Evidence map›Paper›PMID 34708311›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Extraoral photobiomodulation for prevention of oral and oropharyngeal mucositis in head and neck cancer patients: interim analysis of a randomized, double-blind, clinical trial.

Elisa Kauark-Fontes, Cesar Augusto Migliorati, Joel B Epstein, Nathaniel Simon Treister, Carolina Guimarães Bonfim Alves, Karina Morais Faria, Natalia Rangel Palmier, Leticia Rodrigues-Oliveira, Mariana de Pauli Paglioni, Luiz Alcino Monteiro Gueiros and 7 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Photobiomodulation for oral mucositis in cancer care: prevention, clinical management, and evidence from randomized controlled trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. The supportive use of photobiomodulation on salivary glands: a narrative review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Intraoral vs. extraoral photobiomodulation therapy for oral mucositis in head and neck cancer patients: a multicenter, randomized, single-blind clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Interventions to improve quality of life in patients with head and neck cancers receiving radiation therapy: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  20. 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

17 authors.

Elisa Kauark-FontesOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Bairro Areão, Piracicaba, SP, 13414-903, Brazil.ORCID http://orcid.org/0000-0001-7375-379X
Cesar Augusto MiglioratiCollege of Dentistry, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-2535-2606
Joel B EpsteinSamuel Oschin Comprehensive Cancer Center, Cedars-Sinai Health System, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0002-9264-9151
Nathaniel Simon TreisterDivision of Oral Medicine and Dentistry, Brigham and Women's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5596-7222
Carolina Guimarães Bonfim AlvesOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Bairro Areão, Piracicaba, SP, 13414-903, Brazil.ORCID http://orcid.org/0000-0003-3526-4201
Karina Morais FariaDental Oncology Service, Instituto Do Cancer Do Estado de São Paulo (ICESP-FMUSP), São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-8795-5146
Natalia Rangel PalmierOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Bairro Areão, Piracicaba, SP, 13414-903, Brazil.ORCID http://orcid.org/0000-0001-9588-6227
Leticia Rodrigues-OliveiraOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Bairro Areão, Piracicaba, SP, 13414-903, Brazil.ORCID http://orcid.org/0000-0002-5775-6090
Mariana de Pauli PaglioniOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Bairro Areão, Piracicaba, SP, 13414-903, Brazil.ORCID http://orcid.org/0000-0002-6588-9651
Luiz Alcino Monteiro GueirosClinical and Preventive Dentistry Department, Universidade Federal de Pernambuco, Recife, SP, Brazil.ORCID http://orcid.org/0000-0003-4979-4318
Karina G M da Conceição VasconcelosService of Radiation Oncology, Instituto Do Câncer Do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-9544-6555
Gilberto de CastroDepartment of Medical Oncology, Instituto Do Cancer Do Estado de São Paulo (ICESP), São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-8765-3044
Adriana Franco Paes LemeBrazilian Biosciences National Laboratory (LNBio), Brazilian Center for Research in Energy and Materials (CNPEM), Campinas, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-7959-147X
Marcio Ajudarte LopesOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Bairro Areão, Piracicaba, SP, 13414-903, Brazil.ORCID http://orcid.org/0000-0001-6677-0065
Ana Carolina Prado-RibeiroDental Oncology Service, Instituto Do Cancer Do Estado de São Paulo (ICESP-FMUSP), São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-0127-7998
Thaís Bianca BrandãoDental Oncology Service, Instituto Do Cancer Do Estado de São Paulo (ICESP-FMUSP), São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-9128-3138
Alan Roger Santos-SilvaOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Bairro Areão, Piracicaba, SP, 13414-903, Brazil. alanroger@fop.unicamp.br.ORCID http://orcid.org/0000-0003-2040-6617

Funding

fundação de amparo à pesquisa do estado de são paulo 2018/02233-6fundação de amparo à pesquisa do estado de são paulo 2018/23479-3
6 · The paper itself

Abstract

purposeTo assess the safety and efficacy of prophylactic extraoral photobiomodulation (PBM) for the prevention of oral and oropharyngeal mucositis (OM) on clinical outcomes and survival in patients with oral cavity and oropharyngeal squamous cell carcinoma (OOPSCC).

methodsOOPSCC patients who received radiotherapy (RT) were prospectively randomized to two groups: prophylactic extraoral PBM and placebo. OM grade (NCI), pain (VAS), analgesia, and anti-inflammatory prescriptions were assessed weekly. Quality of life questionnaires (QoL) were performed at the first and last day of RT. Following RT, participants were evaluated quarterly for oncological outcomes follow-up.

resultsFifty-five patients met the inclusion criteria. The first occurrence of OM was observed at week 1, for the placebo group (p = 0.014). Later, OM onset and severity was observed for the PBM group, with first occurrence at week 2 (p = 0.009). No difference in severe OM incidence was observed (p > 0.05). Lower mean pain score was noted at week 7 for the PBM group (2.1) compared to placebo group (4.5) (p = 0.009). Less analgesics (week 3; p = 0.009/week 7; p = 0.02) and anti-inflammatory prescription (week 5; p = 0.0346) were observed for the PBM group. Better QoL scores were observed for the PBM group at last day of RT (p = 0.0034). No difference in overall survival among groups was observed in 1 year of follow-up (p = 0.889).

conclusionProphylactic extraoral PBM can delay OM onset, reduce pain, and reduce analgesic and anti-inflammatory prescription requirements. Extraoral PBM was associated with better QoL. There was no evidence of PBM impact on oncological outcomes.

trial registrationTRN:RBR-4w4swx (date of registration: 01/20/2020).

Indexed as

Head and Neck NeoplasmsLow-Level Light TherapyMucositisStomatitisDouble-Blind MethodHumansQuality of LifeOral mucositisOverall survivalPhotobiomodulationQuality of lifeRadiotherapy

Identifiers

PMID34708311
PMCPMC8550910

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.