title: Use of clinical practice guidelines by dentists: findings from the Japanese dental practice-based research network.
abstract: OBJECTIVE
  The objectives of this study were to: (1) examine differences in the use of dental clinical practice guidelines among Japanese dentists, and (2) identify characteristics associated with the number of guidelines used by participating dentists.
  
  
  METHODS
  We conducted a cross-sectional study consisting of a questionnaire survey in Japan between July 2014 and May 2015. The study queried dentists working in outpatient dental practices who are affiliated with the Dental Practice-Based Research Network Japan (n = 148). They were asked whether they have used each of 15 Japanese dental clinical guidelines. Associations between the number of guidelines used by participants and specific characteristics were analysed via negative binomial regression analysis.
  
  
  RESULTS
  The mean number of guidelines used by participating dentists was 2.5 ± 2.9 [standard deviation (SD)]. Rate of use of guidelines showed substantial variation, from 5% to 34% among dentists. The proportion of dentists that used guidelines was the highest among oral medicine specialists, who had the highest proportion for 10 of 15 guidelines. Negative binomial regression analysis identified three factors significantly associated with the number of guidelines used: 'years since graduation from dental school', 'specialty practice' and 'practice busyness'.
  
  
  CONCLUSIONS
  These results suggest that the use of clinical practice guidelines by Japanese dentists may still be inadequate. Training in the use of the guidelines could be given to dental students as undergraduate education and to young clinicians as continuing education.
authors: Division of Clinical Epidemiology, Kyushu Dental University, Kitakyushu, Fukuoka, Japan.|University of Florida College of Dentistry, Gainesville, FL, USA.
authors: Naoki
authors: N
authors: Kakudate
authors: Graduate School of Media and Governance, Keio University, Fujisawa-city, Kanagawa, Japan.
authors: Yoko
authors: Y
authors: Yokoyama
authors: Mikami Dental & Orthodontics Clinic, Tomakomai, Hokkaido, Japan.
authors: Futoshi
authors: F
authors: Sumida
authors: Matsumoto Dental Clinic, Okazaki, Aichi, Japan.
authors: Yuki
authors: Y
authors: Matsumoto
authors: Department of Restorative Dental Sciences, University of Florida College of Dentistry, Gainesville, FL, USA.
authors: Valeria V
authors: VV
authors: Gordan
authors: Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, USA.
authors: Gregg H
authors: GH
authors: Gilbert
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D019239:Practice Patterns, Dentists' / Q000592:standards* / Q000706:statistics & numerical data*; D012044:Regression Analysis; D012959:Socioeconomic Factors
keywords: clinical guidelines; evidence-based medicine; health service research