Clinical use of photobiomodulation for the prevention and treatment of oral mucositis: the real-life experience of MASCC/ISOO members

Aim To assess clinical use and patient outcome of photobiomodulation (PBM) for oral mucositis (OM) prevention and treatment among specialized practitioners. Methods A poll was emailed to the members of the Mucositis Study Group of MASCC/ISOO. The PBM parameters used by the respondents were analyzed using exploratory statistical methods to identify combinations of PBM parameters (patterns) that characterize the variance in the protocols (principal component analysis). Results Responses were received from 101 MSG members, with 78 providing analyzable data. Most of the responders were dental practitioners or oral medicine specialists. PBM was used by 59% of the responders for OM or targeted therapy stomatitis. Technical parameters varied widely. Most responders used wavelengths ∼650 nm intra-orally. The spot-size and distance from the tissue were the main factors driving the variation. All PBM users noted that PBM relieved pain, either immediately or a delayed effect. High likelihood of pain relief (measured as responder’s report of pain relief in 67–100% of patients) was reported by 22% and 19% of PBM users for immediate pain relief and delayed pain relief, respectively. The most common reported barriers to using PBM were financial considerations, time constraints, lack of training or experience and concern about the potential for malignant transformation or increased risk of cancer recurrence. Conclusions The use of PBM for OM prevention or treatment is in early phases of adoption in practices, facing some obstacles to implement it. A wide variation in technical parameters was found. Nonetheless, responses indicate that PBM provided pain relief..

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:31

Enthalten in:

Supportive care in cancer - 31(2023), 8 vom: 21. Juli

Sprache:

Englisch

Beteiligte Personen:

Abdalla-Aslan, Ragda [VerfasserIn]
Zadik, Yehuda [VerfasserIn]
Intrator, Orna [VerfasserIn]
Bardellini, Elena [VerfasserIn]
Cheng, Karis Kin Fong [VerfasserIn]
Bossi, Paolo [VerfasserIn]
Yarom, Noam [VerfasserIn]
Elad, Sharon [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Cancer
Effective
Laser
Oral mucositis
Pain
Photobiomodulation
Prevention
Treatment

RVK:

RVK Klassifikation

Anmerkungen:

© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s00520-023-07919-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2144596697

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