Evidence map›Paper›PMID 20449755›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2010

A systematic review of oral fungal infections in patients receiving cancer therapy.

Rajesh V Lalla, Marie C Latortue, Catherine H Hong, Anura Ariyawardana, Sandra D'Amato-Palumbo, Dena J Fischer, Andrew Martof, Ourania Nicolatou-Galitis, Lauren L Patton, Linda S Elting and 3 more

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 3 pooled it
6.9field-weighted citation impact, top 2% 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

105 citing papers in PubMed, 3 syntheses or guidelines pooled it, 262 citations in OpenAlex.

  1. MASCC/ISOO expert opinion on the management of oral problems in patients with advanced cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Guideline
  2. Candidiasis (oropharyngeal).BMJ clinical evidence · 2013
    Pooled it
  3. Candidiasis (oropharyngeal).BMJ clinical evidence · 2012
    Pooled it
  4. Trial
  5. International field testing of the psychometric properties of an EORTC quality of life module for oral health: the EORTC QLQ-OH15.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Trial
  6. Multicenter phase II study of an oral care program for patients with head and neck cancer receiving chemoradiotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Trial
  7. Trial
  8. Trial
  9. Article
  10. The Role of Dental Oncology in Cancer Care: a Critical Component of Comprehensive Treatment, Education, and Interdisciplinary Collaboration- a Narrative Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Review
  11. Proactive preventive dental care to maintain eating function in palliative care: a narrative review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  12. Article
  13. Frontiers in cellular and infection microbiology · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. The Prevalence and Drug Susceptibility ofAntibiotics (Basel, Switzerland) · 2025
    Article
  19. US expert Delphi consensus on the prevention and management of stomatitis in patients treated with datopotamab deruxtecan.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  20. Chronic Oral Complications of Oral Cancer Therapy.Dental clinics of North America · 2025
    Review

45 more citing papers are in PubMed but not listed here.

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

13 authors at 9 institutions in 3 countries.

Rajesh V LallaUniversity of Connecticut Health Center, Farmington, CT 06030, USA. lalla@uchc.edu
Marie C Latortue
Catherine H Hong
Anura Ariyawardana
Sandra D'Amato-Palumbo
Dena J Fischer
Andrew Martof
Ourania Nicolatou-Galitis
Lauren L Patton
Linda S Elting
Fred K L Spijkervet
Michael T Brennan
Fungal Infections Section, Oral Care Study Group, Multinational Association of Supportive Care in Cancer (MASCC)/International Society of Oral Oncology (ISOO)
Carolinas Medical Center · USUConn Health · USNational and Kapodistrian University of Athens · GRThe University of Texas MD Anderson Cancer Center · USUniversity of Illinois Chicago · USUniversity of New Haven · USUniversity of North Carolina at Chapel Hill · USUniversity of Peradeniya · LKUniversity of Virginia Health System · US

Funding

COX-2 Inhibition in Radiation-induced Oral MucositisK23DE016946 · NIDCR · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI LALLA, RAJESH V. · 2005 to 2009
$692k
NIDCR NIH HHS K23 DE016946
6 · The paper itself

Abstract

purposeThe aims of this systematic review were to determine, in patients receiving cancer therapy, the prevalence of clinical oral fungal infection and fungal colonization, to determine the impact on quality of life and cost of care, and to review current management strategies for oral fungal infections.

methodsThirty-nine articles that met the inclusion/exclusion criteria were independently reviewed by two calibrated reviewers, each using a standard form. Information was extracted on a number of variables, including study design, study population, sample size, interventions, blinding, outcome measures, methods, results, and conclusions for each article. Areas of discrepancy between the two reviews were resolved by consensus. Studies were weighted as to the quality of the study design, and recommendations were based on the relative strength of each paper. Statistical analyses were performed to determine the weighted prevalence of clinical oral fungal infection and fungal colonization.

resultsFor all cancer treatments, the weighted prevalence of clinical oral fungal infection was found to be 7.5% pre-treatment, 39.1% during treatment, and 32.6% after the end of cancer therapy. Head and neck radiotherapy and chemotherapy were each independently associated with a significantly increased risk for oral fungal infection. For all cancer treatments, the prevalence of oral colonization with fungal organisms was 48.2% before treatment, 72.2% during treatment, and 70.1% after treatment. The prophylactic use of fluconazole during cancer therapy resulted in a prevalence of clinical fungal infection of 1.9%. No information specific to oral fungal infections was found on quality of life or cost of care.

conclusionsThere is an increased risk of clinically significant oral fungal infection during cancer therapy. Systemic antifungals are effective in the prevention of clinical oral fungal infection in patients receiving cancer therapy. Currently available topical antifungal agents are less efficacious, suggesting a need for better topical agents.

Indexed as

Antifungal AgentsCandidiasis, OralHealth Care CostsHumansNeoplasmsOropharynxPharyngeal DiseasesQuality of LifeRisk FactorsAntifungal Agents

Identifiers

PMID20449755
PMCPMC2914797
OpenAlexW2019459387

What OpenQuestion holds

Textmetadata
LicenceTDM
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.