from systematic reviews is then made
available to practitioners for integration with their clinical experience
and other factors relevant to specific patient needs and preferences.
Hierarchy Of Evidence
Oxford Centre for Evidence-based Medicine
Hierarchy Of Evidence
Levels of Evidence
Dave Sackett and colleagues
who
generated "levels of evidence" for ranking
the validity of evidence.
Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't.
British Medical Journal. 1996;312:7172.
Stronger
Weaker
Medical Center Library, Duke University
EBP: Library Tools for Clinical Content.
Content. Christina L Wissinger, MS, MLIS, Clinical Informationist
Define a clinically relevant and focused question in the interest of finding the best
available evidence to promote the oral health of patients. "Best evidence" is a term
that refers to information obtained from randomized controlled clinical trials, nonrandomized controlled clinical trials, cohort studies, case-control studies, crossover
studies, cross-sectional studies, case studies, or the consensus opinion of experts in
appropriate fields of research or clinical practice.
II. Focuse on systematically conducting searches for all studies and databases,
published or unpublished, that may help to answer a clinically relevant question.
After selecting, summarizing, and synthesizing all relevant studies that directly
answer the focused clinical question, the strength of the available scientific evidence
is graded using predefined criteria, and qualitative or quantitative analyses are
conducted. Conclusions on the quality and strength of evidence are made, and gaps
in the knowledge base that require further research are identified.
III. Translate the findings from systematic reviews for use by practitioners.
IV. Assess the health care outcomes following the findings of the previously outlined
steps. This evaluation is conducted as part of the outcome assessment that health
care providers integrate into their practices. This four-step process aims to help
practitioners make the best-informed decisions with their patients.
References
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