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The development of referral guidelines for dentists referring children for extractions under general anaesthesia.
Br Dent J. 2003 May 24; 194(10):561-5; discussion 557.BD

Abstract

OBJECTIVE

To develop a set of guidelines for referral of children for simple extractions under general anaesthesia and to determine if services providing general anaesthetic extractions comply with the guidelines.

DESIGN

The guidelines were developed with reference to published literature and experts in the field. Patient's records were used to determine the compliance with the guidelines.

SETTING

Community dental services in the North West of England in 2000.

SUBJECTS

One hundred and ninety six sets of patient records of children attending to have teeth extracted under general anaesthesia were studied.

RESULTS

The mean age of the 196 children was 6.8 years (SD = 2.5 years) and ranged from 2.7 to 15.8 years. Caries was the prime reason for extractions (182; 93b). Of the 196 children who received a general anaesthetic, 103 (53%) dentists had complied with the general anaesthetic referral guidelines whilst 93 (47%) had not. There was wide variation in compliance across 11 trusts in the North West of England. The lowest compliance was 25% and the highest 93%.

CONCLUSION

This study has demonstrated that there can be considerable agreement amongst a group of experts on what constitutes clear justification for extracting teeth under general anaesthesia. However there can be marked variation in compliance with these guidelines.

Authors+Show Affiliations

Hattersley Primary Care Centre, Cheshire.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12819731

Citation

Clayton, M, and I C. Mackie. "The Development of Referral Guidelines for Dentists Referring Children for Extractions Under General Anaesthesia." British Dental Journal, vol. 194, no. 10, 2003, pp. 561-5; discussion 557.
Clayton M, Mackie IC. The development of referral guidelines for dentists referring children for extractions under general anaesthesia. Br Dent J. 2003;194(10):561-5; discussion 557.
Clayton, M., & Mackie, I. C. (2003). The development of referral guidelines for dentists referring children for extractions under general anaesthesia. British Dental Journal, 194(10), 561-5; discussion 557.
Clayton M, Mackie IC. The Development of Referral Guidelines for Dentists Referring Children for Extractions Under General Anaesthesia. Br Dent J. 2003 May 24;194(10):561-5; discussion 557. PubMed PMID: 12819731.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The development of referral guidelines for dentists referring children for extractions under general anaesthesia. AU - Clayton,M, AU - Mackie,I C, PY - 2002/05/02/received PY - 2002/10/09/accepted PY - 2003/6/24/pubmed PY - 2003/9/25/medline PY - 2003/6/24/entrez SP - 561-5; discussion 557 JF - British dental journal JO - Br Dent J VL - 194 IS - 10 N2 - OBJECTIVE: To develop a set of guidelines for referral of children for simple extractions under general anaesthesia and to determine if services providing general anaesthetic extractions comply with the guidelines. DESIGN: The guidelines were developed with reference to published literature and experts in the field. Patient's records were used to determine the compliance with the guidelines. SETTING: Community dental services in the North West of England in 2000. SUBJECTS: One hundred and ninety six sets of patient records of children attending to have teeth extracted under general anaesthesia were studied. RESULTS: The mean age of the 196 children was 6.8 years (SD = 2.5 years) and ranged from 2.7 to 15.8 years. Caries was the prime reason for extractions (182; 93b). Of the 196 children who received a general anaesthetic, 103 (53%) dentists had complied with the general anaesthetic referral guidelines whilst 93 (47%) had not. There was wide variation in compliance across 11 trusts in the North West of England. The lowest compliance was 25% and the highest 93%. CONCLUSION: This study has demonstrated that there can be considerable agreement amongst a group of experts on what constitutes clear justification for extracting teeth under general anaesthesia. However there can be marked variation in compliance with these guidelines. SN - 0007-0610 UR - https://www.unboundmedicine.com/medline/citation/12819731/The_development_of_referral_guidelines_for_dentists_referring_children_for_extractions_under_general_anaesthesia_ L2 - https://doi.org/10.1038/sj.bdj.4810208 DB - PRIME DP - Unbound Medicine ER -