May 2019 Volume LIV Number 3


Evidence-Based Dentistry

September 2016 Volume LI Number 5

The Evidence-Based Dentistry Committee (EBDC) has been charged by the Board of Trustees to reorganize, rename and reclassify the AAPD Reference Manual. To keep the member- ship informed on our progress toward this charge, the EBDC will publish articles in the PDT explaining changes to guideline classification and development in the upcoming months.

This charge came as a result of changes in the development of guidelines across all of health care prompted by the Institute of Medicine (IOM) publication of Standards for Developing Trustworthy Clinical Practice Guidelines. This report from the IOM recommends standards to enhance the quality and reliability of clinical practice guidelines in all disciplines. These standard have been adopted widely and most notably by the by the National Guideline Clearinghouse (NGC)1.

The NGC was formed in 1998 to serve as an electronic database of guidelines summarized in a standardized format. This allows users to compare and contrast guideline recommendations on similar topics. Private insurance companies, state Medicaid programs, policymakers, and other government bodies rely on NGC guidelines to set standards of care and determine which health benefits are covered by insurance plans. The NGC, in an effort to promote evidence-based care, significantly changed the criteria for guideline inclusion.

NGC announced in 2014 that only guidelines meeting the Institute of Medicine (IOM) Standards for Developing Trustworthy Clinical Practice Guidelines would be included in the NGC. The reorganization of the AAPD Reference Manual will reflect how the AAPD Guidelines meet the standard for inclusion in NGC.

"These standards are necessary given that there is little documentation to judge the quality and reliability of many of the existing clinical practice guidelines."

Sheldon Greenfield, Donald Bren Professor of Medicine and executive director, Health Policy Research Institute, University of California, Irvine, and chair of the committee on guidelines

What next? Watch for our upcoming article discussing the role of the Evidence-Based Dentistry Committee and the Council on Clinical Affairs in developing and reclassifying the guidelines.

Click here for a PDF version of this article.