Bisphosphonate-related osteonecrosis of the jaw: An enigma among medical practitioners
Context: Owing to the increasing number of cancer cases, and introduction of newer drugs like bisphosphonates (BP) for the management of metastatic bone disease, complications such as bisphosphonate-related osteonecrosis of the jaw (BRONJ) have come into light. However, several of the treating physi...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2019-01-01
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| Series: | Indian Journal of Medical and Paediatric Oncology |
| Subjects: | |
| Online Access: | http://www.ijmpo.org/article.asp?issn=0971-5851;year=2019;volume=40;issue=2;spage=257;epage=264;aulast=Krishnan |
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| _version_ | 1850246566913245184 |
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| author | Shalini Krishnan Vijith Shetty Jayarama Shetty Gogineni Subhas Babu T P Rajeev |
| author_facet | Shalini Krishnan Vijith Shetty Jayarama Shetty Gogineni Subhas Babu T P Rajeev |
| author_sort | Shalini Krishnan |
| collection | DOAJ |
| description | Context: Owing to the increasing number of cancer cases, and introduction of newer drugs like bisphosphonates (BP) for the management of metastatic bone disease, complications such as bisphosphonate-related osteonecrosis of the jaw (BRONJ) have come into light. However, several of the treating physicians are not fully aware of this adverse effect. Aim: This study aimed to assess the knowledge and awareness of physicians regarding BRONJ and practices related to bisphosphonate use. Settings and Design: A cross-sectional study conducted among health-care professionals in various medical institutions in Mangalore. Subjects and Methods: A questionnaire was developed to assess the knowledge and awareness of physicians about osteonecrosis of the jaw and practices related to bisphosphonate use, consisting of 21 questions, 12 – knowledge based and 9 – practice based. The questionnaire was validated and distributed among 113 doctors; their responses assigned scores, tabulated and assessed. Statistical Analysis: One-way analysis of variance and Tukey test. Results: More than 50% of the medical professionals had a score <40%, which shows a lack of knowledge about BP and BRONJ. About 45% of the medical professionals in the study group failed to identify the clinical features of BRONJ, and 67.26% were unaware of the risk associated with tooth extractions and oral surgical procedures in the development of the condition. Conclusion: Bisphosphonate-related osteonecrosis is almost exclusively seen in the jaws and hence, the diagnosis usually made by a dental practitioner. Lack of awareness of jaw osteonecrosis among the medical practitioners can result in delay in providing the right treatment. |
| format | Article |
| id | doaj-art-01564caa889e4659bb78cd08b7a75db7 |
| institution | OA Journals |
| issn | 0971-5851 0975-2129 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Medical and Paediatric Oncology |
| spelling | doaj-art-01564caa889e4659bb78cd08b7a75db72025-08-20T01:59:09ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58510975-21292019-01-0140225726410.4103/ijmpo.ijmpo_20_18Bisphosphonate-related osteonecrosis of the jaw: An enigma among medical practitionersShalini KrishnanVijith ShettyJayarama ShettyGogineni Subhas BabuT P RajeevContext: Owing to the increasing number of cancer cases, and introduction of newer drugs like bisphosphonates (BP) for the management of metastatic bone disease, complications such as bisphosphonate-related osteonecrosis of the jaw (BRONJ) have come into light. However, several of the treating physicians are not fully aware of this adverse effect. Aim: This study aimed to assess the knowledge and awareness of physicians regarding BRONJ and practices related to bisphosphonate use. Settings and Design: A cross-sectional study conducted among health-care professionals in various medical institutions in Mangalore. Subjects and Methods: A questionnaire was developed to assess the knowledge and awareness of physicians about osteonecrosis of the jaw and practices related to bisphosphonate use, consisting of 21 questions, 12 – knowledge based and 9 – practice based. The questionnaire was validated and distributed among 113 doctors; their responses assigned scores, tabulated and assessed. Statistical Analysis: One-way analysis of variance and Tukey test. Results: More than 50% of the medical professionals had a score <40%, which shows a lack of knowledge about BP and BRONJ. About 45% of the medical professionals in the study group failed to identify the clinical features of BRONJ, and 67.26% were unaware of the risk associated with tooth extractions and oral surgical procedures in the development of the condition. Conclusion: Bisphosphonate-related osteonecrosis is almost exclusively seen in the jaws and hence, the diagnosis usually made by a dental practitioner. Lack of awareness of jaw osteonecrosis among the medical practitioners can result in delay in providing the right treatment.http://www.ijmpo.org/article.asp?issn=0971-5851;year=2019;volume=40;issue=2;spage=257;epage=264;aulast=Krishnanawarenessbisphosphonate-related osteonecrosis of the jawbisphosphonatesosteonecrosisphysicians |
| spellingShingle | Shalini Krishnan Vijith Shetty Jayarama Shetty Gogineni Subhas Babu T P Rajeev Bisphosphonate-related osteonecrosis of the jaw: An enigma among medical practitioners Indian Journal of Medical and Paediatric Oncology awareness bisphosphonate-related osteonecrosis of the jaw bisphosphonates osteonecrosis physicians |
| title | Bisphosphonate-related osteonecrosis of the jaw: An enigma among medical practitioners |
| title_full | Bisphosphonate-related osteonecrosis of the jaw: An enigma among medical practitioners |
| title_fullStr | Bisphosphonate-related osteonecrosis of the jaw: An enigma among medical practitioners |
| title_full_unstemmed | Bisphosphonate-related osteonecrosis of the jaw: An enigma among medical practitioners |
| title_short | Bisphosphonate-related osteonecrosis of the jaw: An enigma among medical practitioners |
| title_sort | bisphosphonate related osteonecrosis of the jaw an enigma among medical practitioners |
| topic | awareness bisphosphonate-related osteonecrosis of the jaw bisphosphonates osteonecrosis physicians |
| url | http://www.ijmpo.org/article.asp?issn=0971-5851;year=2019;volume=40;issue=2;spage=257;epage=264;aulast=Krishnan |
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