Evidence map›Paper›PMID 25322971›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2015

Systematic literature review: xerostomia in advanced cancer patients.

Sarika Hanchanale, Lucy Adkinson, Sunitha Daniel, Michelle Fleming, Stephen G Oxberry

2 registry-linked trialsAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
1.4field-weighted citation impact, top 19% 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.

NCT02982577 phase4unknown statusnot on this mapstarted 2016, after this paper: background citation

Effect of Pilocarpine in Patients With Xerostomia

TypeinterventionalSponsorUniversity of Sao PauloRan2016 to 2017Enrolled80ConditionsXerostomiaArmsPilocarpine, Spray without Pilocarpine
NCT07358494 nacompletednot on this mapstarted 2022, after this paper: background citation

Effect of Diluted Thyme Honey On Dry Mouth In Intensive Care Unit Patients Exposed to Oxygen Flow Therapy: A Randomized Controlled Study

TypeinterventionalSponsorEsra Yaprak GokturkRan2022 to 2022Enrolled64ConditionsNursing CareArmsdiluted thyme honey arm, Mouth wash
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. 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
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Observational
  7. Article
  8. Oral Squamous Cell Carcinoma: Focus on Biomarkers for Screening.Journal of dentistry (Shiraz, Iran) · 2024
    Review
  9. Article
  10. Palliative care assessment of dry mouth: what matters most to patients with advanced disease?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  11. Article
  12. Article
  13. Review
  14. MIST1, an Inductive Signal for Salivary Amylase in Mesenchymal Stem Cells.International journal of molecular sciences · 2019
    Article
  15. Guide for health professionals addressing oral care for individuals in oncological treatment based on scientific evidence.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  16. Prevalence of oral mucositis, dry mouth, and dysphagia in advanced cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015
    Article
  17. 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

5 authors at 2 institutions in 1 country.

Sarika HanchanaleYorkshire Deanery, Leeds, West Yorshire, UK, shanchanale@gmail.com.
Lucy Adkinson
Sunitha Daniel
Michelle Fleming
Stephen G Oxberry
West Midlands Deanery · GBKirkwood Hospice · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDry mouth (xerostomia) is one of the commonest symptoms in cancer patients and can adversely affect quality of life. The aim of this review was to determine the effectiveness of pharmacological and non-pharmacological interventions in treating xerostomia in adult advanced cancer patients.

methodsThe literature search was performed in February 2014 using databases including EMBASE, MEDLINE, CINAHL, BNI and Cochrane library. The search was carried out using standard MeSH terms and was limited to adult population and English language. Studies investigating xerostomia secondary to head and neck cancer treatment and autoimmune disease were excluded. Titles and abstracts were screened and reviewed for eligibility. Only studies involving primary research were included in the analysis.

resultsSix studies met the eligibility criteria for review: three randomized controlled trials and three prospective studies. The quality assessment and reporting was performed using PRISMA, Jadad and STROBE. These studies compared acupuncture, pilocarpine, Saliva Orthana and chewing gum with each other or with placebo. All interventions were considered effective in treating xerostomia. However, effectiveness versus placebo could not be demonstrated for Saliva Orthana. Meta-analysis could not be performed due to heterogeneity of the study type and intervention.

conclusionLimited published data exists reporting the effectiveness of measures in the treatment of xerostomia in cancer patients. Based on primary research of low quality, firm conclusions cannot be drawn. However, pilocarpine, artificial saliva, chewing gum and acupuncture can be tried based on the available data. This highlights the explicit need to improve our evidence base. Properly constructed randomized controlled trials demonstrating effectiveness of pharmacological and non-pharmacological interventions for dry mouth are required.

Indexed as

Acupuncture TherapyAdultChewing GumDisease ProgressionHumansNeoplasmsPilocarpineProspective StudiesQuality of LifeSaliva, ArtificialXerostomiaChewing GumPilocarpineSaliva, Artificial

Identifiers

PMID25322971
OpenAlexW2139031123

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.