A case-control, mono-center, open-label, pilot study to evaluate the feasibility of therapeutic touch in preventing radiation dermatitis in women with breast cancer receiving adjuvant radiation therapy

A rapid evidence assessment of recent therapeutic touch research

“…The average group size in these studies was 26 participants. However, the breast cancer radiation dermatitis cohort research scored the highest GSRS score of five in this study (Younus et al, 2014). The largest sample reported was in a single retrospective chart review study which examined 237 participants' charts for two comparative groups (TT and no TT) although this study also achieved low quality of evidence scores (Senderovich et al, 2016).…”

“…The overall quality of evidence was low with over 70% of studies scoring the minimal score possible of three on the GSRS weight of evidence scale. The highest GSRS weight of evidence scores (with a maximum score of 5 out of 9) was found in three RCTs and one cohort study (Busch et al., 2012 ; Johnston et al., 2013 ; Madrid et al., 2010 ; Younus et al., 2014 ). The studies’ results on the MSSM scores also indicated weaker approaches to overall research design.…”

Evidências científicas sobre os fatores associados à qualidade de vida de pacientes com radiodermatite

“…The results showed a predominance of randomized clinical trials with level of evidence II 1 8 (57.14%) (15)(16)(17)(18)(19)(20)(21)(22) , published in the International Journal of Radiation Oncology Biology Physics 5 (35.71%) (16)(17)19,21,23) , in English 14 (100%) (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) and between the years 2013 and 2014 6 (42.85) (16)(17)(18)(19)23,25) . To assess the QL, the most used instrument was the European Organization for Research and Treatment of Cancer: Quality of Life Questionnaire C"-30 (EORTC QLQ C-30) 7 (50%) (18,(20)(21)(22)(24)(25)(26) .…”

“…Among the factors that compromised the QL, it was observed that elevated levels of pain were the most reported and had significant associations with the physical limitations imposed by the lesion, thus contributing to a worse quality of life (15,(17)(18)21,(23)(24)(25)(26)(27) . In addition,other factors were identified, including pruritus (17,23,26) , discomfort (21,27) , fatigue (23)(24) , sensitivity change (18) , in the body image (17) and in the pattern of sleep and rest (25)(26) .…”

Preditores e qualidade de vida em pacientes com radiodermatite: estudo longitudinal

“…(33) A fadiga e as alterações no padrão de sono também foram comuns, sendo caracterizada pela sensação subjetiva de cansaço decorrente do desgaste preexistente, essas manifestações reduzem a funcionalidade e independência, sendo intensificadas quando combinadas com reações emocionais e níveis elevados de dor. (34,35) Diante da magnitude da reação e dos impactos na QV, surge a necessidade de intervenções de enfermagem efetivas, como a identificação dos preditores e a implantação de estratégias voltadas para prevenção, controle e tratamento da lesão. Ainda, considera-se que conhecer a QV desses pacientes permite que o planejamento da assistência seja realizado a partir de diretrizes e recomendações clínicas, voltadas para cuidado seguro.…”