Evidence map›Paper›PMID 29563481›Full record

ArticleDentistry journal2016

Delayed Diagnosis of Osteonecrosis of the Jaw (ONJ) Associated with Bevacizumab Therapy in Colorectal Cancer Patients: Report of Two Cases.

Francesco Erovigni, Alessio Gambino, Marco Cabras, Antonella Fasciolo, Silvio Diego Bianchi, Elisa Bellini, Vittorio Fusco

Open access · goldAbstract readCase Reports
In one paragraph

Article in Dentistry journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Osteonecrosis of the jaw related to non-antiresorptive medications: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. 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

7 authors at 4 institutions in 1 country.

Francesco ErovigniOral Surgery Department, Dental School, AOUP Città della Salute e della Scienza di Torino, Torino 10100, Italy. francesco.erovigni@gmail.com.
Alessio GambinoOral Surgery Department, Dental School, AOUP Città della Salute e della Scienza di Torino, Torino 10100, Italy. alegam33@hotmail.it.ORCID 0000-0002-0130-0799
Marco CabrasOral Surgery Department, Dental School, AOUP Città della Salute e della Scienza di Torino, Torino 10100, Italy. cabrasmarco300@gmail.com.
Antonella FascioloMaxillofacial Unit, Alessandria Hospital, Alessandria 15121, Italy. AFasciolo@ospedale.al.it.
Silvio Diego BianchiRadiology Department, Dental School, AOUP Città della Salute e della Scienza di Torino, Torino 10100, Italy. silviodiego.bianchi@unito.it.
Elisa BelliniOncology Unit, Molinette Hospital, AOUP Città della Salute e della Scienza di Torino, Torino 10100, Italy. ebellini@cittadellasalute.to.it.
Vittorio FuscoOncology Unit, Alessandria Hospital, Alessandria 15121, Italy. Vittoriofusco1@tin.it.
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Sanitaria Locale Alessandria · ITFondazione Ricerca Molinette · ITIstituto Nazionale di Documentazione Innovazione e Ricerca Educativa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medication-induced Osteonecrosis of the Jaw (MRONJ) has been reported not only after use of antiresorptive agents (bisphosphonates and denosumab), but also in cancer patients receiving antiangiogenic agents, alone or combined with antiresorptive drugs. We report two cases of MRONJ observed in colorectal cancer patients after bevacizumab therapy only. MRONJ was diagnosed, respectively, two and seven months after a tooth extraction; both the patients had received two courses of bevacizumab infusions (for a total of 29 and 10 administrations, respectively). We discuss if tooth extraction during or after antiangiogenic therapy could be a potential trigger of MRONJ, but also if an underlying bone disease not evident before oral surgery might be a possible cause. A careful drug history has to be registered by dental specialists in cancer patients before oral surgery and adequate imaging might be obtained to avoid a delayed diagnosis.

Indexed as

bevacizumabbisphosphonatecolorectal cancerMRONJONJosteonecrosis of jaw

Identifiers

PMID29563481
PMCPMC5806959
OpenAlexW2542214958

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.