Evidence map›Paper›PMID 25525031›Full record

ArticleBritish dental journal2014

Managing patients on bisphosphonates: the practice of primary care dentists before and after the publication of national guidance.

D L Bonetti, J E Clarkson, P Elouafkaoui, D A Stirling, L Young, A R Templeton

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Article in British dental journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

D L Bonetti
J E Clarkson
P Elouafkaoui
D A Stirling
L YoungDundee Dental Education Centre, Frankland Building, University of Dundee, Small's Wynd, Dundee, DD1 4HN.
A R TempletonEffective Dental Practice Programme, Division of Oral Health Sciences, Dental Hospital &School, Park Place, Dundee, DD1 4HR for the Translation Research in a Dental Setting (TRiaDS) Research Methodology Group.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn April 2011 the Scottish Dental Clinical Effectiveness Programme published the Oral health management of patients prescribed bisphosphonates guidance document. The aims of this study were to examine whether dentists' practice and beliefs changed after guidance publication to determine whether a knowledge translation intervention was required, and to inform its development.

methodsThree postal surveys sent to three independent, random samples of dentists throughout Scotland pre- and post-guidance publication. The questionnaire, framed using the theoretical domains framework (TDF), assessed current practice and beliefs relating to recommended management of patients on bisphosphonates.

resultsThe results (N = 420) suggest that any significant impact the guidance may have had on the recommended management of patients on bisphosphonates by primary care dentists, had reached its peak ten months post publication. A more positive attitude, greater perceived ability, and greater motivation were all associated with significantly more performing of all recommended behaviours at every time point.

conclusionsPrior to this study, there was little available information about how patients on bisphosphonates were being managed in primary dental care, or what beliefs may be influencing management decisions. This study was able to identify levels of compliance pre- and post-guidance publication and determine that further intervention was necessary to enable sustained uptake of recommendations. Using the TDF to identify beliefs associated with best practice made it possible to suggest theoretically informed strategies for service improvement. The next step is to test the intervention(s) in a randomised controlled trial.

Indexed as

Practice Patterns, Dentists'AdultAgedAttitude of Health PersonnelBone Density Conservation AgentsData CollectionDental CareDiphosphonatesFemaleGuideline AdherenceHumansMaleMiddle AgedScotlandSurveys and QuestionnairesYoung AdultBone Density Conservation AgentsDiphosphonates

Identifiers

What OpenQuestion holds

Textmetadata
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.