DOI QR코드

DOI QR Code

Effectiveness of cryotherapy in preventing oral mucositis in pediatric cancer patients in Jordan: a randomized controlled trial

  • Received : 2024.01.28
  • Accepted : 2024.08.02
  • Published : 2024.10.31

Abstract

Purpose: The study aimed to evaluate the effectiveness of cryotherapy in preventing oral mucositis in pediatric patients receiving chemotherapy. Methods: An evidence-based practice project utilized a randomized control trial design with two groups (experimental and control groups). Fifty-nine pediatric patients with cancer in Jordan, aged 8-18 years, were randomly assigned to the experimental group (n=29) or the control group (n=30). The intervention was conducted from June 2022 to December 2022. The severity of oral mucositis among pediatric cancer patients was assessed using the World Health Organization oral mucositis grade. Results: There were no significant differences in sex or disease type among the groups. On days 7, 14, and 21, we observed notable between-group differences in treatment responses and the intensity of oral mucositis, highlighting the efficacy of cryotherapy in diminishing the severity of oral mucositis. Conclusion: This study supports the use of cryotherapy as a preventive measure for oral mucositis among pediatric oncology patients in Jordan. The findings suggest that cryotherapy effectively reduces the severity of oral mucositis. Further research is necessary to investigate the broader impacts of cryotherapy.

Keywords

Acknowledgement

We extend our sincere gratitude to Wenzhou-Kean University for their valuable guidance in editing and reviewing this manuscript. We would also like to express our special thanks to Dr. Belal Abuelhaja (Faculty of College of Science and Technology, Wenzhou-Kean University) for his significant contribution to the proofreading of this manuscript.

