Evidence map›Paper›PMID 31993753›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

Prevention of oral mucositis with cryotherapy in children undergoing hematopoietic stem cell transplantations-a feasibility study and randomized controlled trial.

Tove Kamsvåg, Anncarin Svanberg, Karin Garming Legert, Johan Arvidson, Louise von Essen, Karin Mellgren, Jacek Toporski, Jacek Winiarski, Gustaf Ljungman

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01789658 (A Randomized Controlled Trial of Cryotherapy for Prevention and Reduction of Severity of Oral Mucositis in Children Undergoing Hematopoietic Stem Cell Transplantation.), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 10% 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.

NCT01789658 nacompletednot on this map

A Randomized Controlled Trial of Cryotherapy for Prevention and Reduction of Severity of Oral Mucositis in Children Undergoing Hematopoietic Stem Cell Transplantation.

TypeinterventionalSponsorUppsala UniversityRan2012 to 2016Enrolled53ConditionsOral Mucositis, Pain, Infection, Nutrition Aspect of CancerArmsCryotherapy
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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
  4. The efficacy of two different oral hygiene regimens on the incidence and severity of oral mucositis in pediatric patients receiving hematopoietic stem cell transplantation: A prospective interventional study.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry · 2020
    Trial
  5. Trial
  6. Oral disease burden in children and adolescents scheduled for allogeneic haematopoietic stem cell transplantation: a multicentre study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Oncological-Therapy Related Oral Mucositis as an Interdisciplinary Problem-Literature Review.International journal of environmental research and public health · 2020
    Review
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

9 authors at 5 institutions in 1 country.

Tove KamsvågDepartment of Women's and Children's Health, Pediatric Oncology, Uppsala University, Uppsala, Sweden. tove.kamsvag_magnusson@kbh.uu.se.ORCID http://orcid.org/0000-0003-2696-4054
Anncarin SvanbergDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Karin Garming LegertDepartment of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.
Johan ArvidsonDepartment of Women's and Children's Health, Pediatric Oncology, Uppsala University, Uppsala, Sweden.
Louise von EssenDepartment of Women's and Children's Health, Clinical Psychology in Healthcare, Uppsala University, Uppsala, Sweden.
Karin MellgrenDepartment of Pediatric Oncology, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
Jacek ToporskiDepartment of Clinical Sciences, Pediatric Oncology and Hematology, University of Lund, Lund, Sweden.
Jacek WiniarskiDepartment of Pediatrics, Astrid Lindgren's Children's Hospital, Karolinska University Hospital, Huddinge, Stockholm, Sweden.
Gustaf LjungmanDepartment of Women's and Children's Health, Pediatric Oncology, Uppsala University, Uppsala, Sweden.
Uppsala University · SEKarolinska Institutet · SEKarolinska University Hospital · SELund University · SEUniversity of Gothenburg · SE

Funding

Barncancerfonden FTJH11/002Barncancerfonden PR2013/0058Cancerfonden CAN2013/749
6 · The paper itself

Abstract

purposeTo evaluate the feasibility of oral cryotherapy (OC) in children and to investigate if OC reduces the incidence of severe oral mucositis (OM), oral pain, and opioid use in children undergoing hematopoietic stem cell transplantation (HSCT).

methodsFifty-three children, 4-17 years old, scheduled for HSCT in Sweden were included and randomized to OC or control using a computer-generated list. OC instructions were to cool the mouth with ice for as long as possible during chemotherapy infusions with an intended time of ≥ 30 min. Feasibility criteria in the OC group were as follows: (1) compliance ≥ 70%; (2) considerable discomfort during OC < 20%; (3) no serious adverse events; and (4) ice administered to all children. Grade of OM and oral pain was recorded daily using the WHO-Oral Toxicity Scale (WHO-OTS), Children's International Oral Mucositis Evaluation Scale, and Numerical Rating Scale. Use of opioids was collected from the medical records.

resultsForty-nine children (mean age 10.5 years) were included in analysis (OC = 26, control = 23). The feasibility criteria were not met. Compliance was poor, especially for the younger children, and only 15 children (58%) used OC as instructed. Severe OM (WHO-OTS ≥ 3) was recorded in 26 children (OC = 15, control = 11). OC did not reduce the incidence of severe OM, oral pain, or opioid use.

conclusionThe feasibility criteria were not met, and the RCT could not show that OC reduces the incidence of severe OM, oral pain, or opioid use in pediatric patients treated with a variety of conditioning regimens for HSCT.

trial registrationClinicalTrials.gov id: NCT01789658.

Indexed as

AdolescentChildChild, PreschoolCryotherapyFeasibility StudiesFemaleHematopoietic Stem Cell TransplantationHumansIncidenceMalePainStomatitisTransplantation ConditioningChildrenFeasibilityHematopoietic stem cell transplantationOral cryotherapyOral mucositis

Identifiers

PMID31993753
PMCPMC7447624
OpenAlexW3001300827

What OpenQuestion holds

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LicenceCC BY
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.