Evidence map›Paper›PMID 26843726›Full record

ArticleMedical archives (Sarajevo, Bosnia and Herzegovina)2015

Osteonecrosis of the Jaw After Bisphosphonates Treatment in Patients with Multiple Myeloma.

Svetlana Krstevska, Sonja Genadieva Stavric, Lidija Cevrevska, Borce Georgjievski, Oliver Karanfilski, Tatjana Sotirova, Trajan Balkanov

Open access · greenAbstract read
In one paragraph

Article in Medical archives (Sarajevo, Bosnia and Herzegovina), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 16 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Svetlana KrstevskaUniversity Clinic of Hematology, "Ss Cyril and Methodius University", Skopje, Macedonia.
Sonja Genadieva StavricUniversity Clinic of Hematology, "Ss Cyril and Methodius University", Skopje, Macedonia.
Lidija CevrevskaUniversity Clinic of Hematology, "Ss Cyril and Methodius University", Skopje, Macedonia.
Borce GeorgjievskiUniversity Clinic of Hematology, "Ss Cyril and Methodius University", Skopje, Macedonia.
Oliver KaranfilskiUniversity Clinic of Hematology, "Ss Cyril and Methodius University", Skopje, Macedonia.
Tatjana SotirovaUniversity Clinic of Hematology, "Ss Cyril and Methodius University", Skopje, Macedonia.
Trajan BalkanovDepartment of Pharmacology, "Ss Cyril and Methodius University", Skopje, Macedonia.
Saints Cyril and Methodius University of Skopje · MK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBone lytic lesion in Multiple myeloma are the most commonly presented symptoms which require treatment with bisphosphonates (BPs). BPs are providing supportive care, reducing the rate of skeletal morbidity but evidently not abolishing it, the criteria for stopping their administration have to be different from those used for classic antineoplastic drugs, and they should not be stopped when metastatic bone disease is progressing. Osteonecrosis of the jaw (ONJ) has been associated recently with the use of BPs.

aimThe aim of these study is to evaluate the incidence of ONJ in patients with MM treated with mixed biphosphonates. PATIENTS AND

methodsWe analyzed total 296 myeloma patients (150 male and 146 female). Mostly effected age group with 58,1% is age more than 60 years up to 88 years, diagnosed in our institution in the period 2005-2015. We used intravenous or oral forms of biphosphonates such as pamidronate, ibandronate, clodronate and zolendronic acid. The patients were evaluated for ONJ.

resultsThe incidence of ONJ in our group of patients treated with Bps was 4,6% from our group of 260 patients 87,8% received BPs therapy and patients which haven't received BPs 12,2%. From this group, 95,4% (248) didn't show ONJ, and 4,6% (12) showed ONJ. The period of this treatment with BPs is an important risk factor for development of ONJ, average duration of BPs therapy in patients which show adverse effects is 26.8±13.7 months, from the total number of 12 patients that developed ONJ adverse effects, we have 8 patients which received treatment with Zolendronic acid and the remaining 4 patients which were treated with other BPs combinations without Zolendronic acid.

conclusionsAll patients treated for MM must continue with the therapy with Zolendronic acid and Pamidronate, each patient must be individually treated according to his response of the treatment (dose, frequency and duration of therapy).

Indexed as

AgedAged, 80 and overBisphosphonate-Associated Osteonecrosis of the JawDiphosphonatesFemaleHumansIncidenceMaleMiddle AgedMultiple MyelomaRetrospective StudiesDiphosphonatesbiphosphonatesMultiple myelomaosteonecrosis of jaw

Identifiers

PMID26843726
PMCPMC4720463
OpenAlexW2259028100

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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.