Evidence map›Paper›PMID 34068498›Full record

ArticleNutrients2021

Nutritional Status in Patients with Medication-Related Osteonecrosis of the Jaw (MRONJ).

Johannes Laimer, Alexander Höller, Ute Pichler, Raphael Engel, Sabrina B Neururer, Alexander Egger, Andrea Griesmacher, Emanuel Bruckmoser

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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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

8 authors at 4 institutions in 1 country.

Johannes LaimerUniversity Hospital for Craniomaxillofacial and Oral Surgery, Medical University Innsbruck, A-6020 Innsbruck, Austria.ORCID 0000-0001-6913-5059
Alexander HöllerService for Nutrition and Dietetics, University Hospital Innsbruck, Medical University Innsbruck, A-6020 Innsbruck, Austria.
Ute PichlerService for Nutrition and Dietetics, University Hospital Innsbruck, Medical University Innsbruck, A-6020 Innsbruck, Austria.
Raphael EngelUniversity Hospital for Craniomaxillofacial and Oral Surgery, Medical University Innsbruck, A-6020 Innsbruck, Austria.
Sabrina B NeururerDepartment of Clinical Epidemiology, Tyrolean Federal Institute for Integrated Care, Tirol Kliniken GmbH, A-6020 Innsbruck, Austria.
Alexander EggerCentral Institute for Medical and Chemical Laboratory Diagnosis, University Hospital Innsbruck, Medical University Innsbruck, A-6020 Innsbruck, Austria.
Andrea GriesmacherCentral Institute for Medical and Chemical Laboratory Diagnosis, University Hospital Innsbruck, Medical University Innsbruck, A-6020 Innsbruck, Austria.
Emanuel BruckmoserPrivate Practice for Oral and Maxillofacial Surgery, A-5020 Salzburg, Austria.ORCID 0000-0001-7154-5735
Innsbruck Medical University · ATUniversity Hospital Innsbruck · ATTirol Kliniken · ATUniversity of Salzburg · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medication-related osteonecrosis of the jaw (MRONJ) is a potentially severe side effect of mostly antiresorptive drugs. The aim of this prospective clinical study was to evaluate the nutritional status in MRONJ patients scheduled for surgical treatment (intraoral soft tissue closure). The following parameters were evaluated: body weight, body height, BMI, nutritional risk index (NRI), bioelectric impedance analysis (BIA), vitamins A, B12, D3, E, K1, folic acid, iron, total protein, transferrin, ferritin, prealbumin, albumin, and zinc. All subjects were admitted to hospital four to five days before surgery and sip-fed with Nutritia Fortimel Compact Protein in addition to regular oral food intake. During surgery, a nasogastric tube was inserted and only removed on hospital discharge five days postoperatively. A total of 58 patients could be included. Half of the MRONJ patients were identified to be at risk for malnutrition. Deficiencies regarding protein levels were revealed, whereas hardly any relevant deficits of micronutrients were noted. The intraoral wound healing four weeks post-surgery was highly satisfactory with a low dehiscence rate of intraoral mucosal sites. Of all parameters analyzed, the dehiscence rate at the last follow-up four weeks post-surgery was significantly influenced by vitamin K, transferrin, and ferritin levels (

Indexed as

Nutritional StatusAdultAgedAged, 80 and overBody Mass IndexBody WeightBone Density Conservation AgentsDenosumabDietary ProteinsDiphosphonatesElectric ImpedanceFemaleHealth BehaviorHumansMaleMalnutritionBone Density Conservation AgentsDenosumabDietary ProteinsDiphosphonatesMicronutrientsPrealbuminmacronutrientsmalnutritionmedication-related osteonecrosis of the jawmicronutrientsMRONJnutritional statusnutritional therapywound healing

Identifiers

PMID34068498
PMCPMC8151518
OpenAlexW3160346120

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Registered trials

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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.