Evidence map›Paper›PMID 33586003›Full record

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

A mouth rinse based on a tea solution of Salvia officinalis for oral discomfort in palliative cancer care: a randomized controlled trial.

Ragnhild Elisabeth Monsen, Bente Brokstad Herlofson, Caryl Gay, Katrine Gahre Fjeld, Lene Hystad Hove, Karl Egil Malterud, Elisabeth Saghaug, Joran Slaaen, Tone Sundal, Anita Tollisen and 1 more

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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02067572 (A Comparison of the Effectiveness of Normal Saline Mouthwash and Mouthwash Based on Tea Solution From Salvia Officinalis), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.8field-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.

NCT02067572 nacompletednot on this map

A Comparison of the Effectiveness of Normal Saline Mouthwash and Mouthwash Based on Tea Solution From Salvia Officinalis (SO) in Palliative Care. A Randomized Controlled Trial

TypeinterventionalSponsorLovisenberg Diakonale HospitalRan2014 to 2016Enrolled88ConditionsTerminal Illness, XerostomiaArmsSaline mouthwash, Salvia mouthwash
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. MASCC/ISOO expert opinion on the management of oral problems in patients with advanced cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Guideline
  3. RSC advances · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Observational
  11. A Narrative of Oral Care in Palliative Patients.International journal of environmental research and public health · 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

11 authors at 4 institutions in 2 countries.

Ragnhild Elisabeth MonsenDepartment of Medicine, Lovisenberg Diaconal Hospital, Oslo, Norway. ragnhm@uio.no.ORCID http://orcid.org/0000-0002-8529-2131
Bente Brokstad HerlofsonDepartment of Oral Surgery and Oral Medicine, Faculty of Dentistry, University of Oslo, Oslo, Norway.
Caryl GayDepartment of Research, Lovisenberg Diaconal Hospital, Oslo, Norway.
Katrine Gahre FjeldDepartment of Cariology and Gerodontology, Faculty of Dentistry, University of Oslo, Oslo, Norway.
Lene Hystad HoveDepartment of Cariology and Gerodontology, Faculty of Dentistry, University of Oslo, Oslo, Norway.
Karl Egil MalterudDepartment of Pharmacy, Section Pharmaceutical Chemistry, University of Oslo, Oslo, Norway.
Elisabeth SaghaugDepartment of Medicine, Lovisenberg Diaconal Hospital, Oslo, Norway.
Joran SlaaenDepartment of Medicine, Lovisenberg Diaconal Hospital, Oslo, Norway.
Tone SundalDepartment of Medicine, Lovisenberg Diaconal Hospital, Oslo, Norway.
Anita TollisenDepartment of Medicine, Lovisenberg Diaconal Hospital, Oslo, Norway.
Anners LerdalDepartment for Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Postboks 1089 Blindern, 0317, Oslo, Norway.
University of Oslo · NOLovisenberg Diakonale Høgskole · NOOslo University Hospital · NOUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew clinical studies evaluate interventions to reduce oral discomfort among patients in palliative care.

aimThis study examines the efficacy of a Salvia officinalis (SO) based herbal mouth rinse compared to conventional normal saline (NS) in order to improve oral health.

designA block-randomized controlled trial. Data were collected before and after a 4-day intervention with either SO (n=44) or NS (n=44). Numerical rating scales (NRS, 0-10) and 12 items from the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Oral Health 17 (EORTC QLQ-OH17) measured patient-reported oral symptoms. An oral examination was performed before and after the intervention. SETTING/

participantsThis study included adult patients with late-stage cancer in an inpatient hospice unit.

resultsOf the 88 patients included (mean age=63.9 years, SD=10.6), 73 (83%) completed the study. At baseline, 78% reported dry mouth on the EORTC QLQ-OH17, and 80% rated dry mouth ≥4 on the NRS. Total oral health scores based on the 12 EORTC QLQ-OH17 items improved similarly in both groups (p<0.001). However, dry mouth ratings on both the EORTC QLQ-OH17 (p=0.036) and NRS (p=0.045) improved more in the SO group than in the NS group. Plaque on the teeth improved in both the SO (p=0.008) and NS (p=0.018) groups, but plaque on the tongue and erythema only improved with NS.

conclusionsThis study did not detect an overall significant difference between SO and NS. Both mouth rinses improved oral health parameters, indicating that systematic assessment and oral care may reduce oral discomfort.

trial registrationNCT02067572.

Indexed as

NeoplasmsSalvia officinalisAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedMouthwashesPalliative CareQuality of LifeSurveys and QuestionnairesTeaMouthwashesTeaMouth rinseOral careOral healthPalliative careRandomized controlled trialSalvia officinalis

Identifiers

PMID33586003
PMCPMC8295113
OpenAlexW3133017888

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.