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Bisphosphonate related osteonecrosis of the jaw. A study of community pharmacists’ and general medical practitioners’ attitudes and perceptions towards the oral implications of bisphosphonate therapy and the influence of these on their practice.

Sturrock, Andrew (2016) Bisphosphonate related osteonecrosis of the jaw. A study of community pharmacists’ and general medical practitioners’ attitudes and perceptions towards the oral implications of bisphosphonate therapy and the influence of these on their practice. In: Society for Academic Primary Care Northern Conference, 25/11/2016, Kendal.

Item Type: Conference or Workshop Item (Speech)

Abstract

Background: Bisphosphonate related osteonecrosis of the jaw (BRONJ), is a rare, yet significant, adverse effect of bisphosphonate therapy. A multidisciplinary approach to the prevention of BRONJ is recommended due to the difficulties in treating the condition and the significant morbidity associated with a diagnosis. Current evidence suggests that practitioners have limited knowledge of the condition and that preventative strategies are frequently not implemented.
Objective: To explore the attitudes and perceptions of general medical practitioners and community pharmacists, on the risks and preventative strategies for the development of bisphosphonate related osteonecrosis of the jaw.
Design: Qualitative interview study
Participants: 8 community pharmacists and 7 general medical practitioners. Setting: Primary Care in the North East and Cumbria.
Methods: Interviews were audio recorded and transcribed verbatim; a grounded theory approach, with constant comparison, concurrent data collection and analysis was utilised. Framework analysis was used to focus and develop emerging concepts.
Results: 4 inter-related themes emerged: (1) Uncertain knowledge – limited exposure to BRONJ, awareness of the implications of a diagnosis, risk factors and preventative strategies. (2) Patient specific – complexity of patients, patient education and prioritising aspects of care. (3) Wider context – Lack of communication and referral processes between professions, work loading pressures, access and patient receptivity to dental services. (4) Professional – Professional roles and responsibilities, authority and educational initiatives
Conclusions: Current practice does not facilitate collaborative care in the prevention of BRONJ. Strategies to improve interprofessional prevention involving pharmacists, general medical practitioners, dentists and patients are required to reduce the incidence of BRONJ.

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More Information

Depositing User: Andrew Sturrock

Identifiers

Item ID: 8279
URI: http://sure.sunderland.ac.uk/id/eprint/8279

Users with ORCIDS

ORCID for Andrew Sturrock: ORCID iD orcid.org/0000-0002-3316-1412

Catalogue record

Date Deposited: 06 Nov 2017 14:10
Last Modified: 18 Dec 2019 15:42

Contributors

Author: Andrew Sturrock ORCID iD

University Divisions

Faculty of Health Sciences and Wellbeing
Faculty of Health Sciences and Wellbeing > School of Pharmacy and Pharmaceutical Sciences

Subjects

Sciences > Pharmacy and Pharmacology

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