Evidence map›Paper›PMID 29242516›Full record

ArticleBritish dental journal2018

MRONJ risk of adjuvant bisphosphonates in early stage breast cancer.

V Patel, J Mansi, S Ghosh, J Kwok, M Burke, D Reilly, N Nizarali, C Sproat, K Chia

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in British dental journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. A qualitative analysis of dental challenges for oncology patients receiving bone-modifying agents.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  3. Observational
  4. Article
  5. Article
  6. Article
  7. A retrospective cohort study of the oral healthcare needs of cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Preventing, identifying, and managing medication-related osteonecrosis of the jaw: a practical guide for nurses and other allied healthcare professionals.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Review
  14. Article
  15. Article
  16. No studies.British dental journal · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

V PatelGuys & St Thomas' NHS Foundation Trust, Fl 23, Tower Wing, Great Maze Pond, London, SE1 9RT.
J MansiGuys & St Thomas' NHS Foundation Trust, Fl 23, Tower Wing, Great Maze Pond, London, SE1 9RT.
S GhoshGuys & St Thomas' NHS Foundation Trust, Fl 23, Tower Wing, Great Maze Pond, London, SE1 9RT.
J KwokGuys & St Thomas' NHS Foundation Trust, Fl 23, Tower Wing, Great Maze Pond, London, SE1 9RT.
M BurkeGuys & St Thomas' NHS Foundation Trust, Fl 23, Tower Wing, Great Maze Pond, London, SE1 9RT.
D ReillyGuys & St Thomas' NHS Foundation Trust, Fl 23, Tower Wing, Great Maze Pond, London, SE1 9RT.
N NizaraliGuys & St Thomas' NHS Foundation Trust, Fl 23, Tower Wing, Great Maze Pond, London, SE1 9RT.
C SproatGuys & St Thomas' NHS Foundation Trust, Fl 23, Tower Wing, Great Maze Pond, London, SE1 9RT.
K ChiaGuys & St Thomas' NHS Foundation Trust, Fl 23, Tower Wing, Great Maze Pond, London, SE1 9RT.
Guy's and St Thomas' NHS Foundation Trust · GBThomas Foundation · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medication-related osteonecrosis of the jaw (MRONJ) has most commonly been associated with bisphosphonates. The routine uses of these drugs are now well established predominantly in metastatic cancer with bone involvement, multiple myeloma, hypercalcaemia, osteoporosis and Paget's disease. Recently, however, the use of bisphosphonates in early breast cancer has shown a reduction in breast cancer recurrence and breast cancer deaths. This new indication for their use approximates to a further 20,000 women per year in the UK being prescribed bisphosphonates. In this article, we consider the dental impact of this new use of bisphosphonates, report on the rates of MRONJ seen in early breast cancer bisphosphonate trials and discuss strategies aimed at minimising the risk of bisphosphonate-exposed patients developing MRONJ.

Indexed as

Bisphosphonate-Associated Osteonecrosis of the JawAdultBone Density Conservation AgentsBreast NeoplasmsDiphosphonatesFemaleHumansMiddle AgedNeoplasm Recurrence, LocalOsteonecrosisBone Density Conservation AgentsDiphosphonates

Identifiers

PMID29242516
OpenAlexW2771276836

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.