Dental Hygienists' Awareness of Medication-Related Osteonecrosis of the Jaw in Private Dental Clinics in Japan.

IF 2.1 Q3 GERIATRICS & GERONTOLOGY Gerontology and Geriatric Medicine Pub Date : 2024-10-31 eCollection Date: 2024-01-01 DOI:10.1177/23337214241292794
Yosuke Iijima, Miki Yamada, Mai Amano, Saya Watanabe, Miki Fujimaru, Ayako Uematsu, Shunsuke Hino, Motohiko Sano, Norio Horie, Hiroshi Sakagami, Takahiro Kaneko
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Abstract

Purpose: Medication-related osteonecrosis of the jaw (MRONJ) caused by bisphosphonates (BPs) and denosumab (Dmab) is still a major oral adverse event caused by cancer treatment and may be under-recognized by private dental services. With the aim of reducing the prevalence of MRONJ, this study, which is a pilot study for a planned future large-scale survey, compared knowledge about MRONJ between dental hygienists (DHs) in private dental clinics and those in cancer center hospitals. Methods: We conducted a questionnaire-based survey regarding MRONJ between 1 November 2023 and 31 January 2024 on DHs at a cancer base hospital and a private clinic in Saitama, Japan. We statistically analyzed the data collected using the χ2 test or Fisher's exact test with the level of significance set at 5%. Results: This study included 10 in-hospital and 53 private clinic DHs. The in-hospital DHs had appropriate knowledge of MRONJ. However, compared with the in-hospital DHs, although the private clinic DHs knew that BPs are used for osteoporosis, significantly fewer had knowledge of Dmab (p < .001) or knew that BPs and Dmab could also be used to treat cancer (both p < .001). In addition, few private clinic DHs were aware of MRONJ cases refractory to antibiotic treatment alone (p = .012). Conclusion: These findings suggest that private clinic DHs have less knowledge of MRONJ than those in cancer base hospitals.

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日本私立牙科诊所的牙科卫生员对与药物相关的颌骨坏死的认识。
目的:由双膦酸盐(BPs)和地诺单抗(Dmab)引起的药物相关性颌骨坏死(MRONJ)仍然是癌症治疗引起的主要口腔不良事件,并且可能未被私人牙科服务机构充分认识。为了降低 MRONJ 的发病率,本研究作为一项试点研究,比较了私人牙科诊所和癌症中心医院的牙科卫生员(DHs)对 MRONJ 的了解程度。调查方法我们在 2023 年 11 月 1 日至 2024 年 1 月 31 日期间对日本埼玉县一家癌症基地医院和一家私人诊所的牙科保健师进行了一次有关 MRONJ 的问卷调查。我们使用χ2检验或费雪精确检验对收集到的数据进行统计分析,显著性水平设定为5%。结果本研究包括 10 家医院和 53 家私人诊所的 DH。医院内的保健医生对 MRONJ 有适当的了解。然而,与医院内的 DHs 相比,尽管私人诊所的 DHs 知道 BPs 可用于治疗骨质疏松症,但了解 Dmab 的 DHs 明显较少(p p = .012)。结论这些研究结果表明,与癌症基地医院的保健医生相比,私人诊所的保健医生对 MRONJ 的了解较少。
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来源期刊
Gerontology and Geriatric Medicine
Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology
CiteScore
2.90
自引率
3.70%
发文量
119
审稿时长
12 weeks
期刊介绍: Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.
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