A IMPORTÂNCIA DOS ESTUDOS CLÍNICOS RANDOMIZADOS E SEU IMPACTO NA TOMADA DE DECISÃO CLÍNICA
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Científica do CRO-RJ (Online) |
Texto Completo: | https://cro-rj.org.br/revcientifica/index.php/revista/article/view/281 |
Resumo: | Randomized clinical trials (RCTs) are considered the gold standard and the highest level of scientific evidence, preceded only by systematic reviews with or without meta-analysis. Both policy makers and guideline developers need to use such studies, as well as systematic reviews of RCTs, to develop high-quality clinical guidelines to assist dentists in making clinical decisions. Therefore, randomized controlled trials need to be well designed and have a reduced number of systematic errors to build reliable scientific evidence regarding the benefits and side effects of clinical interventions, as well as to ensure transparency in the design of studymethodology and reporting of results, all of which will reduce potential biases. Poorly designed clinical trials pose a risk to clinical practice, as well as a waste of time and effort for dentists and even a waste of resources in science. This commentary aims to highlight and discuss problems related to the quality of randomized controlled clinical trials and their effect on dental surgeons’ clinical decision making, as well as emphasizing the importance of choosing high quality clinical trials as a basis for their clinical practice. |
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A IMPORTÂNCIA DOS ESTUDOS CLÍNICOS RANDOMIZADOS E SEU IMPACTO NA TOMADA DE DECISÃO CLÍNICAA IMPORTÂNCIA DOS ESTUDOS CLÍNICOS RANDOMIZADOS E SEU IMPACTO NA TOMADA DE DECISÃO CLÍNICAClinical TrialsRandomized Controlled Clinical TrialsQuality of CareQuality improvementDentistsRandomized clinical trials (RCTs) are considered the gold standard and the highest level of scientific evidence, preceded only by systematic reviews with or without meta-analysis. Both policy makers and guideline developers need to use such studies, as well as systematic reviews of RCTs, to develop high-quality clinical guidelines to assist dentists in making clinical decisions. Therefore, randomized controlled trials need to be well designed and have a reduced number of systematic errors to build reliable scientific evidence regarding the benefits and side effects of clinical interventions, as well as to ensure transparency in the design of studymethodology and reporting of results, all of which will reduce potential biases. Poorly designed clinical trials pose a risk to clinical practice, as well as a waste of time and effort for dentists and even a waste of resources in science. This commentary aims to highlight and discuss problems related to the quality of randomized controlled clinical trials and their effect on dental surgeons’ clinical decision making, as well as emphasizing the importance of choosing high quality clinical trials as a basis for their clinical practice.Os ensaios clínicos randomizados (ECRs) são considerados o padrão ouro e o mais alto nível de evidência científica para estudos de intervenção, precedidos apenas pela síntese dos mesmos (revisões sistemáticas). Tanto os responsáveis pela tomada de decisões, quanto os desenvolvedores de diretrizes precisam usar tais estudos, bem como suas sínteses, para desenvolver diretrizes clínicas de altaqualidade para auxiliar os profissionais na tomada de decisões. Portanto, osECRs precisam ser bem delineados para minimizar o risco de viés, a fim de construir evidências científicas confiáveis em relação aos benefícios e efeitos colaterais das intervenções clínicas, bem como para garantir a transparência na concepção dametodologia de estudo e na comunicação dos resultados. Ensaios clínicos mal delineados representam um risco para a prática clínica, assim como desperdício de tempo, esforço e recursos financeiros na ciência. Este comentário visa destacar e discutir questões relacionadas à qualidade dos ECRs e seu efeito na tomada de decisões clínicas, bem como enfatizar a conscientização sobre a necessidade de avaliar criteriosamente os ensaios clínicos que serão utilizados para embasar a prática clínica.Rio de Janeiro Dental Journal2022-04-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://cro-rj.org.br/revcientifica/index.php/revista/article/view/28110.29327/244963.7.1-2Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal); Vol. 7 No. 1: January-Abril 2022; 3-8Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal); v. 7 n. 1: January-Abril 2022; 3-82595-47331518-524910.29327/244963.7.1reponame:Revista Científica do CRO-RJ (Online)instname:Conselho Regional de Odontologia do Rio de Janeiro (CRO-RJ)instacron:CROporhttps://cro-rj.org.br/revcientifica/index.php/revista/article/view/281/158Copyright (c) 2022 Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal)http://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessRaggio, Daniela ProcidaGallegos, Claudia Lopez Mariano Laux , CarolineElagami, Rokaia A.2022-12-20T13:13:32Zoai:ojs3.cro-rj.org.br:article/281Revistahttps://cro-rj.org.br/revcientifica/index.php/revistahttps://cro-rj.org.br/revcientifica/index.php/revista/oairevista.cientifica@cro-rj.org.br || rorefa@terra.com.br2595-47331518-5249opendoar:2022-12-20T13:13:32Revista Científica do CRO-RJ (Online) - Conselho Regional de Odontologia do Rio de Janeiro (CRO-RJ)false |
