Evidence map›Paper›PMID 31286229›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Systematic review of natural and miscellaneous agents for the management of oral mucositis in cancer patients and clinical practice guidelines-part 1: vitamins, minerals, and nutritional supplements.

Noam Yarom, Allan Hovan, Paolo Bossi, Anura Ariyawardana, Siri Beier Jensen, Margherita Gobbo, Hanan Saca-Hazboun, Abhishek Kandwal, Alessandra Majorana, Giulia Ottaviani and 13 more

Erratum issuedOpen access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 34 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 7 pooled it
9.8field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 7 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Prediction of mucositis risk secondary to cancer therapy: a systematic review of current evidence and call to action.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Pooled it
  5. Guideline
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Effects of L-glutamine and hyaluronic acid associated with photobiomodulation on oral mucositis: a randomized clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  10. Trial
  11. Trial
  12. Article
  13. Radiomitigators: Breakthroughs in Post-Radiation Recovery.Antioxidants (Basel, Switzerland) · 2026
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. [Advances in nutritional support for children undergoing hematopoietic stem cell transplantation].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 16 institutions in 9 countries.

Noam YaromOral Medicine Unit, Sheba Medical Center, Tel Hashomer, Israel. Noam.yarom@sheba.health.gov.il.ORCID http://orcid.org/0000-0001-9771-7857
Allan HovanBritish Columbia Cancer - Vancouver Centre, Vancouver, Canada.
Paolo BossiMedical Oncology, ASST-Spedali Civili, University of Brescia, Brescia, Italy.
Anura AriyawardanaCollege of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.
Siri Beier JensenDepartment of Dentistry and Oral Health, Faculty of Health, Aarhus University, Aarhus, Denmark.
Margherita GobboDivision of Oral Medicine and Pathology, Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy.
Hanan Saca-HazbounAl-Maha Cancer foundation, Bethlehem, Palestine.
Abhishek KandwalCancer Research Institute, Himalayan Institute of Medical Sciences, Swami Rama Himayalan University, Dehradun, Uttarakhand, India.
Alessandra MajoranaDepartment of Medical and Surgical Specialties, Radiological Science and Public Health, Dental School University of Brescia, Brescia, Italy.
Giulia OttavianiDivision of Oral Medicine and Pathology, Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy.
Monica PenteneroDepartment of Oncology, Oral Medicine and Oral Oncology Unit, University of Turin, Turin, Italy.
Narmin Mohammed NasrSpecial Needs Dentistry, Dental Services, Directorate General of Health Services-Muscat Governorate, Ministry of Health, Muscat, Oman.
Tanya RouleauDental Oncology Program, Health Sciences North, North East Cancer Center, Sudbury, ON, Canada.
Anna Skripnik LucasMedical Oncology Service, Department of Medicine, NYU Langone Perlmutter Cancer Center, New York, NY, USA.
Nathaniel Simon TreisterDivision of Oral Medicine and Dentistry, Brigham and Women's Hospital, Boston, MA, USA.
Eyal ZurCompounding Solutions, Tel-Mond, Israel.
Vinisha RannaDepartment of Oral and Maxillofacial Surgery, The Mount Sinai Hospital, New York, NY, 10029, USA.
Anusha VaddiOral Medicine, Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.
Karis Kin Fong ChengAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Andrei BaraschDivision of Oncology, Weill Cornell Medical College, New York, NY, USA.
Rajesh V LallaSection of Oral Medicine, University of Connecticut School of Dental Medicine, Farmington, CT, USA.
Sharon EladOral Medicine, Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.
Mucositis Study Group of the Multinational Association of Supportive Care in Cancer / International Society of Oral Oncology (MASCC/ISOO)
University of Brescia · ITUniversity of Rochester Medical Center · USUniversity of Trieste · ITAarhus University · DKBrigham and Women's Hospital · USCornell University · USHealth Sciences North · CAMinistry of Health · OMMount Sinai Hospital · USNational University of Singapore · SGNYU Langone’s Laura and Isaac Perlmutter Cancer CenterQueensland Health · AUSwami Rama Himalayan University · INTel Aviv University · ILUniversity of Connecticut · USUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo update the clinical practice guidelines for the use of natural and miscellaneous agents for the prevention and/or treatment of oral mucositis (OM).

methodsA systematic review was conducted by the Mucositis Study Group of the Multinational Association of Supportive Care in Cancer / International Society of 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 2014 MASCC/ISOO clinical practice guidelines. Based on the evidence level, the following guidelines were determined: Recommendation, Suggestion, and No Guideline Possible.

resultsA total of 78 papers were identified within the scope of this section, out of which 29 were included in this part, and were analyzed with 27 previously reviewed studies. A new Suggestion was made for oral glutamine for the prevention of OM in head and neck (H&N) cancer patients receiving radiotherapy with concomitant chemotherapy. The previous Recommendation against the use of parenteral glutamine for the prevention of OM in hematopoietic stem cell transplantation (HSCT) patients was re-established. A previous Suggestion for zinc to prevent OM in H&N cancer patients treated with radiotherapy or chemo-radiotherapy was reversed to No Guideline Possible. No guideline was possible for other interventions.

conclusionsOf the vitamins, minerals, and nutritional supplements studied for the management of OM, the evidence supports a Recommendation against parenteral glutamine in HSCT patients and a Suggestion in favor of oral glutamine in H&N cancer patients for the management of OM.

Indexed as

Dietary SupplementsGlutamineHead and Neck NeoplasmsHumansMineralsMucositisNeoplasmsStomatitisVitaminsGlutamineMineralsVitaminsGlutamineGuidelinesHerbal medicineNaturalOral mucositisSupersaturated calcium phosphate rinseZinc

Identifiers

PMID31286229
OpenAlexW2958637512

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.