Evidence map›Paper›PMID 31286232›Full record

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

Systematic review of basic oral care for the management of oral mucositis in cancer patients and clinical practice guidelines.

Catherine H L Hong, Luiz Alcino Gueiros, Janet S Fulton, Karis Kin Fong Cheng, Abhishek Kandwal, Dimitra Galiti, Jane M Fall-Dickson, Jorgen Johansen, Suzanne Ameringer, Tomoko Kataoka and 8 more

Registry-linked trialAbstract 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. It is linked to trial NCT06217224 (Evaluation of Prophylactic Photobiomodulation Therapy in Patients With Osteosarcoma Undergoing High Doses of Methotrexate), which is not on this map. Cited by 108 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 11 pooled it
19.7field-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.

NCT06217224 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Evaluation of Prophylactic Photobiomodulation Therapy in Patients With Osteosarcoma Undergoing High Doses of Methotrexate

TypeinterventionalSponsorInstituto Nacional de Cancer, BrazilRan2022 to 2025Enrolled53ConditionsMucositis OralArmsPreventive photobiomodulation Therapy (PBMT)
3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 11 syntheses or guidelines pooled it, 236 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. MASCC/ISOO clinical practice statement: Current understanding on controversies in basic oral care in hemato-oncology and hematopoietic cell transplantation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Guideline
  5. The intersection of oncology and oral health: exploring nurses' insights and practices - a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  6. Pooled it
  7. The impact of oral health education on the incidence and severity of oral mucositis in pediatric cancer patients: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  8. Pooled it
  9. Pooled it
  10. 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
  11. Guideline
  12. Effectiveness of oral cryotherapy in preventing methotrexate-induced oral mucositis in pediatric patients with acute lymphoblastic leukemia: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
  13. Effectiveness of oral mucositis management based on MASCC/ISOO guidelines in pediatric oncology patients: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
  14. Trial
  15. Trial
  16. Efficacy of synbiotic mouthwash on salivary TLR2 levels and oral mucositis in head and neck cancer patients undergoing radiotherapy: a randomized clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

48 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

18 authors at 16 institutions in 8 countries.

Catherine H L HongDiscipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry, National University of Singapore, 21 Lower Kent Ridge Rd, Singapore, 119077, Singapore. denchhl@nus.edu.sg.ORCID http://orcid.org/0000-0003-0174-0652
Luiz Alcino GueirosOral Medicine Unit, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil.
Janet S FultonIndiana University School of Nursing, Indianapolis, IN, USA.
Karis Kin Fong ChengAlice Lee Center for Nursing Studies, National University of Singapore, Singapore, Singapore.
Abhishek KandwalCancer Research Institute, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, India.
Dimitra GalitiDental School, University of Athens, Athens, Greece.
Jane M Fall-DicksonDepartment of Professional Nursing Practice, Georgetown University School of Nursing & Health Studies, Washington, DC, USA.
Jorgen JohansenDepartment of Oncology, Odense University Hospital, Odense, Denmark.
Suzanne AmeringerSchool of Nursing, Virginia Commonwealth University, Richmond, VA, USA.
Tomoko KataokaMulti-institutional Clinical Trials Section, Research Management Division, Clinical Research Support Office, National Cancer Center Hospital, Tokyo, Japan.
Dianna WeikelMarlene and Stewart Greenebaum Comprehensive Cancer Center, University of Maryland, Baltimore, MD, USA.
June EilersCollege of Nursing-Omaha Division, University of Nebraska Medical Center, Omaha, NE, USA.
Vinasha RannaDepartment of Oral and Maxillofacial Surgery, The Mount Sinai Hospital, New York, NY, USA.
Anusha VaddiOral Medicine, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA.
Rajesh V LallaSection of Oral Medicine, University of Connecticut Health, Farmington, CT, USA.
Paolo BossiDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health-Medical Oncology, University of Brescia, ASST-Spedali Civili, Brescia, Italy.
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 for Oral Oncology (MASCC/ISOO)
National University of Singapore · SGEastman Chemical Company (United States) · USGeorgetown University · USIndiana University – Purdue University Indianapolis · USJapan Clinical Cancer Research Organization · JPMount Sinai Hospital · USNational and Kapodistrian University of Athens · GROdense University Hospital · DKSwami Rama Himalayan University · INUConn Health · USUniversidade Federal de Pernambuco · BRUniversity of Brescia · ITUniversity of Maryland, Baltimore · USUniversity of Nebraska Medical Center · USUniversity of Rochester Medical Center · USVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe 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).

methodsA 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.

resultsA 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.

conclusionsThe 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.

Indexed as

Practice Guidelines as TopicDental CareHumansMedical OncologyMucositisNeoplasmsResearch DesignStomatitisBasic oral careCancerChlorhexidineDental careGuidelinesOral mucositisPatient educationSalineSodium bicarbonate

Identifiers

PMID31286232
OpenAlexW2958929637

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.