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Benchmarking the clinical prosthetic dental literature on MEDLINE.

机译:在MEDLINE上对临床义齿牙科文献进行基准测试。

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Statement of Problem. The utility of evidence-based clinical prosthetic dental decision making is, in part, predicated on the availability of high-quality clinical trials and the use of current best evidence. With literature or outcomes continually evolving, it is difficult to know how much information is available, how fast it changes, or where it is located. Purpose. This study identified and quantified the availability of high-quality prosthetic dental clinical trials, determined the dynamics of literature increase, and identified the location of relevant literature published within a specific decade. Material and Methods. A search strategy based on the Medical Subject Headings (MeSH) vocabulary for prosthetic dentistry was developed to examine MEDLINE with use of the Ovid Web Gateway search engine between the years 1990-1999. Specific and sensitive methodologic search filters identified 4 categories of information: etiology, diagnosis, therapy, and prognosis. The identified studies were limited to human subjects and to articles written in English. The results were subdivided by year to identify trends and location of the literature. This evaluation did not include the following: (1) other databases or languages or (2) an evaluation of the validity or clinical applicability of the literature. The first factor would increase the estimated number of relevant articles, whereas the second factor would decrease it. Results. Between 1990 and 1999, MEDLINE identified 10,258 articles published in English on human prosthodontic issues. When subdivided by clinical category, the number of articles per year (mean +/- SD) for specific and sensitive searches, respectively, was as follows: etiology, 10 +/- 6 and 95 +/- 27; diagnosis, 11 +/- 5 and 77 +/- 21; therapy, 6 +/- 2 and 153 +/- 52; and prognosis, 13 +/- 6 and 91 +/- 27. For sensitive searches, this amounted to approximately 416 articles per year. The time-course analysis indicated that the number of articles in each category increased by approximately 7% per year. The articles were published in more than 60 different journals: approximately 50% of the articles were published in 14 journals, whereas the remaining articles were published in 46 journals. Conclusion. There appears to be substantial clinical prosthetic dental literature upon which to base clinical decisions. With the sensitive search strategy used as an estimate, to stay current, one would need to read and absorb approximately 8 articles per week, 52 weeks per year, across 60 different journals. Increases in the volume of literature each year make access even more difficult. These trends suggest the need for computer-based clinical knowledge systems.
机译:问题陈述。基于证据的临床义齿牙科决策的实用性部分取决于高质量临床试验的可用性和当前最佳证据的使用。随着文献或成果的不断发展,很难知道有多少可用信息,其变化速度或位置。目的。这项研究确定并量化了高质量假牙临床试验的可用性,确定了文献增长的动力,并确定了特定十年内发表的相关文献的位置。材料与方法。在1990-1999年之间,开发了一种基于医学主题词(MeSH)词汇的搜索策略来研究MEDLINE,并使用Ovid Web Gateway搜索引擎进行了研究。特定而敏感的方法搜索过滤器可确定4类信息:病因,诊断,治疗和预后。确定的研究仅限于人类受试者和以英语撰写的文章。将结果按年份细分,以确定趋势和文献位置。该评估不包括以下内容:(1)其他数据库或语言,或(2)对文献的有效性或临床适用性的评估。第一个因素将增加相关文章的估计数量,而第二个因素将减少相关文章的估计数量。结果。在1990年至1999年之间,MEDLINE确定了10258篇以英文发表的有关人类修复牙齿问题的文章。按临床类别细分时,每年针对特定搜索和敏感搜索的文章数量(平均值+/- SD)如下:病因,10 +/- 6和95 +/- 27;诊断,11 +/- 5和77 +/- 21;治疗6 +/- 2和153 +/- 52;和预后,分别为13 +/- 6和91 +/-27。对于敏感搜索,每年大约有416篇文章。时程分析表明,每个类别中的文章数量每年增加约7%。这些文章在60多种不同的期刊上发表:大约50%的文章在14种期刊上发表,而其余的文章在46种期刊上发表。结论。似乎有大量的临床义齿牙科文献可作为临床决策的依据。以敏感的搜索策略作为一种估计,为了保持最新状态,一个人将需要阅读和吸收大约60种不同期刊上的每周大约8篇文章(每年52周)。每年文学数量的增加使获取变得更加困难。这些趋势表明需要基于计算机的临床知识系统。

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