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dc.contributor.authorPakos, E. E.en
dc.contributor.authorIoannidis, J. P.en
dc.date.accessioned2015-11-24T18:55:08Z-
dc.date.available2015-11-24T18:55:08Z-
dc.identifier.issn0360-3016-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18814-
dc.rightsDefault Licence-
dc.subjectAnti-Inflammatory Agents, Non-Steroidal/*therapeutic useen
dc.subject*Arthroplasty, Replacement, Hipen
dc.subjectConfidence Intervalsen
dc.subjectDose-Response Relationship, Radiationen
dc.subjectFemaleen
dc.subjectHip Fractures/*surgeryen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectOdds Ratioen
dc.subjectOssification, Heterotopic/drug therapy/*prevention & control/radiotherapyen
dc.subjectRandomized Controlled Trials as Topicen
dc.titleRadiotherapy vs. nonsteroidal anti-inflammatory drugs for the prevention of heterotopic ossification after major hip procedures: a meta-analysis of randomized trialsen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1016/j.ijrobp.2003.11.015-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/15465207-
heal.identifier.secondaryhttp://ac.els-cdn.com/S0360301603023101/1-s2.0-S0360301603023101-main.pdf?_tid=0d2db4f9a3f7b3ab8113665b80791719&acdnat=1333364403_da0135335ea50f6b0940b6edd536f8da-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2004-
heal.abstractPURPOSE: To evaluate the efficacy of radiotherapy (RT) vs. nonsteroidal anti-inflammatory drugs (NSAIDs) in the prevention of heterotopic ossification (HO) after major hip procedures. METHODS AND MATERIALS: We conducted a meta-analysis of 7 randomized studies (n = 1143) comparing RT with NSAIDs. Data were combined across studies using fixed and random effects models. We conducted separate analyses for clinically significant HO (Brooker Grade 3 and 4) and for any HO (any Brooker grade). RESULTS: Overall RT tended to be more effective than NSAIDs in preventing Brooker 3 or 4 HO (risk ratio, 0.42; 95% confidence interval [CI], 0.18-0.97) or any HO (risk ratio, 0.75; 95% CI, 0.37-1.71), but with significant between-study heterogeneity for the second analysis. The overall absolute risk difference for Brooker 3 or 4 HO was small (-1.18%; 95% CI, -2.45% to 0.09%). Subgroup analyses showed that early preoperative RT (16-20 hours before surgery) and acetylsalicylic acid were less effective. For postoperative RT, there was a significant dose-response relationship (p = 0.008): 6 Gy of RT was equally effective as NSAIDs, whereas increasing radiation doses were more effective. CONCLUSIONS: Although absolute differences may be small, postoperative RT is on average more effective than NSAIDs in preventing HO after major hip procedures, and its efficacy is dose dependent.en
heal.journalNameInt J Radiat Oncol Biol Physen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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