Perceptions and attitudes of patients towards medication-related osteonecrosis of the jaw (MRONJ): a qualitative study in England

Sturrock, Andrew, Preshaw, Philip, Hayes, Catherine and Wilkes, Scott (2019) Perceptions and attitudes of patients towards medication-related osteonecrosis of the jaw (MRONJ): a qualitative study in England. BMJ Open, 2018 (02437). pp. 1-7. ISSN 2044-6055

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Abstract

Objective To explore the impact of medication-related osteonecrosis of the jaw (MRONJ) on quality of life and to explore the attitudes and perceptions of patients towards the multidisciplinary approach to the prevention of the condition.

Design Interpretivist methodology using qualitative semistructured interviews.

Setting Primary care general medical practices and secondary care dental services in England.

Participants 23 patients; 6 with MRONJ, 13 prescribed bisphosphonates, 4 with osteoporosis not currently prescribed any medication.

Results Patients felt that MRONJ had a significant negative impact on their quality of life and had poor knowledge of the preventive strategies recommended in the literature. Patients demonstrated positive attitudes towards a multidisciplinary approach to care; however, they perceived prescribers as having the key role in articulating risk. Four salient and inter-related themes emerged from the interviews: (1) perception of knowledge, indicating limited awareness of the condition, risk factors and preventive strategies; (2) quality of life, indicating the lived experiences of patients and the physical, psychological and social impacts of MRONJ; (3) interprofessional management, indicating a perceived organisational hierarchy, professional roles and responsibilities, prioritising aspects of care, articulation of risk and communication and (4) wider context, indicating demands on National Health Service resources and barriers to dental care.

Conclusions MRONJ has a significant detrimental impact on quality of life, yet appropriate preventative education is not apparent. Effective interprofessional patient education and prevention to mitigate against the risk of developing MRONJ is required.

Item Type: Article
Subjects: Sciences > Health Sciences
Sciences > Pharmacy and Pharmacology
Sciences
Divisions: Faculty of Health Sciences and Wellbeing
Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences
Faculty of Health Sciences and Wellbeing > School of Pharmacy and Pharmaceutical Sciences
Depositing User: Andrew Sturrock
Date Deposited: 05 Mar 2019 10:43
Last Modified: 04 Feb 2020 11:12
URI: http://sure.sunderland.ac.uk/id/eprint/10436
ORCID for Andrew Sturrock: ORCID iD orcid.org/0000-0002-3316-1412
ORCID for Philip Preshaw: ORCID iD orcid.org/0000-0002-7153-4865
ORCID for Catherine Hayes: ORCID iD orcid.org/0000-0003-3870-2668
ORCID for Scott Wilkes: ORCID iD orcid.org/0000-0003-2949-7711

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