Evidence map›Paper›PMID 36928164›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

Topical non-steroidal agents for the prevention of radiation dermatitis: a systematic review and meta-analysis.

Sakeena Fatima, Satoshi Hirakawa, Gustavo Nader Marta, Saverio Caini, Mara Beveridge, Pierluigi Bonomo, Edward Chow, Corina van den Hurk, Julie Ryan Wolf, Henry Lam and 1 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Guideline
  2. Effectiveness of glutamine for the treatment of radiodermatitis in cancer patients: a meta-analysis of randomized controlled trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  3. StrataXRT for the prevention of acute radiation dermatitis in breast cancer: a pilot study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  4. Head and neck cancer patients under radiotherapy undergoing skin application of hydrogel dressing or hyaluronic acid: results from a prospective, randomized study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Trial
  5. Review
  6. Article
  7. Article
  8. Photobiomodulation therapy for mitigating severity of radiodermatitis in cancer patients undergoing radiotherapy: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  9. Evolution of radiation-induced dermatitis treatment.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Review
  10. Review
  11. Article
  12. Review
  13. Shedding light on the management of acute radiation dermatitis: insight from the MASCC Oncodermatology study group.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  14. 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 9 institutions in 6 countries.

Sakeena FatimaDepartment of Dermatology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Satoshi HirakawaDepartment of Supportive Care in Cancer, Seirei Hamamatsu General Hospital, Hamamatsu, Japan.
Gustavo Nader MartaDepartment of Radiation Oncology, Hospital Sírio-Libanês, Sao Paulo, SP, Brazil.
Saverio CainiCancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPO), Florence, Italy.
Mara BeveridgeDepartment of Dermatology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Pierluigi BonomoDepartment of Radiation Oncology, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Edward ChowDepartment of Radiation Oncology, University of Toronto, Toronto, ON, Canada.
Corina van den HurkNetherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands.
Julie Ryan WolfDepartments of Dermatology and Radiation Oncology, University of Rochester Medical Centre, Rochester, NY, USA.
Henry LamDepartment of Radiation Oncology, University of Toronto, Toronto, ON, Canada.
Tara BehroozianMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada. tara.behroozian@medportal.ca.
University Hospitals of Cleveland · USUniversity of Toronto · CAAzienda Ospedaliero-Universitaria Careggi · ITHospital Sírio-Libanês · BRMcMaster University · CANetherlands Comprehensive Cancer Organisation · NLPiedmont Reference Center for Epidemiology and Cancer Prevention · ITSeirei Hamamatsu General Hospital · JPUniversity of Rochester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadiation dermatitis (RD) is a common side effect of radiation therapy, affecting a majority of breast and head and neck cancer patients with a negative impact on quality of life. Currently, no consensus exists regarding the prevention of RD.

methodsPubMed, Embase and Cochrane databases (1946 to December 2022) were searched using PRISMA guidelines to identify randomized controlled trials (RCTs) that investigated the use of topical non-steroidal agents in the prevention of RD in patients undergoing radiotherapy.

resultsA total of six RCTs were included, comprising 627 patients. Among the topical non-steroidal agents analyzed, only the use of Biafine® in breast cancer patients was significant in preventing grade 4 and 3 + RD as classified by the Radiation Therapy Oncology group (RTOG) scale (OR = 0.07, 95% CI 0.01-0.63, p = 0.02, and OR 0.11, 95% CI 0.03-0.41, p < 0.01, respectively). The remaining agents (trolamine alone and hyaluronic acid/hyaluronan) did not significantly prevent the occurrence of RD.

conclusionThe results of this systematic review and meta-analysis indicate that Biafine® can prevent grade 3 + RD in breast cancer patients. The use of trolamine and hyaluronic acid does not significantly affect the incidence of RD.

Indexed as

Breast NeoplasmsRadiodermatitisEthanolaminesFemaleHumansHyaluronic AcidEthanolaminesHyaluronic AcidtriethanolamineHead and neck cancerNon-steroidal agents, Breast cancerPreventionRadiation dermatitisRadiation therapyTopical agents

Identifiers

PMID36928164
OpenAlexW4327682027

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.