Evidence map›Paper›PMID 17277790›Full record

Trial reportBone marrow transplantation2007

Cryotherapy in the prevention of oral mucositis in patients receiving low-dose methotrexate following myeloablative allogeneic stem cell transplantation: a prospective randomized study of the Gruppo Italiano Trapianto di Midollo Osseo nurses group.

E Gori, M Arpinati, F Bonifazi, A Errico, A Mega, F Alberani, V Sabbi, G Costazza, S Leanza, C Borrelli and 14 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 8 pooled it
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 8 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Systematic review of oral cryotherapy for the management of oral mucositis in cancer patients and clinical practice guidelines.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Pooled it
  5. Pooled it
  6. Systematic review of oral cryotherapy for management of oral mucositis caused by cancer therapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2013
    Pooled it
  7. Pooled it
  8. Guideline
  9. Oral cryotherapy for oral mucositis management in patients receiving allogeneic hematopoietic stem cell transplantation: a prospective randomized study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Trial
  10. Review
  11. Review
  12. Protective effect of cryotherapy against oral mucositis among allogeneic hematopoietic stem cell transplant recipients using melphalan-based conditioning.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  13. Review
  14. Review
  15. Supportive cryotherapy: a review from head to toe.Journal of pain and symptom management · 2014
    Review
  16. Prevention and treatment of oral mucositis in patients receiving chemotherapy.Journal of clinical and experimental dentistry · 2014
    Review
  17. Article
  18. Review
  19. A comparison of oral mucositis in allogeneic hematopoietic stem cell transplantation between conventional and reduced-intensity regimens.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2012
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 12 institutions in 1 country.

E GoriDepartment of Hematology and Medical Oncology Seragnoli, University of Bologna, Bologna, Italy.
M Arpinati
F Bonifazi
A Errico
A Mega
F Alberani
V Sabbi
G Costazza
S Leanza
C Borrelli
M Berni
C Feraut
E Polato
M C Altieri
E Pirola
M C Loddo
M Banfi
L Barzetti
S Calza
C Brignoli
G Bandini
A De Vivo
A Bosi
M Baccarani
University of Bologna · ITAzienda Ospedaliera San Gerardo · ITUniversity of Florence · ITUniversity of Siena · ITAgostino Gemelli University Polyclinic · ITOspedale di Bolzano · ITOspedale Regina Margherita · ITOspedale San Bortolo · ITOspedali Riuniti Umberto I · ITUniversity of Bergamo · ITUniversity of Cagliari · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe oral mucositis is a major cause of morbidity following allogeneic hematopoietic stem cell transplantation (AHSCT). Cryotherapy, that is, the application of ice chips on the mucosa of the oral cavity during the administration of antineoplastic agents, may reduce the incidence and severity of chemotherapy-related oral mucositis. In this multicenter randomized study, we addressed whether cryotherapy during MTX administration is effective in the prevention of severe oral mucositis in patients undergoing myeloablative AHSCT. One hundred and thirty patients undergoing myeloablative AHSCT and MTX-containing GVHD prophylaxis were enrolled and randomized to receive or not receive cryotherapy during MTX administration. The incidence of severe (grade 3-4) oral mucositis, the primary end point of the study, was comparable in patients receiving or not cryotherapy. Moreover, no difference was observed in the incidence of oral mucositis grade 2-4 and the duration of oral mucositis grade 3-4 or 2-4, or in the kinetics of mucositis over time. In univariate and multivariate analysis, severe oral mucositis correlated with TBI in the conditioning regimen and lack of folinic acid rescue following MTX administration. Thus, cryotherapy during MTX administration does not reduce severe oral mucositis in patients undergoing myeloablative allogeneic HSCT. Future studies will assess cryotherapy before allogeneic HSCT.

Indexed as

AdolescentAdultAntineoplastic AgentsChildCryotherapyFemaleHematopoietic Stem Cell TransplantationHumansMaleMethotrexateMiddle AgedStomatitisTransplantation, HomologousAntineoplastic AgentsMethotrexate

Identifiers

PMID17277790
OpenAlexW2018838857

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.