Effects of various treatments for preventing oral mucositis in cancer patients: A network meta-analysis.

<h4>Background</h4>Oral mucositis (OM) is a common side effect of chemotherapy and radiotherapy in patients with cancers. The prevention or treatment of OM in cancer patients is crucial in the treatment of cancer.<h4>Methods</h4>We searched PubMed, Embase, and Cochrane Librar...

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Main Authors: Tzu-Rong Peng, Fang-Pei Tsai, Ta-Wei Wu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0278102&type=printable
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author Tzu-Rong Peng
Fang-Pei Tsai
Ta-Wei Wu
author_facet Tzu-Rong Peng
Fang-Pei Tsai
Ta-Wei Wu
author_sort Tzu-Rong Peng
collection DOAJ
description <h4>Background</h4>Oral mucositis (OM) is a common side effect of chemotherapy and radiotherapy in patients with cancers. The prevention or treatment of OM in cancer patients is crucial in the treatment of cancer.<h4>Methods</h4>We searched PubMed, Embase, and Cochrane Library for the randomized control trials (RCTs) of interventions for preventing and treating OM. Network meta-analysis (NMA) was performed to estimate odds ratios (ORs) and 95% confidence intervals (CI) from both direct and indirect evidence. The prespecified primary efficacy outcome was the treatment effect of moderate to severe oral mucositis with 12 interventions. The outcome was moderate to a severe grade of OM.<h4>Results</h4>This study included 55 RCTs with 3,552 participants. The results showed that honey significantly lowered the risk of chemo/radiotherapy-induced moderate to severe oral mucositis than placebo (OR: 0.01, 95%CI 0.00 to 0.45), followed by lignocaine (OR: 0.07, 95%CI 0.00 to 0.95). The surface under cumulative ranking curve (SUCRA) values for honey were 0.95, followed by lignocaine (SUCRA, 0.81) and benzydamine (SUCRA, 0.78).<h4>Conclusions</h4>The honey is effective for patients with cancer undergoing chemotherapy or radiotherapy-induced oral mucositis.
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spelling doaj-art-70420160cdf74c5b8c198b1df19e7de72025-08-20T02:28:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011712e027810210.1371/journal.pone.0278102Effects of various treatments for preventing oral mucositis in cancer patients: A network meta-analysis.Tzu-Rong PengFang-Pei TsaiTa-Wei Wu<h4>Background</h4>Oral mucositis (OM) is a common side effect of chemotherapy and radiotherapy in patients with cancers. The prevention or treatment of OM in cancer patients is crucial in the treatment of cancer.<h4>Methods</h4>We searched PubMed, Embase, and Cochrane Library for the randomized control trials (RCTs) of interventions for preventing and treating OM. Network meta-analysis (NMA) was performed to estimate odds ratios (ORs) and 95% confidence intervals (CI) from both direct and indirect evidence. The prespecified primary efficacy outcome was the treatment effect of moderate to severe oral mucositis with 12 interventions. The outcome was moderate to a severe grade of OM.<h4>Results</h4>This study included 55 RCTs with 3,552 participants. The results showed that honey significantly lowered the risk of chemo/radiotherapy-induced moderate to severe oral mucositis than placebo (OR: 0.01, 95%CI 0.00 to 0.45), followed by lignocaine (OR: 0.07, 95%CI 0.00 to 0.95). The surface under cumulative ranking curve (SUCRA) values for honey were 0.95, followed by lignocaine (SUCRA, 0.81) and benzydamine (SUCRA, 0.78).<h4>Conclusions</h4>The honey is effective for patients with cancer undergoing chemotherapy or radiotherapy-induced oral mucositis.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0278102&type=printable
spellingShingle Tzu-Rong Peng
Fang-Pei Tsai
Ta-Wei Wu
Effects of various treatments for preventing oral mucositis in cancer patients: A network meta-analysis.
PLoS ONE
title Effects of various treatments for preventing oral mucositis in cancer patients: A network meta-analysis.
title_full Effects of various treatments for preventing oral mucositis in cancer patients: A network meta-analysis.
title_fullStr Effects of various treatments for preventing oral mucositis in cancer patients: A network meta-analysis.
title_full_unstemmed Effects of various treatments for preventing oral mucositis in cancer patients: A network meta-analysis.
title_short Effects of various treatments for preventing oral mucositis in cancer patients: A network meta-analysis.
title_sort effects of various treatments for preventing oral mucositis in cancer patients a network meta analysis
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0278102&type=printable
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