Evidence map›Paper›PMID 40158149›Full record

GuidelineRadiation oncology (London, England)2025

Practical recommendations for the management of radiodermatitis: on behalf of the ESTRO RTT committee.

Elizabeth Forde, Ludwig Van den Berghe, Monica Buijs, Antonella Cardone, Jacqueline Daly, Pierfrancesco Franco, Naman Julka-Anderson, Wolfgang Lechner, Laure Marignol, Giulia Marvaso and 4 more

Abstract readReviewPractice Guideline
In one paragraph

Guideline in Radiation oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. From clinic to couch: a pilot study of home-use photobiomodulation for radiation-induced oral mucositis and dermatitis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Association between geriatric 8 (G8) scores and self-care decline in elderly patients with head and neck squamous cell carcinoma undergoing radiotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  10. Review
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

14 authors.

Elizabeth FordeApplied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College Dublin, Dublin, Ireland. eforde@tcd.ie.
Ludwig Van den BergheUZ Gent, Ghent, Belgium.
Monica BuijsUniversity of Applied Sciences InHolland, Haarlem, The Netherlands.
Antonella CardoneCancer Patients Europe, Brussels, Belgium.
Jacqueline DalyEast Galway and Midlands Cancer Support, Ballinasloe, Co Galway, Ireland.
Pierfrancesco FrancoDepartment of Translational Medicine (DIMET), University of Eastern Piedmont, Novara, Italy.
Naman Julka-AndersonThe Royal Marsden NHS Foundation Trust, London, UK.
Wolfgang LechnerDepartment of Radiation Oncology, Medical University of Vienna, Vienna, Austria.
Laure MarignolApplied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College Dublin, Dublin, Ireland.
Giulia MarvasoDivision of Radiation Oncology, IEO, European Institute of Oncology, IRCCS, Milan, Italy.
Heather NisbetNHS England, Oxford, UK.
Anita O'DonovanApplied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College Dublin, Dublin, Ireland.
Nicola S RussellDepartment of Radiotherapy, The Netherlands Cancer Institute- Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Philipp SchererUniversity Clinic for Radiotherapy and RadioOncology of the PMU at the County Hospital Salzburg, Salzburg, Austria. p.scherer@salk.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a substantial body of literature addressing the prevention, acute management, and follow-up care of radiation induced dermatitis (RID). The quality and application of this evidence, however, is inconsistent and its interpretation varies widely. While several national guidelines have been developed to standardise practices locally, many of these resources are not publicly available. On behalf of the European Society for Radiotherapy and Oncology (ESTRO) Radiation Therapist (RTT) Committee, an international writing group consisting of 12 experts from radiotherapy and two patient representatives composed a recommendation document for the management of RID. MAIN BODY: The consensus for these recommendations was generated based on available international guidelines, and supplemented with evidence-based review articles on the topic. These recommendations focus on the prevention and practical management of early stage RID by avoiding skin trauma and maintaining hygiene. Addressing pain and inflammation in higher grades is also covered. The current literature refutes some of the traditional recommendations, especially restricting washing as well as the use of deodorant or the potential dose build-up of lotions which has been included and rectified in recent guidelines. In addition, the importance of grading the severity, including a baseline assessment is presented. The benefit of clear, and non-contradictory communication within the multidisciplinary team as well as patient involvement (e.g. PROMs or similar) is highlighted. Furthermore, the importance of recognising different skin types and skin tones, and the impact on how RID changes these in their appearance is stressed.

conclusionThis document provides practical, actionable recommendations for the clinical management of RID, referencing the supporting literature. These recommendations have, however, identified a lack of high-level evidence, especially for agent-specific recommendations.

Indexed as

RadiodermatitisHumansRadiation OncologyGuidelinesRadiation-induced dermatitisRadiodermatitisSkin

Identifiers

PMID40158149
PMCPMC11954187

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.