Using Epistemonikos to create a one-stop shop for systematic reviews in dentistry

Article type
Authors
Verdugo-Paiva F1, Ortuño D2, Vargas JP2, Lai W2, Bravo-Soto GA3, Morel-Marambio M1, Ortiz-Muñoz L1, Bravo-Jeria R1, Rada G3
1Centro Evidencia UC
2Escuela de Odontología, Pontificia Universidad Católica de Chile
3Centro Evidencia UC, Epistemonikos Foundation
Abstract
Background: oral diseases are highly prevalent in the world and represent a great burden of morbidity. Treatment and prevention require access to the best available evidence. Given the exponential increase in the number of systematic reviews in dentistry and the complexity of the skills to identify them, new solutions are required. According to the vision of the Epistemonikos Foundation, a new and comprehensive database of all the evidence relevant to dentistry is required. This novel tool will support evidence-informed decision-making for oral health.

Objectives: to present the process that will be used to develop this unique and comprehensive database of synthesized evidence in the field of dentistry.

Methods: the database will be co-ordinated and maintained by the Epistemonikos Foundation. Technology experts and dentists from different countries will participate in its creation. The eligibility criteria of the systematic reviews included in the database will be determined in consensus with specialists from all areas of dentistry.
A search strategy was built to retrieve potentially eligible reviews from the main Epistemonikos database and screening will be conducted in custom software. The final selection will be done independently and in duplicate. Finally, all SRs will be classified by clinical specialty (Orthodontics, Endodontics, Periodontics, Implantology, Prosthodontics, Pediatric Dentistry, Temporomandibular Joint Disorders and Orofacial Pain, Oral and Maxillofacial Surgery, Oral Medicine and Pathology, Oral and Maxillofacial Radiology, Dental Public Health).

Results: we have already established the terms of reference for the collaboration through signed memorandums of understanding between the lead organization, Epistemonikos, and all partners. The comprehensive search yielded 236,282 records. Screening is ongoing across the collaboration, and database architecture and design is in progress.

Conclusions: we hope to establish a valuable, up-to-date, interconnected ‘one-stop shop’ of synthesized evidence relevant to decision-making in oral health. This systematic approach strives to uphold high methodological standards. It brings together diverse expertise, demonstrating successful collaboration across borders, languages and specialties using technology and teamwork.

Patient or healthcare consumer involvement: the platform will be presented to patients and healthcare consumers. Their opinion will be considered in the architecture and design of the database.