References

  1. Colella G, Boschetti CE, Vitagliano R, Colella C, Jiao L, King-Smith N, et al. Interventions for the prevention of oral mucositis in patients receiving cancer treatment: evidence from randomised controlled trials. Current Oncology. 2023;30(1):967-980. https://doi.org/10.3390/curroncol30010074
  2. Bell A, Kasi A. Oral mucositis. In: Aboubakr S, Abu-Ghosh A, Adibi Sedeh P, Aeby TC, Aeddula NR, Agadi S, et al., Editors. StatPearls. 2023.
  3. Ribeiro ILA, Melo ACR, Limao NP, Bonan PRF, Lima Neto EA, Valenca AMG. Oral mucositis in pediatric oncology patients: a nested case-control to a prospective cohort. Brazilian Dental Journal. 2020;31(1):78-88. https://doi.org/10.1590/0103-6440201802881
  4. Allan R, Malone J, Alexander J, Vorajee S, Ihsan M, Gregson W, et al. Cold for centuries: a brief history of cryotherapies to improve health, injury and post-exercise recovery. European Journal of Applied Physiology. 2022;122:1153-1162. https://doi.org/10.1007/s00421-022-04915-5
  5. Correa MEP, Cheng KKF, Chiang K, Kandwal A, Loprinzi CL, Mori T, et al. Systematic review of oral cryotherapy for the management of oral mucositis in cancer patients and clinical practice guidelines. Supportive Care in Cancer. 2020;28(5):2449-2456. https://doi.org/10.1007/s00520-019-05217-x
  6. Riley P, McCabe MG, Glenny AM. Oral cryotherapy for preventing oral mucositis in patients receiving cancer treatment. JAMA Oncology. 2016;2(10):1365-1366. https://doi.org/10.1001/jamaoncol.2016.2680
  7. Elad S, Cheng KKF, Lalla RV, Yarom N, Hong C, Logan RM, Mucositis Guidelines Leadership Group of the Multinational Association of Supportive Care in Cancer and International Society of Oral Oncology (MASCC/ISOO). MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy. Cancer. 2020;126(19):4423-4431. https://doi.org/10.1002/cncr.33100
  8. Lee CC, Kuo SF, Chang WP, Guo SL, Huang TW. Effectiveness of cryotherapy on cancer therapy-induced oral mucositis: an umbrella review. Cancer Nursing. 2023;46(5):E288-E296. https://doi.org/10.1097/ncc.0000000000001128
  9. Al-Rudayni AHM, Gopinath D, Maharajan MK, Veettil SK, Menon RK. Efficacy of photobiomodulation in the treatment of cancer chemotherapy-induced oral mucositis: a meta-analysis with trial sequential analysis. International Journal of Environmental Research and Public Health. 2021;18(14):7418. https://doi.org/10.3390/ijerph18147418
  10. Katranci N, Ovayolu N, Ovayolu O, Sevinc A. Evaluation of the effect of cryotherapy in preventing oral mucositis associated with chemotherapy - a randomized controlled trial. European Journal of Oncology Nursing. 2012;16(4):339-344. https://doi.org/10.1016/j.ejon.2011.07.008
  11. Kawaguchi K, Umeda K, Takachi T, Ogura T, Horikoshi Y, Saida S, et al. Effects of cryotherapy on high-dose melphalan-induced oral mucositis in pediatric patients undergoing autologous stem cell transplantation. Pediatric Blood & Cancer. 2020;67(9):e28495. https://doi.org/10.1002/pbc.28495
  12. Griffiths C, Kwon N, Beaumont JL, Paice JA. Cold therapy to prevent paclitaxel-induced peripheral neuropathy. Supportive Care in Cancer. 2018;26(10):3461-3469. https://doi.org/10.1007/s00520-018-4199-9
  13. Lilleby K, Garcia P, Gooley T, McDonnnell P, Taber R, Holmberg L, et al. A prospective, randomized study of cryotherapy during administration of high-dose melphalan to decrease the severity and duration of oral mucositis in patients with multiple myeloma undergoing autologous peripheral blood stem cell transplantation. Bone Marrow Transplantation. 2006;37(11):1031-1035. https://doi.org/10.1038/sj.bmt.1705384
  14. Al-Rudayni AHM, Gopinath D, Maharajan MK, Veettil SK, Menon RK. Efficacy of oral cryotherapy in the prevention of oral mucositis associated with cancer chemotherapy: systematic review with meta-analysis and trial sequential analysis. Current Oncology. 2021;28(4):2852-2867. https://doi.org/10.3390/curroncol28040250
  15. Ahuja AS. Should RCT's be used as the gold standard for evidence based medicine? Integrative Medicine Research. 2019;8(1):31-32. https://doi.org/10.1016/j.imr.2019.01.001
  16. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Journal of Clinical Epidemiology. 2008;61(4):344-349. https://doi.org/10.1016/j.jclinepi.2007.11.008
  17. Cohen J. A power primer. Psychological Bulletin. 1992;112(1):155-159. https://doi.org/10.1037//0033-2909.112.1.155
  18. Stiff PJ, Emmanouilides C, Bensinger WI, Gentile T, Blazar B, Shea TC, et al. World Health Organization Oral Mucositis Scale (WHO Oral Mucositis Scale) [Internet]. 2006 [cited 2024 July 17]. Available from: https://eprovide.mapi-trust.org/instruments/world-healthorganization-oral-mucositis-scale
  19. Patel P, Robinson PD, Baggott C, Gibson P, Ljungman G, Massey N, et al. Clinical practice guideline for the prevention of oral and oropharyngeal mucositis in pediatric cancer and hematopoietic stem cell transplant patients: 2021 update. European Journal of Cancer. 2021;154:92-101. https://doi.org/10.1016/j.ejca.2021.05.013
  20. Alsulami FJ, Shaheed SU. Oral cryotherapy for management of chemotherapy-induced oral mucositis in haematopoietic cell transplantation: a systematic review. BMC Cancer. 2022;22(1):442. https://doi.org/10.1186/s12885-022-09539-8
  21. Kamsvag T, Svanberg A, Legert KG, Arvidson J, von Essen L, Mellgren K, et al. Prevention of oral mucositis with cryotherapy in children undergoing hematopoietic stem cell transplantations-a feasibility study and randomized controlled trial. Supportive Care in Cancer. 2020;28(10):4869-4879. https://doi.org/10.1007/s00520-019-05258-2
  22. Garcia C, Karri J, Zacharias NA, Abd-Elsayed A. Use of cryotherapy for managing chronic pain: an evidence-based narrative. Pain and Therapy. 2021;10(1):81-100. https://doi.org/10.1007/s40122-020-00225-w