Bisphosphonate-related osteonecrosis of the jaw in cancer patients: Implications for nurses

European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society
Monica Morris, Susanne Cruickshank

Abstract

This paper reports a review of the literature with a specific focus on osteonecrosis of the jaw. Bisphosphonate drugs are commonly used in the treatment of bone disease secondary to myeloma and solid tumours, such as breast and prostate cancer. In the past few years, an uncommon but distressing condition known as osteonecrosis of the jaw (ONJ) has been detected in patients who are having bisphosphonate treatment, particularly the intravenous (IV) preparations. Osteonecrosis of the jaw results from bone exposure in the oral cavity with subsequent death of bone tissue (necrosis). The review searched key databases including Medline, British Nursing Index, Cochrane, and meeting abstracts to ascertain the extent of literature in this field. Fourty-two articles were reviewed which described the clinical manifestations of ONJ, the reported incidence and clinical cases. The results indicate there is an emerging body of evidence in this field and nurses delivering bisphosphonates need to familiarise themselves with the current guidance to ensure risks are minimised for patients.

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Citations

Jun 2, 2012·Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology·S SaracinoG Muzio
Sep 13, 2016·British Journal of Nursing : BJN·Maura DowlingTeresa Meenaghan

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