Evidence map›Paper›PMID 16957978›Full record

ArticleWiener klinische Wochenschrift2006

Osteonecrosis of the jaws and bisphosphonate treatment in cancer patients.

Arno Wutzl, Gabriela Eisenmenger, Martha Hoffmann, Christian Czerny, Doris Moser, Peter Pietschmann, Rolf Ewers, Arnulf Baumann

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Wiener klinische Wochenschrift, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Bisphosphonates in multiple myeloma: an updated network meta-analysis.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Osteotomy and primary wound closure in bisphosphonate-associated osteonecrosis of the jaw: a prospective clinical study with 12 months follow-up.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2010
    Trial
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Prognostic factors for outcome of surgical treatment in medication-related osteonecrosis of the jaw.Journal of the Korean Association of Oral and Maxillofacial Surgeons · 2018
    Article
  12. Review
  13. Bisphophonates related osteonecrosis of the jaw.National journal of maxillofacial surgery · 2013
    Review
  14. Oncologic doses of zoledronic acid induce osteonecrosis of the jaw-like lesions in rice rats (Oryzomys palustris) with periodontitis.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2012
    Article
  15. Article
  16. Article
  17. Osteonecrosis of the jaw.Skeletal radiology · 2009
    Review
  18. Review
  19. [Bisphosphonate-associated osteonecrosis of the jaw].Wiener klinische Wochenschrift · 2008
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Arno WutzlDepartment of Cranio-Maxillofacial and Oral Surgery, Medical University of Vienna, Austria. arno.wutzl@meduniwien.ac.at
Gabriela Eisenmenger
Martha Hoffmann
Christian Czerny
Doris Moser
Peter Pietschmann
Rolf Ewers
Arnulf Baumann
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOsteonecrosis of the jaws is described as an intraoral complication after administration of intravenous nitrogen-containing bisphosphonates. In a retrospective study, patients with osteonecrosis of the jaws after bisphosphonate treatment were evaluated with regard to diagnostic investigations and therapeutic management. PATIENTS AND

methodsSeventeen patients with osteonecrosis of the jaws after bisphosphonate treatment who were referred to our department between July 2004 and June 2005 were included in this study. Computer tomography, magnetic resonance imaging, scintigraphy, bacteriology and biopsy were used in diagnostic evaluation. All patients were treated surgically.

resultsThe reasons for bisphosphonate treatment were multiple myeloma in 12 patients, breast cancer with bone metastasis in four patients and histiocytosis X in one patient. Five patients had received intravenous pamidronate and 12 patients zoledronic acid. The median number of treatment cycles for pamidronate was 36 times (range 4-100) in 38 months (range 4-100). Zolendric acid was given 23.5 times (range 5-39) in 26 months (range 5-39). Nine patients had a lesion in the mandible, eight in the maxilla. Clinical symptoms were exposed bone, pain and local inflammation of the mucosa. Computer tomography showed sclerotic areas in the osteonecrosis zone. The biopsy did not show a metastatic lesion. Sequestrectomy and decortication was adequate in the follow-up.

conclusionNitrogen-containing bisphosphonates appear to be associated with the risk of developing osteonecrosis of the jaws. To reduce this risk, patients should be evaluated by a dentist before beginning treatment with intravenous bisphosphonates.

Indexed as

AdultAgedBiopsyBone Density Conservation AgentsBreast NeoplasmsDiphosphonatesFemaleFollow-Up StudiesHistiocytosis, Langerhans-CellHumansImidazolesInjections, IntravenousJaw DiseasesMagnetic Resonance ImagingMaleMandibleBone Density Conservation AgentsDiphosphonatesImidazolesPamidronateZoledronic Acid

Identifiers

PMID16957978
OpenAlexW1515800082

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.