Aloe vera for Prevention of Acute Radiation Proctitis in Colorectal Cancer a Preliminary Randomized, Placebo-Controlled Clinical Trial
Abstract Objective To examine the preventive effects of Aloe vera in colorectal cancer patients undergoing radiotherapy. Material and Method Twenty colorectal cancer patients, who received radiation, were randomized to receive Aloe vera 3% or placebo ointment, 1 g twice daily for 6 weeks. At weekly visits, acute radiation proctitis (ARP) was evaluated by Radiation Therapy Oncology Group and clinical presentation criteria as the primary endpoint. We also evaluated secondary endpoints of quality of life, psychosocial status, by applying Hospital Anxiety-Depression (HAD) Scale and laboratory measures of quantitative measurement of C-reactive protein (CRP) as a marker for systemic inflammation. Results There was a significant improvement in the symptom index (before treatment vs. after treatment with Aloe vera) for diarrhea (p = 0.029, median score: 0.5 vs. 0.001). The overall primary and secondary outcomes favored Aloe group, while the measures of toxicity did not achieve a statistical significant difference. The lifestyle score improved significantly with A. vera (p = 004), and they also had a lower depression score in HAD scale (p = 0.008). Furthermore, quantitative CRP decreased significantly during the course of treatment with Aloe vera. Conclusion The use of topical formulation of Aloe vera 3% diminishes the severity of ARP in colorectal cancer patients..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:53 |
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| Enthalten in: |
Journal of gastrointestinal cancer - 53(2021), 2 vom: 22. Feb., Seite 318-325 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Sahebnasagh, Adeleh [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
Acute proctitis |
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| Anmerkungen: |
© Springer Science+Business Media, LLC, part of Springer Nature 2021 |
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| doi: |
10.1007/s12029-021-00597-y |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
OLC2078857807 |
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| 520 | |a Abstract Objective To examine the preventive effects of Aloe vera in colorectal cancer patients undergoing radiotherapy. Material and Method Twenty colorectal cancer patients, who received radiation, were randomized to receive Aloe vera 3% or placebo ointment, 1 g twice daily for 6 weeks. At weekly visits, acute radiation proctitis (ARP) was evaluated by Radiation Therapy Oncology Group and clinical presentation criteria as the primary endpoint. We also evaluated secondary endpoints of quality of life, psychosocial status, by applying Hospital Anxiety-Depression (HAD) Scale and laboratory measures of quantitative measurement of C-reactive protein (CRP) as a marker for systemic inflammation. Results There was a significant improvement in the symptom index (before treatment vs. after treatment with Aloe vera) for diarrhea (p = 0.029, median score: 0.5 vs. 0.001). The overall primary and secondary outcomes favored Aloe group, while the measures of toxicity did not achieve a statistical significant difference. The lifestyle score improved significantly with A. vera (p = 004), and they also had a lower depression score in HAD scale (p = 0.008). Furthermore, quantitative CRP decreased significantly during the course of treatment with Aloe vera. Conclusion The use of topical formulation of Aloe vera 3% diminishes the severity of ARP in colorectal cancer patients. | ||
| 650 | 4 | |a Acute proctitis | |
| 650 | 4 | |a Colorectal cancer | |
| 650 | 4 | |a Radiotherapy | |
| 650 | 4 | |a Topical formulation | |
| 700 | 1 | |a Saghafi, Fatemeh |4 aut | |
| 700 | 1 | |a Ghasemi, Arash |4 aut | |
| 700 | 1 | |a Akbari, Jafar |4 aut | |
| 700 | 1 | |a Alipour, Abbas |4 aut | |
| 700 | 1 | |a Habtemariam, Solomon |4 aut | |
| 700 | 1 | |a Safdari, Mohammadreza |4 aut | |
| 700 | 1 | |a Ghaleno, Hassan Rezai |4 aut | |
| 700 | 1 | |a Salehifar, Ebrahim |4 aut | |
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