Structured summary of evidence using Epistemonikos (FRISBEE): experience of a new type of evidence synthesis in maxillofacial surgery

2023 - Volume 2 - Issue 2
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Summary

Oromaxillofacial surgery, dedicated to the diagnosis and treatment of pathologies in the stomatognathic region, faces challenges in clinical decision making due to the lack of randomized clinical trials and methodological limitations in primary studies. Evidence- based medicine, although useful, presents difficulties in this field. To address these limitations, the FRISBEE (FRIendly Summary of the Body Evidence using Epistemonikos) methodology, a structured summary of systematic reviews, is introduced. A FRISBEE seeks to synthesize all relevant biomedical information related to a specific clinical question, using systematic reviews. A detailed process is followed, from the formulation of the clinical question to the synthesis of data using the GRADE methodology, which evaluates the certainty of the evidence. The consulted literature shows 13 FRISBEEs in oromaxillofacial surgery, revealing precise results, such as the use of antibiotic prophylaxis to prevent the loss of bone-integrated implants and post-operative infection in orthognathic surgery. In conclusion, oromaxillofacial surgery faces challenges in the quality and certainty of the available information. FRISBEEs offer a synthesis of evidence that is accessible and easy to interpret, improving decision making in this specialty. Its application has proven to be valuable by providing clear and precise conclusions about various interventions in oromaxillofacial surgery, highlighting its usefulness in clinical practice.

Keywords

Oromaxillofacial surgery, FRISBEE, Clinical evidence, GRADE methodology, Cirugía bucomaxilofacial, Evidencia clínica, Metodología GRADE

How to cite

DALLASERRA AM, VARGAS BJP, VALLADARES PS, ORTUÑO BD, VERDUGO PMF, VILLANUEVA MJ. Structured summary of evidence using Epistemonikos (FRISBEE): experience of a new type of evidence synthesis in maxillofacial surgery. Craniofac Res. 2023; 2(2):89-95.

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