journal article·2022-12-01Open access

A Comprehensive Quality Meta-Review of Genetic and Pharmacogenomic Aspects of Medication-Related Osteonecrosis of The Jaw (MRONJ)

Roberto Sacco, Sergio Olate, Monica Diuana Calasans-Maia, Nicola Sacco, Alessandro Acocella, Carlos Fernando De Almeida Barros Mourão, Vittorio Moraschini, Oladapo Akintola, Raphael Capelli Guerra, Julian Yates

Applied Sciences· Volume 12· Issue 23

Abstract

Background: Antiresorptive and antiangiogenic medications can cause a serious adverse effect known as medication-related osteonecrosis of the jaw (MRONJ). In recent years, a new trend of research has emerged emphasizing the potential relation of MRONJ and genetic predisposition. Current evidence-based science of this adverse reaction is associated with poorly performed studies. Additionally, MRONJ research has recently observed a new trend of studies orientated towards the misuse of reviews. This quality meta-review intends to summarize the results of all systematic reviews and meta-analyses that have been published on MRONJ in relation to genetic and pharmacogenomics risk factors. Methods: The research study protocol was registered into the database of the International Network for the Registration of Systematic Reviews and Meta-Analyses (INPLASY) INPLASY202230002. A comprehensive search across several databases (PubMed, EMBASE, MEDLINE, and CINAHL) was conducted to locate multi-language papers published between January 2003 and November 2022. Data were collected from relevant research studies and appraised in accordance with the precise outcomes described in this evaluation. Results: Only five systematic reviews and meta-analyses were analysed in this meta-review. All the reviews included in this research presented qualities mistakes and shortcomings. Two quality assessment tools (Confidence in Evidence from Reviews of Qualitative research (CERQual) and Assessment of Multiple Systematic Reviews 2 (AMSTAR-2)) were used to evaluate each study included in this research. Conclusions: The data evaluated by this meta-review confirmed the poor-quality secondary research underpinning the genetic/pharmacogenomics aspect of MRONJ. Moreover, this study highlighted the many flaws of the current published systematic and meta-analysis studies published so far.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Bone health and treatments · Bone and Joint Diseases · Cancer Diagnosis and Treatment

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Division of Dentistry, Oral Surgery Department, School of Medical Sciences, The University of Manchester, Manchester M13 9PL, UK

Oral Surgery Department, King’s College Hospital NHS Trust, London SE5 9RS, UK

Division of Oral and Maxillofacial Surgery, Universidad de La Frontera, Temuco 1145, Chile

Oral Surgery Department, Dental School, Fluminense Federal University, Niteroi 24210-201, RJ, Brazil

Anaesthetic & Critical Care, University of Campania Luigi Vanvitelli, 81100 Caserta, Italy

Private Practice, 50122 Florence, Italy

Dental Research Administration, Department of Periodontology, Tufts University School of Dental Medicine, Boston, MA 02111, USA

Oral and Maxillofacial Surgery Department, Hospital Leforte/DASA and Instituto de Ensino e Pesquisa Hospital Sirio-Libanes, Morumbi 05615-190, SP, Brazil

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