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 : 000741Factors 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 KokSource :
- Head & Neck [ 1043-3074 ] ; 2013-12.
English descriptors
- KwdEn :
- Adjunctive therapy, Alcohol drinking, Alendronate, Alendronate therapy, Alkaline phosphatase, American association, Anterior lesion length, Anterior lesions, Better prognosis, Biochemical markers, Bisphosphonate, Bisphosphonate treatment, Bisphosphonaterelated osteonecrosis, Bisphosphonates, Bone destruction area, Bone formation, Bone mineral density, Bone necrosis, Bone resorption, Bone turnover, Bronj, Bronj diagnosis, Bronj lesions, Bronj patients, Bsap, Bsap level, Bsap levels, Cancer chemotherapy, Cancer patients, Certain period, Chlorhexidine mouth rinse, Clinical factors, Clinical variables, Complete response, Confidence interval, Cumulative dose, December, Deeper extension, Diabetes mellitus, Disease stage, Drug holiday, Drug therapy, Drug treatment, Event dentoalveolar surgery, Hazard ratio, Head december, Head neck, Healing period, Healing time, Higher pretreatment level, Intravenous bisphosphonates, Lesion, Lesion depth, Lesion length, Lesion resolution, Lesion site lesion depth, Lesion site maxilla mandible lesion site, Mandible, Maxillofac, Maxillofacial surgeons, Maxillofacial surgery, Median, Medical comorbidities, Multivariate analyses, Multivariate analysis, National taiwan university, National taiwan university hospital, Oral alendronate, Oral bisphosphonate, Oral bisphosphonate therapy, Oral bisphosphonates, Oral maxillofac surg, Oral oncol, Oral pathol, Oral surg, Osteonecrosis, Osteoporosis, Osteoporotic, Osteoporotic patients, Parathyroid hormone, Pathologic fracture, Pearson correlation coefficient, Phosphatase, Postmenopausal osteoporosis, Postmenopausal women, Present study, Pretreatment, Pretreatment serum bsap, Previous studies, Prognosis, Prognostic, Prognostic figure, Prognostic indicators, Prognostic values, Radiol endod, Risk factors, Serum bsap, Serum bsap level, Serum level, Serum markers, Significant difference, Surg, Surgical, Surgical therapy, Surgical treatment, Teriparatide, Treatment modalities, Treatment outcome, Treatment outcomes, Treatment period, True extent, Turnover, Uninvolved bone.
- Teeft :
- Adjunctive therapy, Alcohol drinking, Alendronate, Alendronate therapy, Alkaline phosphatase, American association, Anterior lesion length, Anterior lesions, Better prognosis, Biochemical markers, Bisphosphonate, Bisphosphonate treatment, Bisphosphonaterelated osteonecrosis, Bisphosphonates, Bone destruction area, Bone formation, Bone mineral density, Bone necrosis, Bone resorption, Bone turnover, Bronj, Bronj diagnosis, Bronj lesions, Bronj patients, Bsap, Bsap level, Bsap levels, Cancer chemotherapy, Cancer patients, Certain period, Chlorhexidine mouth rinse, Clinical factors, Clinical variables, Complete response, Confidence interval, Cumulative dose, December, Deeper extension, Diabetes mellitus, Disease stage, Drug holiday, Drug therapy, Drug treatment, Event dentoalveolar surgery, Hazard ratio, Head december, Head neck, Healing period, Healing time, Higher pretreatment level, Intravenous bisphosphonates, Lesion, Lesion depth, Lesion length, Lesion resolution, Lesion site lesion depth, Lesion site maxilla mandible lesion site, Mandible, Maxillofac, Maxillofacial surgeons, Maxillofacial surgery, Median, Medical comorbidities, Multivariate analyses, Multivariate analysis, National taiwan university, National taiwan university hospital, Oral alendronate, Oral bisphosphonate, Oral bisphosphonate therapy, Oral bisphosphonates, Oral maxillofac surg, Oral oncol, Oral pathol, Oral surg, Osteonecrosis, Osteoporosis, Osteoporotic, Osteoporotic patients, Parathyroid hormone, Pathologic fracture, Pearson correlation coefficient, Phosphatase, Postmenopausal osteoporosis, Postmenopausal women, Present study, Pretreatment, Pretreatment serum bsap, Previous studies, Prognosis, Prognostic, Prognostic figure, Prognostic indicators, Prognostic values, Radiol endod, Risk factors, Serum bsap, Serum bsap level, Serum level, Serum markers, Significant difference, Surg, Surgical, Surgical therapy, Surgical treatment, Teriparatide, Treatment modalities, Treatment outcome, Treatment outcomes, Treatment period, True extent, Turnover, Uninvolved bone.
