Etiologic Classification Criteria of ARCO on Femoral Head Osteonecrosis Part 2: Alcohol-Associated Osteonecrosis

Byung Ho Yoon; Lynne C. Jones; Chung Hwan Chen; Edward Y. Cheng; Quanjun Cui; Wolf Drescher; Wakaba Fukushima; Valerie Gangji; Stuart B. Goodman; Yong Chan Ha; Philippe Hernigou; Marc Hungerford; Richard Iorio; Woo Lam Jo; Vikas Khanduja; Harry Kim; Shin Yoon Kim; Tae Young Kim; Hee young Lee; Mel S. Lee; Young Kyun Lee; Yun Jong Lee; Michael A. Mont; Takashi Sakai; Nobuhiko Sugano; Masaki Takao; Takuaki Yamamoto; Kyung Hoi Koo

doi:10.1016/j.arth.2018.09.006

Etiologic Classification Criteria of ARCO on Femoral Head Osteonecrosis Part 2: Alcohol-Associated Osteonecrosis

Byung Ho Yoon, Lynne C. Jones, Chung Hwan Chen, Edward Y. Cheng, Quanjun Cui, Wolf Drescher, Wakaba Fukushima, Valerie Gangji, Stuart B. Goodman, Yong Chan Ha, Philippe Hernigou, Marc Hungerford, Richard Iorio, Woo Lam Jo, Vikas Khanduja, Harry Kim, Shin Yoon Kim, Tae Young Kim, Hee young Lee, Mel S. LeeYoung Kyun Lee, Yun Jong Lee, Michael A. Mont, Takashi Sakai, Nobuhiko Sugano, Masaki Takao, Takuaki Yamamoto, Kyung Hoi Koo

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Abstract

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.

Original language	English (US)
Pages (from-to)	169-174.e1
Journal	Journal of Arthroplasty
Volume	34
Issue number	1
DOIs	https://doi.org/10.1016/j.arth.2018.09.006
State	Published - Jan 2019

Keywords

Delphi
alcohol
avascular necrosis
femoral head
hip
osteonecrosis

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.arth.2018.09.006

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Yoon, B. H., Jones, L. C., Chen, C. H., Cheng, E. Y., Cui, Q., Drescher, W., Fukushima, W., Gangji, V., Goodman, S. B., Ha, Y. C., Hernigou, P., Hungerford, M., Iorio, R., Jo, W. L., Khanduja, V., Kim, H., Kim, S. Y., Kim, T. Y., Lee, H. Y., ... Koo, K. H. (2019). Etiologic Classification Criteria of ARCO on Femoral Head Osteonecrosis Part 2: Alcohol-Associated Osteonecrosis. Journal of Arthroplasty, 34(1), 169-174.e1. https://doi.org/10.1016/j.arth.2018.09.006

Yoon, BH, Jones, LC, Chen, CH, Cheng, EY, Cui, Q, Drescher, W, Fukushima, W, Gangji, V, Goodman, SB, Ha, YC, Hernigou, P, Hungerford, M, Iorio, R, Jo, WL, Khanduja, V, Kim, H, Kim, SY, Kim, TY, Lee, HY, Lee, MS, Lee, YK, Lee, YJ, Mont, MA, Sakai, T, Sugano, N, Takao, M, Yamamoto, T & Koo, KH 2019, 'Etiologic Classification Criteria of ARCO on Femoral Head Osteonecrosis Part 2: Alcohol-Associated Osteonecrosis', Journal of Arthroplasty, vol. 34, no. 1, pp. 169-174.e1. https://doi.org/10.1016/j.arth.2018.09.006

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title = "Etiologic Classification Criteria of ARCO on Femoral Head Osteonecrosis Part 2: Alcohol-Associated Osteonecrosis",

abstract = "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.",

keywords = "Delphi, alcohol, avascular necrosis, femoral head, hip, osteonecrosis",

author = "Yoon, {Byung Ho} and Jones, {Lynne C.} and Chen, {Chung Hwan} and Cheng, {Edward Y.} and Quanjun Cui and Wolf Drescher and Wakaba Fukushima and Valerie Gangji and Goodman, {Stuart B.} and Ha, {Yong Chan} and Philippe Hernigou and Marc Hungerford and Richard Iorio and Jo, {Woo Lam} and Vikas Khanduja and Harry Kim and Kim, {Shin Yoon} and Kim, {Tae Young} and Lee, {Hee young} and Lee, {Mel S.} and Lee, {Young Kyun} and Lee, {Yun Jong} and Mont, {Michael A.} and Takashi Sakai and Nobuhiko Sugano and Masaki Takao and Takuaki Yamamoto and Koo, {Kyung Hoi}",

note = "Publisher Copyright: {\textcopyright} 2018 Elsevier Inc.",

year = "2019",

month = jan,

doi = "10.1016/j.arth.2018.09.006",

language = "English (US)",

volume = "34",

pages = "169--174.e1",

journal = "Journal of Arthroplasty",

issn = "0883-5403",

publisher = "Churchill Livingstone",

number = "1",

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TY - JOUR

T1 - Etiologic Classification Criteria of ARCO on Femoral Head Osteonecrosis Part 2

T2 - Alcohol-Associated Osteonecrosis

AU - Yoon, Byung Ho

AU - Jones, Lynne C.

AU - Chen, Chung Hwan

AU - Cheng, Edward Y.

AU - Cui, Quanjun

AU - Drescher, Wolf

AU - Fukushima, Wakaba

AU - Gangji, Valerie

AU - Goodman, Stuart B.

AU - Ha, Yong Chan

AU - Hernigou, Philippe

AU - Hungerford, Marc

AU - Iorio, Richard

AU - Jo, Woo Lam

AU - Khanduja, Vikas

AU - Kim, Harry

AU - Kim, Shin Yoon

AU - Kim, Tae Young

AU - Lee, Hee young

AU - Lee, Mel S.

AU - Lee, Young Kyun

AU - Lee, Yun Jong

AU - Mont, Michael A.

AU - Sakai, Takashi

AU - Sugano, Nobuhiko

AU - Takao, Masaki

AU - Yamamoto, Takuaki

AU - Koo, Kyung Hoi

PY - 2019/1

Y1 - 2019/1

N2 - 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.

AB - 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.

KW - Delphi

KW - alcohol

KW - avascular necrosis

KW - femoral head

KW - hip

KW - osteonecrosis

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AN - SCOPUS:85055050870

SN - 0883-5403

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SP - 169-174.e1

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

IS - 1

ER -

Etiologic Classification Criteria of ARCO on Femoral Head Osteonecrosis Part 2: Alcohol-Associated Osteonecrosis

Abstract

Keywords

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