意大利关于药物性颌骨坏死(MRONJ)的立场文件(SIPMO-SICMF)。

IF 2.9 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Oral diseases Pub Date : 2024-09-01 Epub Date: 2024-02-05 DOI:10.1111/odi.14887
Alberto Bedogni, Rodolfo Mauceri, Vittorio Fusco, Francesco Bertoldo, Giordana Bettini, Olga Di Fede, Antonio Lo Casto, Claudio Marchetti, Vera Panzarella, Giorgia Saia, Paolo Vescovi, Giuseppina Campisi
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引用次数: 0

摘要

目的:本文旨在介绍意大利口腔病理学与医学学会(SIPMO)和颌面外科学会(SICMF)制定的 2023 年 MRONJ 更新立场文件:这是专家小组继 2013 年和 2020 年意大利立场文件之后的第二次更新,专家小组由两个科学学会(SIPMO 和 SICMF)的代表组成。该文件基于对 2003 年 1 月至 2020 年 2 月期间现有文献的广泛分析,以及随后在 2020 年 3 月至 2022 年 12 月期间对文献进行的审查,以纳入所有新发表的相关论文,从而确认或修改前一套建议:本立场文件强调了MRONJ在风险估计、疾病定义、诊断途径、个体风险评估方面的主要问题,以及影像学在MRONJ诊断、分类和管理中的基本作用:专家组确认了SIPMO-SICMF认可的MRONJ定义、诊断工作、临床-放射学分期系统和预防性休药期;同时,专家组就MRONJ高危人群、预防策略和与治疗性休药期相关的治疗策略提出了新的指示。
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Italian position paper (SIPMO-SICMF) on medication-related osteonecrosis of the jaw (MRONJ).

Objective: This paper aims to describe the 2023 update position paper on MRONJ developed by the Italian Societies of Oral Pathology and Medicine (SIPMO) and of Maxillofacial Surgery (SICMF).

Methods: This is the second update following the 2013 and 2020 Italian position papers by the Expert panel, which is a representation of the two scientific societies (SIPMO and SICMF). The paper is based on an extensive analysis of the available literature from January 2003 to February 2020, and the subsequent review of literature conducted between March 2020 and December 2022 to include all new relevant published papers to confirm or modify the previous set of recommendations.

Results: This position paper highlights the main issues of MRONJ on risk estimates, disease definition, diagnostic pathway, individual risk assessment, and the fundamental role of imaging in the diagnosis, classification, and management of MRONJ.

Conclusion: The Expert Panel confirmed the MRONJ definition, the diagnostic work-up, the clinical-radiological staging system and the prophylactic drug holiday, as recognized by SIPMO-SICMF; while, it presented novel indications regarding the categories at risk of MRONJ, the prevention strategies, and the treatment strategies associated with the therapeutic drug holiday.

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来源期刊
Oral diseases
Oral diseases 医学-牙科与口腔外科
CiteScore
7.60
自引率
5.30%
发文量
325
审稿时长
4-8 weeks
期刊介绍: Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.
期刊最新文献
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