Cargando…
A critical assessment of oral care protocols for patients under radiation therapy in the regional University Hospital Network of Madrid (Spain)
BACKGROUND: This research was aimed to critically evaluate, under the light of the available scientific evidence, the oral care protocols recommended by different hospitals in head and neck cancer (HNC) patients under radiation therapy. MATERIAL AND METHODS: A questionnaire requesting all the releva...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medicina Oral S.L.
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663064/ https://www.ncbi.nlm.nih.gov/pubmed/26644838 http://dx.doi.org/10.4317/jced.52557 |
_version_ | 1782403244996165632 |
---|---|
author | Lanzós, Isabel Herrera, David Lanzós, Eduardo Sanz, Mariano |
author_facet | Lanzós, Isabel Herrera, David Lanzós, Eduardo Sanz, Mariano |
author_sort | Lanzós, Isabel |
collection | PubMed |
description | BACKGROUND: This research was aimed to critically evaluate, under the light of the available scientific evidence, the oral care protocols recommended by different hospitals in head and neck cancer (HNC) patients under radiation therapy. MATERIAL AND METHODS: A questionnaire requesting all the relevant information for the oral care of these patients was sent to the 9 University Hospitals in Madrid. The answers were categorized and analyzed. In addition, an electronic search was conducted to identify the most relevant papers (systematic reviews [SR] and randomized clinical trials [RCTs]) assessing oral care protocols for patients treated for HNC with radiation therapy. RESULTS: Eight out of nine centers answered the questionnaire and the retrieved information was tabulated and compared. These recommendations were analyzed by a computerized search on MEDLINE and the Cochrane Oral Health Collaboration Database. The results of the analysis clearly shown a great heterogeneity, in terms of oral health care protocols, regarding the management of irradiated patients (for HNC) within the Hospitals of Madrid region. In addition, some of the recommendations lack solid scientific support. CONCLUSIONS: The present survey revealed that the recommendations provided by the different hospitals were clearly different. The available evidence, supported by SR and RCTs, suggested the need of an oral assessment before cancer treatment, in order to prevent and treat dental pathologies and avoiding potential complications; during cancer treatment, it is relevant monitoring the patient in order to decrease the severity of the side effects, and to avoid any tooth extraction or surgery and special attention should be paid to mucositis, xerostomia and candidiasis; after cancer treatment, the following are relevant aspects: the risk of osteoradionecrosis, trismus, caries and the risks associated to dental implants. Key words:Head and neck cancer, supportive care in cancer, radiotherapy complications, management and oral care on cancer treatment. |
format | Online Article Text |
id | pubmed-4663064 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medicina Oral S.L. |
record_format | MEDLINE/PubMed |
spelling | pubmed-46630642015-12-07 A critical assessment of oral care protocols for patients under radiation therapy in the regional University Hospital Network of Madrid (Spain) Lanzós, Isabel Herrera, David Lanzós, Eduardo Sanz, Mariano J Clin Exp Dent Research BACKGROUND: This research was aimed to critically evaluate, under the light of the available scientific evidence, the oral care protocols recommended by different hospitals in head and neck cancer (HNC) patients under radiation therapy. MATERIAL AND METHODS: A questionnaire requesting all the relevant information for the oral care of these patients was sent to the 9 University Hospitals in Madrid. The answers were categorized and analyzed. In addition, an electronic search was conducted to identify the most relevant papers (systematic reviews [SR] and randomized clinical trials [RCTs]) assessing oral care protocols for patients treated for HNC with radiation therapy. RESULTS: Eight out of nine centers answered the questionnaire and the retrieved information was tabulated and compared. These recommendations were analyzed by a computerized search on MEDLINE and the Cochrane Oral Health Collaboration Database. The results of the analysis clearly shown a great heterogeneity, in terms of oral health care protocols, regarding the management of irradiated patients (for HNC) within the Hospitals of Madrid region. In addition, some of the recommendations lack solid scientific support. CONCLUSIONS: The present survey revealed that the recommendations provided by the different hospitals were clearly different. The available evidence, supported by SR and RCTs, suggested the need of an oral assessment before cancer treatment, in order to prevent and treat dental pathologies and avoiding potential complications; during cancer treatment, it is relevant monitoring the patient in order to decrease the severity of the side effects, and to avoid any tooth extraction or surgery and special attention should be paid to mucositis, xerostomia and candidiasis; after cancer treatment, the following are relevant aspects: the risk of osteoradionecrosis, trismus, caries and the risks associated to dental implants. Key words:Head and neck cancer, supportive care in cancer, radiotherapy complications, management and oral care on cancer treatment. Medicina Oral S.L. 2015-12-01 /pmc/articles/PMC4663064/ /pubmed/26644838 http://dx.doi.org/10.4317/jced.52557 Text en Copyright: © 2015 Medicina Oral S.L. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Lanzós, Isabel Herrera, David Lanzós, Eduardo Sanz, Mariano A critical assessment of oral care protocols for patients under radiation therapy in the regional University Hospital Network of Madrid (Spain) |
title | A critical assessment of oral care protocols for patients under radiation therapy in the regional University Hospital Network of Madrid (Spain) |
title_full | A critical assessment of oral care protocols for patients under radiation therapy in the regional University Hospital Network of Madrid (Spain) |
title_fullStr | A critical assessment of oral care protocols for patients under radiation therapy in the regional University Hospital Network of Madrid (Spain) |
title_full_unstemmed | A critical assessment of oral care protocols for patients under radiation therapy in the regional University Hospital Network of Madrid (Spain) |
title_short | A critical assessment of oral care protocols for patients under radiation therapy in the regional University Hospital Network of Madrid (Spain) |
title_sort | critical assessment of oral care protocols for patients under radiation therapy in the regional university hospital network of madrid (spain) |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663064/ https://www.ncbi.nlm.nih.gov/pubmed/26644838 http://dx.doi.org/10.4317/jced.52557 |
work_keys_str_mv | AT lanzosisabel acriticalassessmentoforalcareprotocolsforpatientsunderradiationtherapyintheregionaluniversityhospitalnetworkofmadridspain AT herreradavid acriticalassessmentoforalcareprotocolsforpatientsunderradiationtherapyintheregionaluniversityhospitalnetworkofmadridspain AT lanzoseduardo acriticalassessmentoforalcareprotocolsforpatientsunderradiationtherapyintheregionaluniversityhospitalnetworkofmadridspain AT sanzmariano acriticalassessmentoforalcareprotocolsforpatientsunderradiationtherapyintheregionaluniversityhospitalnetworkofmadridspain AT lanzosisabel criticalassessmentoforalcareprotocolsforpatientsunderradiationtherapyintheregionaluniversityhospitalnetworkofmadridspain AT herreradavid criticalassessmentoforalcareprotocolsforpatientsunderradiationtherapyintheregionaluniversityhospitalnetworkofmadridspain AT lanzoseduardo criticalassessmentoforalcareprotocolsforpatientsunderradiationtherapyintheregionaluniversityhospitalnetworkofmadridspain AT sanzmariano criticalassessmentoforalcareprotocolsforpatientsunderradiationtherapyintheregionaluniversityhospitalnetworkofmadridspain |