dc.title.none.fl_str_mv |
A IMPORTÂNCIA DOS ESTUDOS CLÍNICOS RANDOMIZADOS E SEU IMPACTO NA TOMADA DE DECISÃO CLÍNICA A IMPORTÂNCIA DOS ESTUDOS CLÍNICOS RANDOMIZADOS E SEU IMPACTO NA TOMADA DE DECISÃO CLÍNICA |
title |
A IMPORTÂNCIA DOS ESTUDOS CLÍNICOS RANDOMIZADOS E SEU IMPACTO NA TOMADA DE DECISÃO CLÍNICA |
spellingShingle |
A IMPORTÂNCIA DOS ESTUDOS CLÍNICOS RANDOMIZADOS E SEU IMPACTO NA TOMADA DE DECISÃO CLÍNICA Raggio, Daniela Procida Clinical Trials Randomized Controlled Clinical Trials Quality of Care Quality improvement Dentists |
title_short |
A IMPORTÂNCIA DOS ESTUDOS CLÍNICOS RANDOMIZADOS E SEU IMPACTO NA TOMADA DE DECISÃO CLÍNICA |
title_full |
A IMPORTÂNCIA DOS ESTUDOS CLÍNICOS RANDOMIZADOS E SEU IMPACTO NA TOMADA DE DECISÃO CLÍNICA |
title_fullStr |
A IMPORTÂNCIA DOS ESTUDOS CLÍNICOS RANDOMIZADOS E SEU IMPACTO NA TOMADA DE DECISÃO CLÍNICA |
title_full_unstemmed |
A IMPORTÂNCIA DOS ESTUDOS CLÍNICOS RANDOMIZADOS E SEU IMPACTO NA TOMADA DE DECISÃO CLÍNICA |
title_sort |
A IMPORTÂNCIA DOS ESTUDOS CLÍNICOS RANDOMIZADOS E SEU IMPACTO NA TOMADA DE DECISÃO CLÍNICA |
author |
Raggio, Daniela Procida |
author_facet |
Raggio, Daniela Procida Gallegos, Claudia Lopez Mariano Laux , Caroline Elagami, Rokaia A. |
author_role |
author |
author2 |
Gallegos, Claudia Lopez Mariano Laux , Caroline Elagami, Rokaia A. |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Raggio, Daniela Procida Gallegos, Claudia Lopez Mariano Laux , Caroline Elagami, Rokaia A. |
dc.subject.por.fl_str_mv |
Clinical Trials Randomized Controlled Clinical Trials Quality of Care Quality improvement Dentists |
topic |
Clinical Trials Randomized Controlled Clinical Trials Quality of Care Quality improvement Dentists |
description |
Randomized clinical trials (RCTs) are considered the gold standard and the highest level of scientific evidence, preceded only by systematic reviews with or without meta-analysis. Both policy makers and guideline developers need to use such studies, as well as systematic reviews of RCTs, to develop high-quality clinical guidelines to assist dentists in making clinical decisions. Therefore, randomized controlled trials need to be well designed and have a reduced number of systematic errors to build reliable scientific evidence regarding the benefits and side effects of clinical interventions, as well as to ensure transparency in the design of studymethodology and reporting of results, all of which will reduce potential biases. Poorly designed clinical trials pose a risk to clinical practice, as well as a waste of time and effort for dentists and even a waste of resources in science. This commentary aims to highlight and discuss problems related to the quality of randomized controlled clinical trials and their effect on dental surgeons’ clinical decision making, as well as emphasizing the importance of choosing high quality clinical trials as a basis for their clinical practice. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cro-rj.org.br/revcientifica/index.php/revista/article/view/281 10.29327/244963.7.1-2 |
url |
https://cro-rj.org.br/revcientifica/index.php/revista/article/view/281 |
identifier_str_mv |
10.29327/244963.7.1-2 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cro-rj.org.br/revcientifica/index.php/revista/article/view/281/158 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal) http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal) http://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Rio de Janeiro Dental Journal |
publisher.none.fl_str_mv |
Rio de Janeiro Dental Journal |
dc.source.none.fl_str_mv |
Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal); Vol. 7 No. 1: January-Abril 2022; 3-8 Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal); v. 7 n. 1: January-Abril 2022; 3-8 2595-4733 1518-5249 10.29327/244963.7.1 reponame:Revista Científica do CRO-RJ (Online) instname:Conselho Regional de Odontologia do Rio de Janeiro (CRO-RJ) instacron:CRO |
instname_str |
Conselho Regional de Odontologia do Rio de Janeiro (CRO-RJ) |
instacron_str |
CRO |
institution |
CRO |
reponame_str |
Revista Científica do CRO-RJ (Online) |
collection |
Revista Científica do CRO-RJ (Online) |
repository.name.fl_str_mv |
Revista Científica do CRO-RJ (Online) - Conselho Regional de Odontologia do Rio de Janeiro (CRO-RJ) |
repository.mail.fl_str_mv |
revista.cientifica@cro-rj.org.br || rorefa@terra.com.br |
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