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https://doi.org/10.1007/s00520-019-04848-4
Title: | Systematic review of basic oral care for the management of oral mucositis in cancer patients and clinical practice guidelines | Authors: | HSU LING CATHERINE HONG Gueiros, Luiz Alcino Fulton, Janet S Cheng Kin Fong Karis Kandwal, Abhishek Galiti, Dimitra Fall-Dickson, Jane M Johansen, Jorgen Ameringer, Suzanne Kataoka, Tomoko Weikel, Dianna Eilers, June Ranna, Vinasha Vaddi, Anusha Lalla, Rajesh V Bossi, Paolo Elad, Sharon |
Keywords: | Science & Technology Life Sciences & Biomedicine Oncology Health Care Sciences & Services Rehabilitation Basic oral care Chlorhexidine Oral mucositis Sodium bicarbonate Saline Patient education Dental care Guidelines Cancer STEM-CELL TRANSPLANTATION DOUBLE-BLIND ACUTE-LEUKEMIA NECK-CANCER MARROW-TRANSPLANTATION MOUTH CARE CHLORHEXIDINE PROPHYLAXIS POVIDONE-IODINE HEALTH CARE CHEMOTHERAPY |
Issue Date: | 1-Oct-2019 | Publisher: | SPRINGER | Citation: | HSU LING CATHERINE HONG, Gueiros, Luiz Alcino, Fulton, Janet S, Cheng Kin Fong Karis, Kandwal, Abhishek, Galiti, Dimitra, Fall-Dickson, Jane M, Johansen, Jorgen, Ameringer, Suzanne, Kataoka, Tomoko, Weikel, Dianna, Eilers, June, Ranna, Vinasha, Vaddi, Anusha, Lalla, Rajesh V, Bossi, Paolo, Elad, Sharon (2019-10-01). Systematic review of basic oral care for the management of oral mucositis in cancer patients and clinical practice guidelines. SUPPORTIVE CARE IN CANCER 27 (10) : 3949-3967. ScholarBank@NUS Repository. https://doi.org/10.1007/s00520-019-04848-4 | Abstract: | Purpose: The aim of this study was to update the clinical practice guidelines for the use of basic oral care (BOC) interventions for the prevention and/or treatment of oral mucositis (OM). Methods: A systematic review was conducted by the Mucositis Study Group of the Multinational Association of Supportive Care in Cancer/International Society for Oral Oncology (MASCC/ISOO). The body of evidence for each intervention in each cancer treatment setting was assigned an evidence level. The findings were added to the database used to develop the 2013 MASCC/ISOO clinical practice guidelines. Based on the evidence level, one of the following three guideline determinations was possible: Recommendation, Suggestion, No guideline possible. Results: A total of 17 new papers across six interventions were examined and merged with a previous database. Based on the literature, the following guidelines were possible. The panel suggests that the implementation of multi-agent combination oral care protocols is beneficial for the prevention of OM during chemotherapy, head and neck (H&N) radiation therapy (RT), and hematopoietic stem cell transplantation (Level of Evidence III). The panel suggests that chlorhexidine not be used to prevent OM in patients undergoing H&N RT (Level of Evidence III). No guideline was possible for professional oral care, patient education, saline, and sodium bicarbonate, and expert opinion complemented these guidelines. Conclusions: The evidence supports the use of multi-agent combination oral care protocols in the specific populations listed above. Additional well-designed research is needed on the other BOC interventions prior to guideline formulation. | Source Title: | SUPPORTIVE CARE IN CANCER | URI: | https://scholarbank.nus.edu.sg/handle/10635/207362 | ISSN: | 0941-4355 1433-7339 |
DOI: | 10.1007/s00520-019-04848-4 |
Appears in Collections: | Staff Publications Elements |
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Support Care Cancer Systematic RV BOC.pdf | 509.18 kB | Adobe PDF | CLOSED | Published |
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