Evidence map›Paper›PMID 36008731›Full record

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

The incidence of severe oral mucositis in patients undergoing different conditioning regimens in haematopoietic stem cell transplantation.

Midori Nakagaki, Glen A Kennedy, Nicole C Gavin, Alexandra Clavarino, Karen Whitfield

3 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article 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. It is linked to 3 registered trials, which are not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 5% 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.

NCT06071637 phase3recruitingnot on this mapstarted 2023, after this paper: background citation

Low Power Laser Therapy As Prevention Of Oral Mucositis And Oropharyngeal Pain In Patients Undergoing Allogenetic Hematopoietic Stem Cell Transplantation.

TypeinterventionalSponsorInstituto Nacional de Cancer, BrazilRan2023 to 2027Enrolled84ConditionsHematopoietic Stem Cell Transplantation, Low-Level Light Therapy, StomatitisArmsDouble low-power laser therapy simultaneous applicated
NCT07400328 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

A Single-Arm, Single-Center Exploratory Study of Amimestrocel Injection for the Prevention of Gastrointestinal Mucositis Induced by Conditioning Regimens Containing TBI and/or Melphalan

TypeinterventionalSponsorThe First Affiliated Hospital of Soochow UniversityRan2026 to 2028Enrolled22ConditionsOral Mucositis, Stomatitis, Gastrointestinal Mucositis, Hematopoietic Stem Cell TransplantationArmsAmimestrocel injection
NCT07709195 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

Chlorophyllin as an Adjunct for Reducing Oral Mucositis in Myeloablative Total Body Irradiation

TypeinterventionalSponsorTata Memorial CentreRan2024 to 2027Enrolled17ConditionsOral Mucositis, Total Body Irradiation, Hematological Malignancies, Hematopoietic Stem Cell Transplantation (HSCT)ArmsSodium Copper Chlorophyllin
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. A randomised trial of topical polaprezinc to prevent oral mucositis in patients undergoing haematopoietic stem cell transplantation (ToPaZ study).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Association between oral management and complications after hematopoietic stem cell transplantation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Physical function and symptoms in adult hematopoietic stem cell transplantation patients, by severity of oral mucositis: a prospective study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Chemotherapy-induced oral mucositis: hierarchical analysis of recurrence factors.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2024
    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

5 authors at 2 institutions in 1 country.

Midori NakagakiPharmacy Department, Royal Brisbane and Women's Hospital, Brisbane, Australia. midori.nakagaki@health.qld.gov.au.ORCID http://orcid.org/0000-0003-4086-6960
Glen A KennedyCancer Care Services, Royal Brisbane and Women's Hospital, Brisbane, Australia.ORCID http://orcid.org/0000-0002-7171-0435
Nicole C GavinCancer Care Services, Royal Brisbane and Women's Hospital, Brisbane, Australia.ORCID http://orcid.org/0000-0002-0828-9852
Alexandra ClavarinoFaculty of Public Health, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0002-1145-5946
Karen WhitfieldPharmacy Department, Royal Brisbane and Women's Hospital, Brisbane, Australia.ORCID http://orcid.org/0000-0002-8628-6796
The University of Queensland · AUQueensland University of Technology · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOral mucositis is a common complication during haematopoietic stem cell transplantation (HSCT). This study aimed to assess the incidence of severe mucositis in patients undergoing different HSCT regimens.

methodsThis single-centre retrospective study reviewed daily oral assessment for 467 consecutive patients who underwent different transplant regimens for matched unrelated or related allogeneic HSCT with post-transplant methotrexate, haploidentical or mismatched HSCT with post-transplant cyclophosphamide (PTCy), or autologous HSCT. Oral care and cryotherapy with melphalan were used. Patient demographic data, oral mucositis WHO grade, use of total parenteral nutrition (TPN) and patient-controlled analgesia (PCA) were collected.

resultsGrade 3-4 oral mucositis was common in myeloablative total body irradiation (TBI)-based regimens cyclophosphamide/ TBI (CyTBI) (71%) and fludarabine/ TBI (FluTBI) with PTCy (46%), as well as reduced-intensity fludarabine/melphalan (FluMel) (43%) and carmustine/etoposide/cytarabine/melphalan (BEAM) autologous HSCT (41%). In contrast, grade 3-4 oral mucositis was less common in reduced-intensity haploidentical regimen melphalan/fludarabine/TBI with PTCy (19%), all non-myeloablative regimens (0-9%) and high-dose melphalan autologous HSCT (26%). TPN and PCA use were correlated to oral mucositis severity.

conclusionsSevere oral mucositis was associated with myeloablative TBI, methotrexate and melphalan in combination with methotrexate and in BEAM. Use of PTCy was preferable over methotrexate to prevent oral mucositis.

Indexed as

Hematopoietic Stem Cell TransplantationStomatitisCyclophosphamideHumansIncidenceMelphalanMethotrexateRetrospective StudiesTransplantation ConditioningCyclophosphamideMelphalanMethotrexateConditioningHaematopoietic stem cell transplantationOral mucositisRisk factors

Identifiers

PMID36008731
PMCPMC9410738
OpenAlexW4293243274

What OpenQuestion holds

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LicenceCC BY
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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.