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Photodynamic therapy for oral mucositis in cancer patients- a systematic review and meta-analysis

Oncologia
Imagem de arquivo, ilustrativa — não é do estudo. Células em divisão (mitose), em microscopia de fluorescência. ZEISS Microscopy · CC BY 2.0 · Wikimedia Commons

MetanáliseNível 1 · Evidência consolidadaPhotodiagnosis and photodynamic therapy28 nov 20248 citações

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Resumo original em inglês

O que aconteceu

This systematic review aimed to evaluate the efficacy of photodynamic therapy (PDT) in reducing the severity of chemotherapy-induced oral mucositis, and associated symptoms in cancer patients compared to standard care or other interventions.

A comprehensive literature search identified seven relevant studies (randomized controlled trials and non-randomized clinical trials) published between January 1, 2000, and May 31, 2024. The data analysis was carried out using the standardized mean difference as the outcome measure. A random-effects model was fitted to the data. The rank correlation test and the regression test, using the standard error of the observed outcomes as predictors, were used to check for funnel plot asymmetry.

O que encontraram

Studies combining PDT with photobiomodulation therapy (PBMT) consistently showed superior therapeutic outcomes compared to PBMT alone, particularly in accelerating healing and reducing pain. In the meta-analysis (k = 4), the observed standardized mean differences ranged from -0.9605 to -0.0223, with most estimates being negative (100 %). The estimated average standardized mean difference based on the random-effects model was -0.5138 (95% CI: -0.8799 to -0.1477).

Por que isso importa

PDT, especially when combined with PBMT, shows promise in reducing the severity of oral mucositis and associated symptoms in cancer patients.

Resumo publicado sob licença CC BY. A tradução para o português ainda não chegou a este estudo.

O estudo original

Photodynamic therapy for oral mucositis in cancer patients- a systematic review and meta-analysis

Betsy Joseph, Matti Mauramo, Baiju Kamalasanan Vijayakumary, Tuomas Waltimo, Sukumaran Anil, Timo Sorsa

Descritores MeSH

  • Photochemotherapy
  • Neoplasms
  • Stomatitis
  • Photosensitizing Agents
  • Humans
  • Low-Level Light Therapy
  • Antineoplastic Agents

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