Perception of Medication-related Osteonecrosis of the Jaws among Iraqi Medical Specialists

A. Al-Samman, R. Al-Ani
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引用次数: 1

Abstract

Abstract Objective Osteonecrosis of the jaws is the adverse effect of antiresorptive and antiangiogenic agents, which is termed as medication-related osteonecrosis of the jaws (MRONJ). This complication, which is prominent and growing, is seen in the oral and maxillofacial region. This cross-sectional survey aimed to evaluate MRONJ awareness among Iraqi medical specialists. Materials and Methods A questionnaire-based survey was performed on medical specialists practicing general surgery, urology, orthopedics, rheumatology, and oncology. The questionnaire consisted of four questions regarding drug prescription, patients’ preparation before drug administration, in addition to awareness and knowledge about MRONJ. Results Among 132 specialists, 57% did not prescribe such drugs. A significant difference existed among groups regarding dental referral, and MRONJ awareness and knowledge. The highest rates were seen in the oncologist group. Conclusions Improvement of MRONJ perception and knowledge among medical specialists, besides implementation of dental referral, are essential in the prevention, diagnosis and treatment of MRONJ.
伊拉克医学专家对颌骨与药物有关的骨坏死的看法
摘要目的颌骨骨坏死是抗吸收和抗血管生成药物的不良反应,被称为药物相关性颌骨骨坏死(MRONJ)。这种并发症,是突出的,并不断增长,可见于口腔和颌面区域。这项横断面调查旨在评估伊拉克医学专家对MRONJ的认识。材料与方法对普外科、泌尿外科、骨科、风湿病学和肿瘤学的医学专家进行问卷调查。问卷包括药物处方、患者给药前的准备、对MRONJ的认知和了解四个问题。结果132名专科医师中,57%的医师未开此类药物。在牙科转诊、MRONJ认知和知识方面,组间存在显著差异。肿瘤医生组的发病率最高。结论提高医学专家对MRONJ的认知和认识,落实牙科转诊,是预防、诊断和治疗MRONJ的关键。
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