Evidence map›Paper›PMID 32666214›Full record

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

Photobiomodulation in oral mucositis in patients with head and neck cancer: a systematic review and meta-analysis followed by a cost-effectiveness analysis.

Thalita Molinos Campos, Carolina Antunes do Prado Tavares Silva, Ana Paula Taboada Sobral, Sergio Sousa Sobral, Maria Fernanda Setúbal Destro Rodrigues, Sandra Kalil Bussadori, Kristianne Porta Santos Fernandes, Raquel Angnelli Mesquita-Ferrari, Anna Carolina Ratto Tempestini Horliana, Lara Jansiski Motta

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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. Cited by 18 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 6 pooled it
2.4field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 6 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Clinicopathological and biobehavioral factors influence the onset and severity of oral mucositis in patients with head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  9. Review
  10. Article
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  16. Review
  17. Review
  18. Clinical use of photobiomodulation as a supportive care during radiation therapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    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

10 authors at 1 institution in 1 country.

Thalita Molinos CamposBiophotonics Applied to Health Sciences Postgraduate Program, Nove de Julho University (UNINOVE), Rua Vergueiro 235/249, Liberdade, CEP, São Paulo, 01504-001, Brazil.
Carolina Antunes do Prado Tavares SilvaBiophotonics Applied to Health Sciences Postgraduate Program, Nove de Julho University (UNINOVE), Rua Vergueiro 235/249, Liberdade, CEP, São Paulo, 01504-001, Brazil.
Ana Paula Taboada SobralBiophotonics Applied to Health Sciences Postgraduate Program, Nove de Julho University (UNINOVE), Rua Vergueiro 235/249, Liberdade, CEP, São Paulo, 01504-001, Brazil.
Sergio Sousa SobralBiophotonics Applied to Health Sciences Postgraduate Program, Nove de Julho University (UNINOVE), Rua Vergueiro 235/249, Liberdade, CEP, São Paulo, 01504-001, Brazil.
Maria Fernanda Setúbal Destro RodriguesBiophotonics Applied to Health Sciences Postgraduate Program, Nove de Julho University (UNINOVE), Rua Vergueiro 235/249, Liberdade, CEP, São Paulo, 01504-001, Brazil.
Sandra Kalil BussadoriBiophotonics Applied to Health Sciences Postgraduate Program, Nove de Julho University (UNINOVE), Rua Vergueiro 235/249, Liberdade, CEP, São Paulo, 01504-001, Brazil.
Kristianne Porta Santos FernandesBiophotonics Applied to Health Sciences Postgraduate Program, Nove de Julho University (UNINOVE), Rua Vergueiro 235/249, Liberdade, CEP, São Paulo, 01504-001, Brazil.
Raquel Angnelli Mesquita-FerrariBiophotonics Applied to Health Sciences Postgraduate Program, Nove de Julho University (UNINOVE), Rua Vergueiro 235/249, Liberdade, CEP, São Paulo, 01504-001, Brazil.
Anna Carolina Ratto Tempestini HorlianaBiophotonics Applied to Health Sciences Postgraduate Program, Nove de Julho University (UNINOVE), Rua Vergueiro 235/249, Liberdade, CEP, São Paulo, 01504-001, Brazil.
Lara Jansiski MottaBiophotonics Applied to Health Sciences Postgraduate Program, Nove de Julho University (UNINOVE), Rua Vergueiro 235/249, Liberdade, CEP, São Paulo, 01504-001, Brazil. larajmotta@terra.com.br.ORCID http://orcid.org/0000-0002-7774-4345
Universidade Nove de Julho · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral mucositis (OM) is an oral toxicity caused by cancer treatment, found often in patients with head and neck cancer. Low-intensity laser therapy for OM has anti-inflammatory, analgesic, and tissue reparative properties.

objectiveThe objective of this work is to perform a systematic review and meta-analysis of the randomized clinical trials of OM laser therapy in patients undergoing treatment for head and neck cancers, followed by a cost-effectiveness analysis of the therapy.

methodThe search terms, mucositis and phototherapy, laser therapy and mucositis, photobiomodulation and mucositis, and low-level laser therapy and mucositis, were used to search the databases of PubMed, Web of Science, and MEDLINE. Randomized clinical trials were divided into two groups: one treated with laser therapy and the other given a placebo. Only 13 studies were included in the systematic review, and 6 studies in the meta-analysis.

resultsThe results of the systematic review and meta-analysis show that the laser therapy presented good results in clinical improvement and pain reduction, decreasing the patients' likelihood of developing OM, with degrees of debilitating lesions, to 64% (RR = 0.36 [95% CI = 0.29-0.44]). The cost-effectiveness analysis revealed an incremental cost of R$ 3687.53 for the laser group, with an incremental effectiveness of 132.2. The incremental cost-effectiveness ratio (ICER) was 27.89, for the severe OM cases that were avoided.

conclusionIt was concluded, therefore, that photobiomodulation for OM in patients receiving head and neck cancer treatment was clinically effective and cost-effective.

Indexed as

Cost-Benefit AnalysisHead and Neck NeoplasmsHumansLaser TherapyPhototherapyRadiation InjuriesRandomized Controlled Trials as TopicStomatitisCost-effectivenessHead and neck cancerOral mucositisPhotobiomodulationSystematic review

Identifiers

PMID32666214
OpenAlexW3042352191

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.