Evidence map›Paper›PMID 24379327›Full record

ArticleJournal of the American Dental Association (1939)2014

Concordance between clinical practice and published evidence: findings from The National Dental Practice-Based Research Network.

Wynne E Norton, Ellen Funkhouser, Sonia K Makhija, Valeria V Gordan, James D Bader, D Brad Rindal, Daniel J Pihlstrom, Thomas J Hilton, Julie Frantsve-Hawley, Gregg H Gilbert and 1 more

Abstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
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  16. Absence of evidence is not evidence of absence.Journal of applied oral science : revista FOB · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Wynne E NortonDr. Norton is an assistant professor, Department of Health Behavior, School of Public Health, University of Alabama at Birmingham.
Ellen Funkhouser
Sonia K Makhija
Valeria V Gordan
James D Bader
D Brad Rindal
Daniel J Pihlstrom
Thomas J Hilton
Julie Frantsve-Hawley
Gregg H Gilbert
National Dental Practice-Based Research Network Collaborative Group

Funding

The National Dental PBRNU19DE022516 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2012 to 2018
$66.4M
Dental PBRN Network ChairU01DE016747 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2005 to 2011
$17.3M
Dental Practice-Based Research Network Coordinating CtrU01DE016746 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FUNKHOUSER, ELLEN M · 2005 to 2011
$7.0M
NIDCR NIH HHS U01 DE016746NIDCR NIH HHS U01 DE016747NIDCR NIH HHS U01-DE-16746NIDCR NIH HHS U01-DE-16747NIDCR NIH HHS U19 DE022516NIDCR NIH HHS U19-DE-22516
6 · The paper itself

Abstract

backgroundDocumenting the gap between what is occurring in clinical practice and what published research findings suggest should be happening is an important step toward improving care. The authors conducted a study to quantify the concordance between clinical practice and published evidence across preventive, diagnostic and treatment procedures among a sample of dentists in The National Dental Practice-Based Research Network ("the network").

methodsNetwork dentists completed one questionnaire about their demographic characteristics and another about how they treat patients across 12 scenarios/clinical practice behaviors. The authors coded responses to each scenario/clinical practice behavior as consistent ("1") or inconsistent ("0") with published evidence, summed the coded responses and divided the sum by the number of total responses to create an overall concordance score. The overall concordance score was calculated as the mean percentage of responses that were consistent with published evidence.

resultsThe authors limited analyses to participants in the United States (N = 591). The study results show a mean concordance at the practitioner level of 62 percent (SD = 18 percent); procedure-specific concordance ranged from 8 to 100 percent. Affiliation with a large group practice, being a female practitioner and having received a dental degree before 1990 were independently associated with high concordance (≥ 75 percent).

conclusionDentists reported a medium-range concordance between practice and published evidence. PRACTICAL IMPLICATIONS: Efforts to bring research findings into routine practice are needed.

Indexed as

Data CollectionDental CariesDental Restoration, PermanentEvidence-Based DentistryGuideline AdherenceHumansMolar, ThirdPractice Patterns, Dentists'Surveys and QuestionnairesTooth ExtractionUnited StatesClinical practicedentistryevidence-based dentistryimplementation science

Identifiers

PMID24379327
PMCPMC3881267

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.