Evidence map›Paper›PMID 36929087›Full record

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

Barrier Films and Dressings for the Prevention of Acute Radiation Dermatitis: A Systematic Review and Meta-Analysis.

Jolien Robijns, Michele Aquilano, Suvam Banerjee, Saverio Caini, Julie Ryan Wolf, Corina van den Hurk, Mara Beveridge, Henry Lam, Pierluigi Bonomo, Edward Chow and 1 more

Erratum issuedOpen access · greenAbstract 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. An erratum has been issued. Cited by 16 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 5 pooled it
3.7field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 5 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. MASCC oncodermatology clinical practice statement: prevention and management of acute radiation dermatitis with Mepitel Film and Hydrofilm.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Guideline
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. 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
  7. Article
  8. Review
  9. Review
  10. Article
  11. Radiation-induced skin injury in the head and neck region: pathogenesis, clinics, prevention, treatment considerations and proposal for management algorithm.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2024
    Review
  12. Review
  13. Perceptions of healthcare professionals on the use of Mepitel Film for the prevention of acute radiation dermatitis in breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  14. Article
  15. 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
  16. Correction to: Barrier films and dressings for the prevention of acute Radiation dermatitis: A systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 11 institutions in 6 countries.

Jolien RobijnsFaculty of Medicine and Life Sciences, Limburg Clinical Research Center, Hasselt University, Hasselt, Belgium.ORCID http://orcid.org/0000-0002-6286-1581
Michele AquilanoDepartment of Biomedical, Experimental, and Clinical Sciences "Mario Serio", University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0001-9460-6406
Suvam BanerjeeDepartment of Health and Family Welfare, Government of West Bengal, Burdwan Medical College and Hospital, The West Bengal University of Health Sciences, West Bengal, India.ORCID http://orcid.org/0000-0002-8441-0642
Saverio CainiCancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPO), Florence, Italy.ORCID http://orcid.org/0000-0002-2262-1102
Julie Ryan WolfDepartments of Dermatology and Radiation Oncology, University of Rochester Medical Centre, Rochester, NY, USA.ORCID http://orcid.org/0000-0002-0592-7820
Corina van den HurkNetherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-7802-1034
Mara BeveridgeDepartment of Dermatology, University Hospitals, Cleveland, OH, USA.
Henry LamSunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0003-4517-5552
Pierluigi BonomoDepartment of Radiation Oncology, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.ORCID http://orcid.org/0000-0001-8999-5208
Edward ChowDepartment of Radiation Oncology, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-3075-1898
Tara BehroozianMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada. Tara.Behroozian@medportal.ca.
Azienda Ospedaliero-Universitaria Careggi · ITBurdwan Medical College & Hospital · INHasselt University · BEMcMaster University · CANetherlands Comprehensive Cancer Organisation · NLPiedmont Reference Center for Epidemiology and Cancer Prevention · ITSunnybrook Health Science Centre · CAUniversity Hospitals of Cleveland · USUniversity of Florence · ITUniversity of Rochester Medical Center · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis systematic review and meta-analysis aimed to evaluate the efficacy of barrier films and dressings in preventing acute radiation dermatitis (RD).

methodsOVID Medline, Embase, and Cochrane databases were searched from 1946 to September 2020 to identify randomized controlled trials on the use of barrier films or dressings to prevent RD. For comparable outcomes between studies, pooled effect sizes and 95% confidence intervals (CI) were calculated using the random effects analysis in RevMan 5.4.

resultsFourteen and 11 studies were included in the qualitative and quantitative analyses, respectively. Five types of barrier films used for RD were identified: Hydrofilm, StrataXRT®, Mepitel® Film, 3 M™ Cavilon™ No-Sting Barrier Film, and silver leaf nylon dressing. Hydrofilm and Mepitel Film significantly reduced the development of RD grade ≥ 2 in breast and head and neck cancer patients (RR 0.32, 95%CI 0.19, 0.56, p < 0.0001; RR 0.21, 95%CI 0.05, 0.89, p = 0.03, resp.). Moreover, Hydrofilm had a beneficial effect on patient-reported outcomes (PROs) (SMD -0.75, 95%CI -1.2, -0.29, p = 0.001). The meta-analyses on the other barrier films did not show any significant effect.

conclusionThis review and meta-analysis demonstrated that Hydrofilm and Mepitel Film could effectively reduce RD severity and improve PROs. The evidence is generally weak for all the studies on barrier films and dressings due to a limited study number, high risk of bias, small sample sizes, and minimal comparable outcome measures. It's potential has been proven, but future research in this field is recommended to confirm the efficacy of these products and assess real-world feasibility.

Indexed as

BandagesDermatitisBreastHumansSiliconesmepitelSiliconesAcute radiation dermatitisBarrier filmDressingMeta-analysisRadiotherapySkin toxicitySystematic review

Identifiers

PMID36929087
OpenAlexW4327676498

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.