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
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<author><name sortKey="Wang, Jai En" sort="Wang, Jai En" uniqKey="Wang J" first="Jai-Jen" last="Wang">Jai-Jen Wang</name>
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<term>Alcohol drinking</term>
<term>Alendronate</term>
<term>Alendronate therapy</term>
<term>Alkaline phosphatase</term>
<term>American association</term>
<term>Anterior lesion length</term>
<term>Anterior lesions</term>
<term>Better prognosis</term>
<term>Biochemical markers</term>
<term>Bisphosphonate</term>
<term>Bisphosphonate treatment</term>
<term>Bisphosphonaterelated osteonecrosis</term>
<term>Bisphosphonates</term>
<term>Bone destruction area</term>
<term>Bone formation</term>
<term>Bone mineral density</term>
<term>Bone necrosis</term>
<term>Bone resorption</term>
<term>Bone turnover</term>
<term>Bronj</term>
<term>Bronj diagnosis</term>
<term>Bronj lesions</term>
<term>Bronj patients</term>
<term>Bsap</term>
<term>Bsap level</term>
<term>Bsap levels</term>
<term>Cancer chemotherapy</term>
<term>Cancer patients</term>
<term>Certain period</term>
<term>Chlorhexidine mouth rinse</term>
<term>Clinical factors</term>
<term>Clinical variables</term>
<term>Complete response</term>
<term>Confidence interval</term>
<term>Cumulative dose</term>
<term>December</term>
<term>Deeper extension</term>
<term>Diabetes mellitus</term>
<term>Disease stage</term>
<term>Drug holiday</term>
<term>Drug therapy</term>
<term>Drug treatment</term>
<term>Event dentoalveolar surgery</term>
<term>Hazard ratio</term>
<term>Head december</term>
<term>Head neck</term>
<term>Healing period</term>
<term>Healing time</term>
<term>Higher pretreatment level</term>
<term>Intravenous bisphosphonates</term>
<term>Lesion</term>
<term>Lesion depth</term>
<term>Lesion length</term>
<term>Lesion resolution</term>
<term>Lesion site lesion depth</term>
<term>Lesion site maxilla mandible lesion site</term>
<term>Mandible</term>
<term>Maxillofac</term>
<term>Maxillofacial surgeons</term>
<term>Maxillofacial surgery</term>
<term>Median</term>
<term>Medical comorbidities</term>
<term>Multivariate analyses</term>
<term>Multivariate analysis</term>
<term>National taiwan university</term>
<term>National taiwan university hospital</term>
<term>Oral alendronate</term>
<term>Oral bisphosphonate</term>
<term>Oral bisphosphonate therapy</term>
<term>Oral bisphosphonates</term>
<term>Oral maxillofac surg</term>
<term>Oral oncol</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Osteonecrosis</term>
<term>Osteoporosis</term>
<term>Osteoporotic</term>
<term>Osteoporotic patients</term>
<term>Parathyroid hormone</term>
<term>Pathologic fracture</term>
<term>Pearson correlation coefficient</term>
<term>Phosphatase</term>
<term>Postmenopausal osteoporosis</term>
<term>Postmenopausal women</term>
<term>Present study</term>
<term>Pretreatment</term>
<term>Pretreatment serum bsap</term>
<term>Previous studies</term>
<term>Prognosis</term>
<term>Prognostic</term>
<term>Prognostic figure</term>
<term>Prognostic indicators</term>
<term>Prognostic values</term>
<term>Radiol endod</term>
<term>Risk factors</term>
<term>Serum bsap</term>
<term>Serum bsap level</term>
<term>Serum level</term>
<term>Serum markers</term>
<term>Significant difference</term>
<term>Surg</term>
<term>Surgical</term>
<term>Surgical therapy</term>
<term>Surgical treatment</term>
<term>Teriparatide</term>
<term>Treatment modalities</term>
<term>Treatment outcome</term>
<term>Treatment outcomes</term>
<term>Treatment period</term>
<term>True extent</term>
<term>Turnover</term>
<term>Uninvolved bone</term>
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<term>Alcohol drinking</term>
<term>Alendronate</term>
<term>Alendronate therapy</term>
<term>Alkaline phosphatase</term>
<term>American association</term>
<term>Anterior lesion length</term>
<term>Anterior lesions</term>
<term>Better prognosis</term>
<term>Biochemical markers</term>
<term>Bisphosphonate</term>
<term>Bisphosphonate treatment</term>
<term>Bisphosphonaterelated osteonecrosis</term>
<term>Bisphosphonates</term>
<term>Bone destruction area</term>
<term>Bone formation</term>
<term>Bone mineral density</term>
<term>Bone necrosis</term>
<term>Bone resorption</term>
<term>Bone turnover</term>
<term>Bronj</term>
<term>Bronj diagnosis</term>
<term>Bronj lesions</term>
<term>Bronj patients</term>
<term>Bsap</term>
<term>Bsap level</term>
<term>Bsap levels</term>
<term>Cancer chemotherapy</term>
<term>Cancer patients</term>
<term>Certain period</term>
<term>Chlorhexidine mouth rinse</term>
<term>Clinical factors</term>
<term>Clinical variables</term>
<term>Complete response</term>
<term>Confidence interval</term>
<term>Cumulative dose</term>
