The Journal of arthroplasty · 2018
Etiologic Classification Criteria of ARCO on Femoral Head Osteonecrosis Part 2: Alcohol-Associated Osteonecrosis.
СтатьяНазвание и аннотация: Перевод в очереди
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Yoon Byung-Ho, Jones Lynne C, Chen Chung-Hwan, Cheng Edward Y, Cui Quanjun, Drescher Wolf, Fukushima Wakaba, Gangji Valerie, Goodman Stuart B, Ha Yong-Chan, Hernigou Philippe, Hungerford Marc, Iorio Richard, Jo Woo-Lam, Khanduja Vikas, Kim Harry, Kim Shin-Yoon, Kim Tae-Young, Lee Hee Young, Lee Mel S, Lee Young-Kyun, Lee Yun Jong, Mont Michael A, Sakai Takashi, Sugano Nobuhiko, Takao Masaki, Yamamoto Takuaki, Koo Kyung-Hoi
Аннотация
BACKGROUND: Although alcohol is a leading risk factor for osteonecrosis of the femoral head (ONFH) and its prevalence reportedly ranges from 20% to 45%, there are no unified classification criteria for this subpopulation. In 2015, Association Research Circulation Osseous decided to develop classification criteria for alcohol-associated ONFH.
METHODS: In June of 2017, Association Research Circulation Osseous formed a task force to conduct a Delphi survey. The task force invited 28 experts in osteonecrosis/bone circulation from 8 countries. Each round of the Delphi survey included questionnaires, analysis of replies, and feedback reports to the panel. After 3 rounds of the survey, consensus was reached on the classification criteria. The response rates for the 3 Delphi rounds were 100% (round 1), 96% (round 2), and 100% (round 3).
RESULTS: The consensus on the classification criteria of alcohol-associated ONFH included the following: (1) patients should have a history of alcohol intake >400 mL/wk (320 g/wk, any type of alcoholic beverage) of pure ethanol for more than 6 months; (2) ONFH should be diagnosed within 1 year after alcohol intake of this dose; and (3) patients should not have other risk factor(s).
CONCLUSION: ARCO-established classification criteria to standardize clinical studies concerning AA-ONFH.
METHODS: In June of 2017, Association Research Circulation Osseous formed a task force to conduct a Delphi survey. The task force invited 28 experts in osteonecrosis/bone circulation from 8 countries. Each round of the Delphi survey included questionnaires, analysis of replies, and feedback reports to the panel. After 3 rounds of the survey, consensus was reached on the classification criteria. The response rates for the 3 Delphi rounds were 100% (round 1), 96% (round 2), and 100% (round 3).
RESULTS: The consensus on the classification criteria of alcohol-associated ONFH included the following: (1) patients should have a history of alcohol intake >400 mL/wk (320 g/wk, any type of alcoholic beverage) of pure ethanol for more than 6 months; (2) ONFH should be diagnosed within 1 year after alcohol intake of this dose; and (3) patients should not have other risk factor(s).
CONCLUSION: ARCO-established classification criteria to standardize clinical studies concerning AA-ONFH.