Clinical Practice Guidelines – A Lack of Awareness, Compliance or Relevance?

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Clinical Practice Guidelines – A Lack of Awareness, Compliance or Relevance?

Terk Hui Xin, Sathesh Balasundram: Clinical Practice Guidelines – A Lack of Awareness, Compliance or Relevance? Mal. J. Oral Maxillofac. Surg. 2012; 10: 13–17.

Abstract: Aims and objectives: To determine the level of awareness, compliance and the perception of relevance among dental officers towards CPGs.

Method: Self-administered questionnaires were distributed to dental officers serving in the Ministry of Health in Johor state, who had served more than one year. The questionnaire contained questions related to two clinical practice guidelines (CPG) in Malaysia namely (1) Antibiotic Prophylaxis against Wound Infection for Oral Surgical Procedure (2003) and (2) Management of Unerupted and Impacted Third Molar Teeth (2005).

Result: A total of sixty dental practitioners were involved in this study. 56 subjects (93.3%) were aware of CPGs in general while 41 officers (68.3%) and 45 officers (75.0%) were aware of the presence of the guidelines (1) and (2), respectively. 8.3% of subjects had 76-100% of awareness on all CPGs, whereas for CPG (1) and (2), only 6.6% and 18.3% of subjects achieved 76-100% of awareness respectively. 58.3% of officers were compliant to the CPGs, 38.7% of them only partially and 5% revealed non-compliance. Only 5% of officers complied 76-100% with CPG (1), while for CPG (2), 21.6% of officers showed 76-100% compliance. 90% and 100% of participants, respectively, agree that CPGs (1) & (2) were very relevant to their clinical practice.

Conclusion: Most clinicians are aware and agree that CPGs are a relevant and vital part of evidence-based practice. However, practitioners themselves must become familiar with both the guidelines and the rationale behind them.