<term>December</term>
<term>Deeper extension</term>
<term>Diabetes mellitus</term>
<term>Disease stage</term>
<term>Drug holiday</term>
<term>Drug therapy</term>
<term>Drug treatment</term>
<term>Event dentoalveolar surgery</term>
<term>Hazard ratio</term>
<term>Head december</term>
<term>Head neck</term>
<term>Healing period</term>
<term>Healing time</term>
<term>Higher pretreatment level</term>
<term>Intravenous bisphosphonates</term>
<term>Lesion</term>
<term>Lesion depth</term>
<term>Lesion length</term>
<term>Lesion resolution</term>
<term>Lesion site lesion depth</term>
<term>Lesion site maxilla mandible lesion site</term>
<term>Mandible</term>
<term>Maxillofac</term>
<term>Maxillofacial surgeons</term>
<term>Maxillofacial surgery</term>
<term>Median</term>
<term>Medical comorbidities</term>
<term>Multivariate analyses</term>
<term>Multivariate analysis</term>
<term>National taiwan university</term>
<term>National taiwan university hospital</term>
<term>Oral alendronate</term>
<term>Oral bisphosphonate</term>
<term>Oral bisphosphonate therapy</term>
<term>Oral bisphosphonates</term>
<term>Oral maxillofac surg</term>
<term>Oral oncol</term>
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<term>Oral surg</term>
<term>Osteonecrosis</term>
<term>Osteoporosis</term>
<term>Osteoporotic</term>
<term>Osteoporotic patients</term>
<term>Parathyroid hormone</term>
<term>Pathologic fracture</term>
<term>Pearson correlation coefficient</term>
<term>Phosphatase</term>
<term>Postmenopausal osteoporosis</term>
<term>Postmenopausal women</term>
<term>Present study</term>
<term>Pretreatment</term>
<term>Pretreatment serum bsap</term>
<term>Previous studies</term>
<term>Prognosis</term>
<term>Prognostic</term>
<term>Prognostic figure</term>
<term>Prognostic indicators</term>
<term>Prognostic values</term>
<term>Radiol endod</term>
<term>Risk factors</term>
<term>Serum bsap</term>
<term>Serum bsap level</term>
<term>Serum level</term>
<term>Serum markers</term>
<term>Significant difference</term>
<term>Surg</term>
<term>Surgical</term>
<term>Surgical therapy</term>
<term>Surgical treatment</term>
<term>Teriparatide</term>
<term>Treatment modalities</term>
<term>Treatment outcome</term>
<term>Treatment outcomes</term>
<term>Treatment period</term>
<term>True extent</term>
<term>Turnover</term>
<term>Uninvolved bone</term>
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<front><div type="abstract">Studies concerning prognostic factors specific for alendronate‐related osteonecrosis of the jaws (ONJ) are rare.</div>
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<json:item><name>Shih‐Jung Cheng DDS, MS, PhD</name>
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<json:item><name>Jai‐Jen Wang BA, MA, PhD</name>
<affiliations><json:string>Department of Finance, Feng Chia University, Taichung, Taiwan</json:string>
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<json:item><name>Chun‐Pin Chiang DDS, DMSc</name>
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<json:item><name>Hao‐Hueng Chang DDS, MS, PhD</name>
<affiliations><json:string>School of Dentistry, National Taiwan University Medical Center, Taipei, Taiwan</json:string>
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Background
<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>
35: 1787–1795, 2013</p>
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<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>
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<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. <i>Head Neck</i>
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<originInfo><publisher>Blackwell Publishing Ltd</publisher>
<dateIssued encoding="w3cdtf">2013-12</dateIssued>
<dateCreated encoding="w3cdtf">2013-11-13</dateCreated>
<dateValid encoding="w3cdtf">2012-11-30</dateValid>
<copyrightDate encoding="w3cdtf">2013</copyrightDate>
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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>
</subject>
<relatedItem type="host"><titleInfo><title>Head & Neck</title>
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<titleInfo type="abbreviated"><title>Head Neck</title>
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<topic>Original Article</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>
<part><date>2013</date>
<detail type="volume"><caption>vol.</caption>
<number>35</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>12</number>
</detail>
<extent unit="pages"><start>1787</start>
<end>1795</end>
<total>9</total>
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<identifier type="ark">ark:/67375/WNG-GM5TSDTZ-V</identifier>
<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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