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Nursing Procedures for the Prevention and Treatment of Mucositis Induced by Cancer Therapies: Clinical Practice Guideline Based on an Interdisciplinary Consensus Process and a Systematic Literature Search
BACKGROUND: Patients with cancer receiving tumor therapy often suffer from oral mucositis. OBJECTIVES: The aim of this project was to summarize experiences with nursing procedures by experts in integrative oncology and to establish recommendations for nursing interventions that can prevent or cure m...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7960907/ https://www.ncbi.nlm.nih.gov/pubmed/33467951 http://dx.doi.org/10.1177/1534735420940412 |
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author | Steinmann, Diana Babadağ Savaş, Burcu Felber, Sabine Joy, Sosamma Mertens, Isabelle Cramer, Holger Paul, Anna Layer, Monika Klafke, Nadja Stolz, Regina Heyder, Ute Neuberger, Petra Winkler, Marcela Idler, Christel Heine, Rolf Kaschdailewitsch, Elke John, Heike Schmeling, Beeke Zielke, Tatjana Horneber, Markus Witt, Claudia M. Voiss, Petra |
author_facet | Steinmann, Diana Babadağ Savaş, Burcu Felber, Sabine Joy, Sosamma Mertens, Isabelle Cramer, Holger Paul, Anna Layer, Monika Klafke, Nadja Stolz, Regina Heyder, Ute Neuberger, Petra Winkler, Marcela Idler, Christel Heine, Rolf Kaschdailewitsch, Elke John, Heike Schmeling, Beeke Zielke, Tatjana Horneber, Markus Witt, Claudia M. Voiss, Petra |
author_sort | Steinmann, Diana |
collection | PubMed |
description | BACKGROUND: Patients with cancer receiving tumor therapy often suffer from oral mucositis. OBJECTIVES: The aim of this project was to summarize experiences with nursing procedures by experts in integrative oncology and to establish recommendations for nursing interventions that can prevent or cure mucositis. METHODS: The study design was an interdisciplinary consensus process based on a systematic literature search. RESULTS: The panel discussed and agreed on 19 nursing procedures, which included mouthwashes, such as teas, supplements, oil applications, and different kinds of ice cubes to suck, as well as flaxseed solution, propolis, and mare milk. Twelve interventions were classified as effective, with effectiveness for OraLife, propolis, sea buckthorn pulp oil, marshmallow root tea also for xerostomia, Helago chamomile oil, mare milk, and Saliva Natura rated as highly effective in clinical experience. In the systematic literature search, a total of 12 out of 329 randomized controlled trials and meta-analyses on chamomile (n = 3), Calendula (n = 1) and sage (n = 1), propolis (n = 2), and sucking ice cubes (cryotherapy; n = 5) met all inclusion criteria. Trial evidence for effectiveness in oral mucositis was revealed for propolis and cryotherapy. CONCLUSIONS: The current evidence supports the use of some nursing procedures (f.e. propolis for 2 and 3 grade mucositis) for improving oral mucositis during cancer therapies. There is still a need to define general clinical practice guidelines for the supportive treatment of mucositis, as well as for more interdisciplinary research in this area. |
format | Online Article Text |
id | pubmed-7960907 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-79609072021-03-29 Nursing Procedures for the Prevention and Treatment of Mucositis Induced by Cancer Therapies: Clinical Practice Guideline Based on an Interdisciplinary Consensus Process and a Systematic Literature Search Steinmann, Diana Babadağ Savaş, Burcu Felber, Sabine Joy, Sosamma Mertens, Isabelle Cramer, Holger Paul, Anna Layer, Monika Klafke, Nadja Stolz, Regina Heyder, Ute Neuberger, Petra Winkler, Marcela Idler, Christel Heine, Rolf Kaschdailewitsch, Elke John, Heike Schmeling, Beeke Zielke, Tatjana Horneber, Markus Witt, Claudia M. Voiss, Petra Integr Cancer Ther Research Article BACKGROUND: Patients with cancer receiving tumor therapy often suffer from oral mucositis. OBJECTIVES: The aim of this project was to summarize experiences with nursing procedures by experts in integrative oncology and to establish recommendations for nursing interventions that can prevent or cure mucositis. METHODS: The study design was an interdisciplinary consensus process based on a systematic literature search. RESULTS: The panel discussed and agreed on 19 nursing procedures, which included mouthwashes, such as teas, supplements, oil applications, and different kinds of ice cubes to suck, as well as flaxseed solution, propolis, and mare milk. Twelve interventions were classified as effective, with effectiveness for OraLife, propolis, sea buckthorn pulp oil, marshmallow root tea also for xerostomia, Helago chamomile oil, mare milk, and Saliva Natura rated as highly effective in clinical experience. In the systematic literature search, a total of 12 out of 329 randomized controlled trials and meta-analyses on chamomile (n = 3), Calendula (n = 1) and sage (n = 1), propolis (n = 2), and sucking ice cubes (cryotherapy; n = 5) met all inclusion criteria. Trial evidence for effectiveness in oral mucositis was revealed for propolis and cryotherapy. CONCLUSIONS: The current evidence supports the use of some nursing procedures (f.e. propolis for 2 and 3 grade mucositis) for improving oral mucositis during cancer therapies. There is still a need to define general clinical practice guidelines for the supportive treatment of mucositis, as well as for more interdisciplinary research in this area. SAGE Publications 2021-01-19 /pmc/articles/PMC7960907/ /pubmed/33467951 http://dx.doi.org/10.1177/1534735420940412 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Research Article Steinmann, Diana Babadağ Savaş, Burcu Felber, Sabine Joy, Sosamma Mertens, Isabelle Cramer, Holger Paul, Anna Layer, Monika Klafke, Nadja Stolz, Regina Heyder, Ute Neuberger, Petra Winkler, Marcela Idler, Christel Heine, Rolf Kaschdailewitsch, Elke John, Heike Schmeling, Beeke Zielke, Tatjana Horneber, Markus Witt, Claudia M. Voiss, Petra Nursing Procedures for the Prevention and Treatment of Mucositis Induced by Cancer Therapies: Clinical Practice Guideline Based on an Interdisciplinary Consensus Process and a Systematic Literature Search |
title | Nursing Procedures for the Prevention and Treatment of Mucositis Induced by Cancer Therapies: Clinical Practice Guideline Based on an Interdisciplinary Consensus Process and a Systematic Literature Search |
title_full | Nursing Procedures for the Prevention and Treatment of Mucositis Induced by Cancer Therapies: Clinical Practice Guideline Based on an Interdisciplinary Consensus Process and a Systematic Literature Search |
title_fullStr | Nursing Procedures for the Prevention and Treatment of Mucositis Induced by Cancer Therapies: Clinical Practice Guideline Based on an Interdisciplinary Consensus Process and a Systematic Literature Search |
title_full_unstemmed | Nursing Procedures for the Prevention and Treatment of Mucositis Induced by Cancer Therapies: Clinical Practice Guideline Based on an Interdisciplinary Consensus Process and a Systematic Literature Search |
title_short | Nursing Procedures for the Prevention and Treatment of Mucositis Induced by Cancer Therapies: Clinical Practice Guideline Based on an Interdisciplinary Consensus Process and a Systematic Literature Search |
title_sort | nursing procedures for the prevention and treatment of mucositis induced by cancer therapies: clinical practice guideline based on an interdisciplinary consensus process and a systematic literature search |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7960907/ https://www.ncbi.nlm.nih.gov/pubmed/33467951 http://dx.doi.org/10.1177/1534735420940412 |
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