Evidence map›Paper›PMID 36890527›Full record

ArticleHead & face medicine2023

Evaluation of oral mucositis, candidiasis, and quality of life in patients with head and neck cancer treated with a hypofractionated or conventional radiotherapy protocol: a longitudinal, prospective, observational study.

Pedro Maciel de Vasconcellos Ferreira, Marina de Castro Monteiro Franco Gomes, Ana Clara Speziali Menegazzi Almeida, Júlia Soares Cornélio, Thiago Jardim Arruda, Arnoldo Mafra, Marcelo Henrique Silva Nunes, Rafael Borges Salera, Raquel Fabiane Nogueira, Juliana Maria Braga Sclauser and 2 more

Open access · goldAbstract read
In one paragraph

Article in Head & face medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
  4. Review
  5. 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

12 authors at 2 institutions in 1 country.

Pedro Maciel de Vasconcellos FerreiraSchool of Medical Sciences of Minas Gerais, Alameda Ezequiel Dias, Belo Horizonte, 27530130-110, Brazil.
Marina de Castro Monteiro Franco GomesSchool of Medical Sciences of Minas Gerais, Alameda Ezequiel Dias, Belo Horizonte, 27530130-110, Brazil.
Ana Clara Speziali Menegazzi AlmeidaSchool of Medical Sciences of Minas Gerais, Alameda Ezequiel Dias, Belo Horizonte, 27530130-110, Brazil.
Júlia Soares CornélioSchool of Medical Sciences of Minas Gerais, Alameda Ezequiel Dias, Belo Horizonte, 27530130-110, Brazil.
Thiago Jardim ArrudaMario Penna Institute, 901, Joaquim Candido Filho, Belo Horizonte, 30320-420, Brazil.
Arnoldo MafraMario Penna Institute, 901, Joaquim Candido Filho, Belo Horizonte, 30320-420, Brazil.
Marcelo Henrique Silva NunesMario Penna Institute, 901, Joaquim Candido Filho, Belo Horizonte, 30320-420, Brazil.
Rafael Borges SaleraMario Penna Institute, 901, Joaquim Candido Filho, Belo Horizonte, 30320-420, Brazil.
Raquel Fabiane NogueiraMario Penna Institute, 901, Joaquim Candido Filho, Belo Horizonte, 30320-420, Brazil.
Juliana Maria Braga SclauserMario Penna Institute, 901, Joaquim Candido Filho, Belo Horizonte, 30320-420, Brazil.
Ana Paula Drummond-LageSchool of Medical Sciences of Minas Gerais, Alameda Ezequiel Dias, Belo Horizonte, 27530130-110, Brazil.
Bruno Almeida RezendeSchool of Medical Sciences of Minas Gerais, Alameda Ezequiel Dias, Belo Horizonte, 27530130-110, Brazil. bruno.rezende@cienciasmedicasmg.edu.br.ORCID http://orcid.org/0000-0002-4460-0572
Instituto de Ensino e Pesquisa Santa Casa · BREzequiel Dias Foundation · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, recently, Radiotherapy (RT) protocols requiring fewer sessions (hypofractionated) have been used to shorten RT treatment and minimize patient exposure to medical centers, and decrease the risk of SARS-CoV-2 infection.

methodsThis longitudinal, prospective, observational study aimed to compare the quality of life (QoL) and the incidence of oral mucositis and candidiasis in 66 patients with head and neck cancer (HNC) who undergo a hypofractionated RT protocol (GHipo), total of 55 Gy for 4 weeks, or a conventional RT protocol (GConv), total of 66 - 70 Gy for 6 - 7 weeks. PURPOSE: To assess the incidence and severity of oral mucositis, the incidence of candidiasis, and QoL were evaluated using the World Health Organization scale, clinical evaluation, and the QLC-30 and H&N-35 questionnaires, respectively, at the beginning and the end of RT.

resultsThe incidence of candidiasis did not show differences between the two groups. However, at the end of RT, mucositis had a higher incidence (p < 0.01) and severity (p < 0.05) in GHipo. QoL was not markedly different between the two groups. Although mucositis worsened in patients treated with hypofractionated RT, QoL did not worsen for patients on this regimen.

conclusionsOur results open perspectives for the potential use of RT protocols for HNC with fewer sessions in conditions that require faster, cheaper, and more practical treatments.

Indexed as

CandidiasisCOVID-19Head and Neck NeoplasmsMucositisStomatitisHumansObservational Studies as TopicProspective StudiesQuality of LifeSARS-CoV-2Head and Neck NeoplasmsOral CandidiasisOral MucositisQuality of LifeRadiation Dose HypofractionationRadiotherapy Dose Fractionations

Identifiers

PMID36890527
PMCPMC9992900
OpenAlexW4323568281

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.