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Factors predicting the prognosis of oral alendronate‐related osteonecrosis of the jaws: A 4‐year cohort study

Identifieur interne : 000740 ( Istex/Corpus ); précédent : 000739; suivant : 000741

Factors predicting the prognosis of oral alendronate‐related osteonecrosis of the jaws: A 4‐year cohort study

Auteurs : Jang-Jaer Lee ; Shih-Jung Cheng ; Jai-Jen Wang ; Chun-Pin Chiang ; Hao-Hueng Chang ; Hsin-Ming Chen ; Sang-Heng Kok

Source :

RBID : ISTEX:C2C0B6B18F602D840DB14B1C94225B43303DF96E

English descriptors

Abstract

Studies concerning prognostic factors specific for alendronate‐related osteonecrosis of the jaws (ONJ) are rare.

Url:
DOI: 10.1002/hed.23235

Links to Exploration step

ISTEX:C2C0B6B18F602D840DB14B1C94225B43303DF96E

Le document en format XML

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<div type="abstract">Studies concerning prognostic factors specific for alendronate‐related osteonecrosis of the jaws (ONJ) are rare.</div>
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<p>Studies concerning prognostic factors specific for alendronate‐related osteonecrosis of the jaws (ONJ) are rare.</p>
Methods
<p>We surveyed a cohort of 100 osteoporotic patients with 111 alendronate‐related ONJ lesions treated during a 4‐year period. Prognostic values of clinical variables and serum markers of bone turnover were assessed by univariate and multivariate analyses.</p>
Results
<p>The cumulative complete response rate at 6 months was 48.65%. Serum bone‐specific alkaline phosphatase (BSAP) level >10 μg/L, lesion depth ≦ 10 mm, and lesions in anterior regions denoted a better chance of healing within 6 months and the adjusted hazard ratios were 2.48 (95% confidence interval [CI], 1.41–4.37), 2.71 (95% CI, 1.57–4.70), and 3.94 (95% CI, 1.87–8.30), respectively.</p>
Conclusions
<p>Early discovery of lesions and prevention of their deeper extension are crucial for improving the prognosis of alendronate‐related ONJ. A higher pretreatment level of BSAP indicates a better prognosis. © 2013 Wiley Periodicals, Inc.
<hi rend="italic">Head Neck</hi>
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<abstract>Studies concerning prognostic factors specific for alendronate‐related osteonecrosis of the jaws (ONJ) are rare.</abstract>
<abstract>We surveyed a cohort of 100 osteoporotic patients with 111 alendronate‐related ONJ lesions treated during a 4‐year period. Prognostic values of clinical variables and serum markers of bone turnover were assessed by univariate and multivariate analyses.</abstract>
<abstract>The cumulative complete response rate at 6 months was 48.65%. Serum bone‐specific alkaline phosphatase (BSAP) level >10 μg/L, lesion depth ≦ 10 mm, and lesions in anterior regions denoted a better chance of healing within 6 months and the adjusted hazard ratios were 2.48 (95% confidence interval [CI], 1.41–4.37), 2.71 (95% CI, 1.57–4.70), and 3.94 (95% CI, 1.87–8.30), respectively.</abstract>
<abstract>Early discovery of lesions and prevention of their deeper extension are crucial for improving the prognosis of alendronate‐related ONJ. A higher pretreatment level of BSAP indicates a better prognosis. © 2013 Wiley Periodicals, Inc. Head Neck 35: 1787–1795, 2013</abstract>
<subject>
<genre>keywords</genre>
<topic>osteoporosis</topic>
<topic>alendronate</topic>
<topic>ONJ</topic>
<topic>CTX</topic>
<topic>BSAP</topic>
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<identifier type="ISSN">1043-3074</identifier>
<identifier type="eISSN">1097-0347</identifier>
<identifier type="DOI">10.1002/(ISSN)1097-0347</identifier>
<identifier type="PublisherID">HED</identifier>
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<date>2013</date>
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<caption>vol.</caption>
<number>35</number>
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<detail type="issue">
<caption>no.</caption>
<number>12</number>
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<start>1787</start>
<end>1795</end>
<total>9</total>
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<identifier type="DOI">10.1002/hed.23235</identifier>
<identifier type="ArticleID">HED23235</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 Wiley Periodicals, Inc., A Wiley CompanyCopyright © 2013 Wiley Periodicals, Inc., A Wiley Company</accessCondition>
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