Evidence map›Paper›PMID 26794105›Full record

ArticleBritish dental journal2016

Guidelines on prophylaxis to prevent infective endocarditis.

M H Thornhill, M Dayer, P B Lockhart, M McGurk, D Shanson, B Prendergast, J B Chambers

Abstract read
PubMed Publisher
In one paragraph

Article in British dental journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
8.1field-weighted citation impact, top 2% of its field
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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Infective endocarditis associated with left atrial appendage occlusion device: a contemporary systematic review.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Infective Endocarditis Among High-risk Individuals Before and After the Cessation of Antibiotic Prophylaxis in Dentistry: A National Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  7. Article
  8. Infective endocarditis following invasive dental procedures: IDEA case-crossover study.Health technology assessment (Winchester, England) · 2022
    Observational
  9. Infective endocarditis and oral health-a Narrative Review.Cardiovascular diagnosis and therapy · 2021
    Review
  10. Article
  11. Article
  12. Wissen kompakt : Fortbildung fur Zahnarzte · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Has common sense prevailed?British dental journal · 2018
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

M H ThornhillDepartment of Oral &Maxillofacial Medicine and Surgery, The School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, S10 2TA; Adjunct Professor of Oral Medicine, Department of Oral Medicine, Carolinas Medical Center, Charlotte, North Carolina, USA.
M DayerTaunton and Somerset NHS Trust.
P B LockhartDepartment of Oral Medicine, Carolinas Medical Center, Charlotte, North Carolina, USA.
M McGurkDepartment of Oral and Maxillofacial Surgery, Guy's and St Thomas' Hospitals, London.
D ShansonGreat Ormond Street Hospital for Children, London.
B PrendergastGuy's and St Thomas' Hospitals, London.
J B ChambersGuy's and St Thomas' Hospitals, London.
St. Thomas Hospital · CACarolinas Medical Center · USGreat Ormond Street Hospital · GBTaunton & Somerset NHS Foundation Trust · GBUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infective endocarditis is a devastating disease with high morbidity and mortality. The link to oral bacteria has been known for many decades and has caused ongoing concern for dentists, patients and cardiologists. Since 2008, the UK has been out of step with the rest of the world where antibiotic prophylaxis is recommended for high-risk patients undergoing invasive dental procedures. Recent evidence that identified an increase in endocarditis incidence prompted a guideline review by NICE and the European Society for Cardiology--which produces guidance for the whole of Europe. Despite reviewing the same evidence they reached completely opposing conclusions. The resulting conflict of opinions and guidance is confusing and poses difficulties for dentists, cardiologists and their patients. Recent changes in the law on consent, however, may provide a patient-centred and pragmatic solution to these problems. This Opinion piece examines the evidence and opposing guidance on antibiotic prophylaxis in the context of the recent changes in the law on consent and provides a framework for how patients at risk of endocarditis might be managed in practice.

Indexed as

Practice Guidelines as TopicAnti-Bacterial AgentsAntibiotic ProphylaxisDental CareEndocarditisEvidence-Based DentistryHumansRisk FactorsUnited KingdomAnti-Bacterial Agents

Identifiers

PMID26794105
OpenAlexW2265272570

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.