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Article: Evidence-Based Practice in Oral and Maxillofacial Surgery: Audit of 1 Training Center

TitleEvidence-Based Practice in Oral and Maxillofacial Surgery: Audit of 1 Training Center
Authors
Issue Date2007
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/joms
Citation
Journal Of Oral And Maxillofacial Surgery, 2007, v. 65 n. 4, p. 651-657 How to Cite?
AbstractPurpose: To evaluate the proportion of evidence-based interventions in the field of oral and maxillofacial surgery in a regional training center. Patients and Methods: A prospective clinical audit was carried out within the discipline of Oral and Maxillofacial Surgery, University of Hong Kong in February 2004 for a period of 6 months to investigate the extent of evidence-based practice. Consecutive diagnosis and intervention pairs were identified and recorded through standardized charts in randomly selected clinical sessions. A corresponding literature search using Medline and the Cochrane Library was performed to identify best current evidence. Each pair was then analyzed and graded according to the best current evidence. Results: Of 500 cases, 273 were eligible for evaluation while the rest were excluded based on 4 defined exclusion criteria. A majority of interventions (n = 195, 71.4%) were found to be evidence-based. Seventy-eight (28.6%) interventions were found to be not evidence-based. Among the evidence, a majority (56.1%) was level 5 evidence, which are case series or systematic review/meta-analysis of case series, and 36% were level 3 or above, which are randomized control trial (RCT) (level 3), meta-analysis of RCTs (level 2), or systematic review of RCTs (level 1). There was no statistically significant difference in the proportion of evidence-based practice between specialists and trainees in oral and maxillofacial surgery who saw and treated patients. Conclusion: This study demonstrated that most interventions prescribed in this oral and maxillofacial surgery training center were evidence-based, and the proportion was comparable with that reported by other specialties. © 2007 American Association of Oral and Maxillofacial Surgeons.
Persistent Identifierhttp://hdl.handle.net/10722/65939
ISSN
2015 Impact Factor: 1.631
2015 SCImago Journal Rankings: 0.824
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, SLen_HK
dc.contributor.authorSamman, Nen_HK
dc.date.accessioned2010-09-06T05:42:15Z-
dc.date.available2010-09-06T05:42:15Z-
dc.date.issued2007en_HK
dc.identifier.citationJournal Of Oral And Maxillofacial Surgery, 2007, v. 65 n. 4, p. 651-657en_HK
dc.identifier.issn0278-2391en_HK
dc.identifier.urihttp://hdl.handle.net/10722/65939-
dc.description.abstractPurpose: To evaluate the proportion of evidence-based interventions in the field of oral and maxillofacial surgery in a regional training center. Patients and Methods: A prospective clinical audit was carried out within the discipline of Oral and Maxillofacial Surgery, University of Hong Kong in February 2004 for a period of 6 months to investigate the extent of evidence-based practice. Consecutive diagnosis and intervention pairs were identified and recorded through standardized charts in randomly selected clinical sessions. A corresponding literature search using Medline and the Cochrane Library was performed to identify best current evidence. Each pair was then analyzed and graded according to the best current evidence. Results: Of 500 cases, 273 were eligible for evaluation while the rest were excluded based on 4 defined exclusion criteria. A majority of interventions (n = 195, 71.4%) were found to be evidence-based. Seventy-eight (28.6%) interventions were found to be not evidence-based. Among the evidence, a majority (56.1%) was level 5 evidence, which are case series or systematic review/meta-analysis of case series, and 36% were level 3 or above, which are randomized control trial (RCT) (level 3), meta-analysis of RCTs (level 2), or systematic review of RCTs (level 1). There was no statistically significant difference in the proportion of evidence-based practice between specialists and trainees in oral and maxillofacial surgery who saw and treated patients. Conclusion: This study demonstrated that most interventions prescribed in this oral and maxillofacial surgery training center were evidence-based, and the proportion was comparable with that reported by other specialties. © 2007 American Association of Oral and Maxillofacial Surgeons.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jomsen_HK
dc.relation.ispartofJournal of Oral and Maxillofacial Surgeryen_HK
dc.subject.meshAdolescenten_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshChilden_HK
dc.subject.meshDental Auditen_HK
dc.subject.meshEvidence-Based Medicineen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHong Kongen_HK
dc.subject.meshHospitals, Teachingen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMeta-Analysis as Topicen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshOral Surgical Procedures - standardsen_HK
dc.subject.meshProspective Studiesen_HK
dc.subject.meshRandomized Controlled Trials as Topicen_HK
dc.subject.meshReview Literature as Topicen_HK
dc.titleEvidence-Based Practice in Oral and Maxillofacial Surgery: Audit of 1 Training Centeren_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0278-2391&volume=65&issue=4&spage=651&epage=7&date=2007&atitle=Evidence-based+practice+in+oral+and+maxillofacial+surgery:+audit+of+1+training+centeren_HK
dc.identifier.emailSamman, N:nsamman@hkucc.hku.hken_HK
dc.identifier.authoritySamman, N=rp00021en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.joms.2006.02.034en_HK
dc.identifier.pmid17368359-
dc.identifier.scopuseid_2-s2.0-33947131613en_HK
dc.identifier.hkuros126465en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33947131613&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume65en_HK
dc.identifier.issue4en_HK
dc.identifier.spage651en_HK
dc.identifier.epage657en_HK
dc.identifier.isiWOS:000245385500010-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLau, SL=36600672300en_HK
dc.identifier.scopusauthoridSamman, N=7006413627en_HK

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