Douglas Badenoch

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I am an information scientist with an interest in making knowledge from systematic research more accessible to people who need it. This means you. I've been attempting this in the area of Evidence-Based Health Care since 1995. So far the results have been mixed. For some reason we expected busy clinicians to search databases and appraise papers instead of seeing patients. We also expected publishers to make the research freely available to the people who paid for it.. Ha! Hence The National Elf service.

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Articaine better than lignocaine for routine molar anaesthesia

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This systematic review was originally published in the Journal of Dentistry in 2010. The Centre for Reviews and Dissemination have now appraised the quality of the review and written a structured abstract of it. They conclude that the review conducted a comprehensive search strategy, with a risk of some publication bias due to their inclusion [read the full story…]

Cost effectiveness of implants versus root canal treatment

Cross section of a dental implant

A new summary has just been added to the CRD Economic Evaluation Database (EED).  The review contains a structured abstract of the methods and findings of a cost-effectiveness study of conventional approaches vs implants in root canal treatment. This study evaluated the cost-effectiveness of available interventions to treat a maxillary incisor tooth with irreversible pulpitis [read the full story…]

Cost-effectiveness of oral cancer screening: results from India

A woman having a dental examination.

This study examined the cost-effectiveness of a visual inspection for oral cancer prevention in individuals aged 35 years or older, in India.  The authors concluded that oral cancer screening by visual inspection was cost-effective, particularly for a high-risk population. They reported that screening by visual inspection saved 269.31 life-years per 100,000 patients at a cost [read the full story…]

Review of the effectivess of latex and non-latex disposable gloves

Picture of a hand wearing a surgical glove and making a thumbs-up sign

A new review by the Canadian Agency for Drugs and Technologies in Health (CADTH) summarises the evidence for different types of glove in surgical settings. The review concludes that latex gloves may be more resistant to punctures than non-latex gloves in the surgical setting. Vinyl gloves are permeable to chemotherapy and are not suitable for [read the full story…]

Inconclusive evidence on chlorhexidine varnish for preventing caries in children and adolescents

Photograph of carious teeth

A new systematic review reports inconclusive evidence on chlorhexidine varnish for preventing caries in children and adolescents. The reviewers set out to establish its effectiveness compared with placebo or no treatment.  A secondary aim was to summarise the evidence of the effectiveness of chlorhexidine varnish compared to fluoride varnish. The authors searched Medline, Embase and [read the full story…]