Evidence map›Paper›PMID 33156403›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

MASCC/ISOO clinical practice guidelines for the management of mucositis: sub-analysis of current interventions for the management of oral mucositis in pediatric cancer patients.

Wanessa Miranda-Silva, Wagner Gomes-Silva, Yehuda Zadik, Noam Yarom, Abdul Rahman Al-Azri, Catherine H L Hong, Anura Ariyawardana, Deborah P Saunders, M Elvira Correa, Praveen R Arany and 6 more

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05619133 (Effects and Underlying Mechanisms of Photobiomodulation), which is not on this map. Cited by 35 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 7 pooled it
5.3field-weighted citation impact, top 3% 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.

NCT05619133 nacompletednot on this mapstarted 2023, after this paper: background citation

Effects and Underlying Mechanisms of Photobiomodulation (PBM) on Health and Well-Being

TypeinterventionalSponsorSeaborough Life Science B.V.Ran2023 to 2024Enrolled80ConditionsSleep Deprivation, Circadian Rhythm DisordersArmsPBM
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 7 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Efficacy of photobiomodulation in the treatment of oral mucositis in patients undergoing antineoplastic therapy: systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  5. Pooled it
  6. Pooled it
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  8. Acceptance and perceived efficacy of intraoral versus extraoral photobiomodulation for oral mucositis prevention in pediatric patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
  9. 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
  10. Article
  11. Article
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  13. Dual therapy with nanohydroxyapatite and vitamin E restores irradiated dentin via remineralization and collagen protection.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
  14. Article
  15. Article
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  18. Photobiomodulation therapy.JADA foundational science · 2025
    Review
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  20. 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

16 authors at 14 institutions in 9 countries.

Wanessa Miranda-Silva *Instituto de Ensino e Pesquisa, Hospital Sírio Libanês, 69 Prof. Daher Cutait, Sao Paulo, SP, 01308-060, Brazil. wmswanessa@yahoo.com.br.ORCID http://orcid.org/0000-0002-5666-8689
Wagner Gomes-Silva *Dental Oncology Service, Instituto do Câncer do Estado de São Paulo, Fundação Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil.
Yehuda ZadikDepartment of Military Medicine, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Noam YaromOral Medicine Unit, Sheba Medical Center, Tel Hashomer, Israel.
Abdul Rahman Al-AzriAdelaide Dental School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
Catherine H L HongDiscipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry, National University of Singapore, Singapore, Singapore.
Anura AriyawardanaCollege of Medicine and Dentistry, James Cook University, Cairns, Australia.
Deborah P SaundersDepartment of Dental Oncology, Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ontario, Canada.
M Elvira CorreaOral Medicine, Post-Graduation Program, Oncology Department, School of Medicine Science, University of Campinas, Campinas, São Paulo, Brazil.
Praveen R AranyDepartment of Oral Biology and Biomedical Engineering, School of Dental Medicine, Engineering and Applied Science, University at Buffalo, Buffalo, NY, USA.
Joanne BowenAdelaide Medical School, The University of Adelaide, Adelaide, Australia.
Karis Kin Fong ChengAlice Lee Center for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Wim J E TissingDepartment of Pediatric Oncology, Univesity of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Paolo BossiDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health - Medical Oncology, ASST-Spedali Civili, University of Brescia, Brescia, Italy.
Sharon EladDivision of Oral 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 · SGHealth Sciences North · CAHebrew University of Jerusalem · ILHospital Sírio-Libanês · BRMetro South Health · AUMinistry of Health · OMTel Aviv University · ILThe University of Adelaide · AUUniversidade de São Paulo · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversity at Buffalo, State University of New York · USUniversity Medical Center Groningen · NLUniversity of Brescia · ITUniversity of Rochester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this sub-analysis was to highlight the MASCC/ISOO clinical practice guidelines for the management of oral mucositis (OM) in pediatric patients and to present unique considerations in this patient population.

methodsThis sub-analysis of the pediatric patient population is based on the systematic review conducted by the Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISSO) published in 2019/2020. Studies were scored and assigned a level of evidence based on previously published criteria. Data regarding adverse effects and compliance was collected from the original publications.

resultsA total of 45 papers were included and assessed in this sub-analysis, including 21 randomized controlled trials (RCTs). Chewing gum was demonstrated to be not effective in preventing OM in pediatric cancer patients in 2 RCTs. The efficacy of all other interventions could not be determined based on the available literature.

conclusionThere is limited or conflicting evidence about interventions for the management of OM in pediatric cancer patients, except for chewing gum which was ineffective for prevention. Therefore, currently, data from adult studies may need to be extrapolated for the management of pediatric patients. Honey and photobiomodulation therapy in this patient population had encouraging potential. Implementation of a basic oral care protocol is advised amid lack of high level of evidence studies.

Indexed as

AdolescentChildGuidelines as TopicHumansStomatitisCancerEvidence-basedGuidelinesOral mucositisPainPediatric patientsPreventionTreatment

Identifiers

PMID33156403
OpenAlexW3097606204

What OpenQuestion holds

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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.