Evidence map›Paper›PMID 36745521›Full record

ArticleOperative dentistry2023

Causes of the Evidence-practice Gap and Its Association with the Effects of Minimal Intervention Dentistry Education to Clinicians.

Y Yokoyama, N Kakudate, F Sumida, Y Matsumoto, V V Gordan, G H Gilbert

Open access · greenAbstract read
In one paragraph

Article in Operative dentistry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

6 authors at 5 institutions in 2 countries.

Y YokoyamaYoko Yokoyama, PhD, MPH, project senior assistant professor, Graduate School of Media and Governance, Keio University, Kanagawa, Japan.
N Kakudate*Naoki Kakudate, DDS, PhD, MPH, professor & division director, Division of Clinical Epidemiology, Kyushu Dental University, Kitakyushu, Fukuoka, Japan; visiting professor, University of Florida College of Dentistry, Gainesville, FL, USA.
F SumidaFutoshi Sumida, DDS, Daiich Dental Clinic, Hokkaido, Japan.
Y MatsumotoYuki Matsumoto, DDS, director, Matsumoto Dental Clinic, Okazaki, Aichi, Japan.
V V GordanValeria V Gordan, DDS, MS, MS-CI, distinguished professor and interim associate dean for research, Department of Restorative Dental Sciences, College of Dentistry, University of Florida, Gainesville, FL, USA.
G H GilbertGregg H. Gilbert, DDS, MBA, FAAHD, FICD, distinguished professor & chair, Department of Clinical and Community Sciences, School of Dentistry, The University of Alabama at Birmingham, Birmingham, AL, USA.
Keio University · JPKyushu Dental University · JPMatsumoto Dental University · JPUniversity of Alabama at Birmingham · USUniversity of Florida · US

Funding

The National Dental PBRNU19DE022516 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2012 to 2018
$66.4M
The National Dental PBRN - Administrative CoreU19DE028717 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2019 to 2025
$23.5M
NIDCR NIH HHS U19 DE022516NIDCR NIH HHS U19 DE028717
6 · The paper itself

Abstract

objectivesTo identify causes of the evidence-practice gap (EPG) in dentistry in Japan and analyze whether these causes are associated with: (a) improvement of EPG in minimal intervention dentistry (MID) following an educational intervention and (b) specific dentist characteristics.

methodsWe conducted a mixed-methods questionnaire survey among 197 Japanese dentists that integrated both quantitative and qualitative data. Causative factors for the EPG identified in the quantitative survey were clarified by qualitative analysis. We measured the EPG in a baseline survey using an EPG measurement tool based on MID. To examine how feedback using the latest scientific evidence affected change in the EPG, we measured the EPG again immediately after feedback was provided to participating dentists.

resultsQualitative analysis classified all dentists into one of four "EPG cause" groups, namely "evidence-", "dentist-", "patient-", and "health insurance system-related" causes. Quantitative analysis confirmed that improvement in the EPG following the feedback intervention was indeed associated with group classification. The highest concordance was found for the "evidence-related" group while the lowest concordance was in the "dentist-related" group (p=0.004). Concordance improved after evidence feedback in all groups but was lowest in the "dentist-related" group. More dentists reported practice busyness in the "dentist-related" group.

conclusionsIn this study, we identified four groups of causes of EPG among Japanese dentists. The degree of concordance between evidence and clinical practice was the lowest in the "dentist-related" group, and the results of this study are expected to provide useful information for the development of intervention methods for closing the EPG in the future.

Indexed as

DentistryProfessional Practice GapsDentistsHumansJapanSurveys and Questionnaires

Identifiers

PMID36745521
PMCPMC10792988
OpenAlexW4319295402

What OpenQuestion holds

Textmetadata
LicenceTDM
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.