Promulgation of guidelines for mucositis management: educating health care professionals and patients

McGuire, Deborah B.; Johnson, Judith; Migliorati, Cesar A.

doi:10.1007/s00520-006-0060-7

Cited by 18 publications

(26 citation statements)

References 7 publications

(14 reference statements)

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“…Implementation of the guidelines and related comments in clinical settings can best be undertaken by engaging an interdisciplinary process involving those health care professionals who are most relevant, for example, nursing, dental medicine, medicine, and pharmacy [47,58]. Such groups can then explore options for building the guidelines and other information resulting from this review into institutional standards of care, algorithms, nursing policies and procedures, or other formulaic approaches to management of OM.…”

Section: Discussionmentioning

confidence: 99%

Systematic review of basic oral care for the management of oral mucositis in cancer patients

McGuire

Fulton²,

Park

et al. 2013

Support Care Cancer

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Purpose The purpose of this project was to evaluate research in basic oral care interventions to update evidence-based practice guidelines for preventing and treating oral mucositis (OM) in cancer patients undergoing radio-or chemotherapy. Methods A systematic review of available literature was conducted by the Basic Oral Care Section of the Mucositis Study Group of MASCC/ISOO. Seven interventions-oral care protocols, dental care, normal saline, sodium bicarbonate, mixed medication mouthwash, chlorhexidine, and calcium phosphate-were evaluated using the Hadorn (J Clin Epidemiol 49: [749][750][751][752][753][754] 1996) criteria to determine level of evidence, followed by a guideline determination of one of the following: recommendation, suggestion, or no guideline possible, using Somerfield's (Classic Pap Cur Comments 4:881-886, 2000) schema.Results Fifty-two published papers were examined by treatment population (radiotherapy, chemotherapy, and hematopoietic stem cell transplant) and by whether the intervention aimed to prevent or treat OM. The resulting practice suggestions included using oral care protocols for preventing OM across all treatment modalities and age groups and not using chlorhexidine mouthwash for preventing OM in adults with head and neck cancer undergoing radiotherapy. Considering inadequate and/or conflicting evidence, no guidelines for prevention or treatment of OM were possible for the interventions of dental care, normal saline, sodium bicarbonate, mixed medication mouthwash, chlorhexidine in patients receiving chemotherapy or hematopoietic stem cell transplant, or calcium phosphate. Conclusions The evidence for basic oral care interventions supports the use of oral care protocols in patient populations receiving radiation and/or chemotherapy and does not support chlorhexidine for prevention of mucositis in head and neck cancer patients receiving radiotherapy. Additional welldesigned research is needed for other interventions to improve the amount and quality of evidence guiding future clinical care.

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Section: Discussionmentioning

confidence: 99%

Systematic review of basic oral care for the management of oral mucositis in cancer patients

McGuire

Fulton²,

Park

et al. 2013

Support Care Cancer

Self Cite

207

151

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“…Th e role of the oral health professional may positively aff ect treatment outcomes for patients with various cancers, whether through direct patient care or educating oncology teams on evidence-based practices. Multidisciplinary approaches that include dental professionals have not been integrated into this population's total care (ACS, 2013;Barker et al, 2005;Keefe et al, 2007;McGuire, 2003;McGuire, Johnson, & Migliorati 2006;NCI, 2013;NIDCR, 2011;Öhrn & Sjödėn, 2003;Southern, 2007;Vissink et al, 2003).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Th eir expertise in oral disease and health promotion can provide needed oral health evaluation prior to cancer therapy by addressing existing oral health issues which could impact cancer therapy, as well as through assessment/ treatment of oral complications (for example, see Figure 1) associated during and aft er completion of cancer therapy (ACS, 2013;Barker et al, 2005;Keefe et al, 2007;McGuire, 2003;McGuire, Johnson, & Migliorati 2006;NCI, 2013;NIDCR, 2011;Öhrn & Sjödėn, 2003;Southern, 2007;Vissink et al, 2003). Th e role of the oral health professional may positively aff ect treatment outcomes for patients with various cancers, whether through direct patient care or educating oncology teams on evidence-based practices.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Assessing knowledge of oral health and practice of evidence-based guidelines among oncology teams is crucial in oral management of oncology patients (Barker et al, 2005;McGuire, 2003;McGuire, Johnson, & Migliorati, 2006;Southern, 2007;Vissink et al, 2003). Annually, over one million Americans are diagnosed with cancer and 40% of patients receiving systemic chemotherapy develop oral problems (American Cancer Society, [ACS], 2013;National Cancer Institute, [NCI], 2013; National Institute of Dental and Craniofacial Research, [NIDCR], 2011).…”

Section: Introductionmentioning

confidence: 99%

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National Survey of Oncology Members’ Knowledge, Education and Patient Management Regarding Oral Care in Cancer Therapy

Tranmer¹,

Boyd²,

Johnson³

et al. 2013

Health and Interprofessional Practice

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INTRODUCTION Oral complications can be profound in patients undergoing cancer therapy, negatively impacting quality of life, and potentially postponing or disrupting treatment. While oncology team members seek to deliver optimal oral care, evidence-based management of oral complications and knowledge in the provision of oral care poses a challenge to attaining satisfactory reductions in complications such as oral mucositis, xerostomia and rampant dental caries.

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“…qualidade de vida destes pacientes dependem da atuação de uma equipe multiprofissional capacitada no manejo desta alteração é de fundamental importância (DANIEL; DAMATO;JOHNSON, 2004;MCGUIRE;MI-GLIORATI, 2006).…”

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Avaliação do nível de conhecimento de alunos de pós-graduação em Radiologia e Imaginologia sobre mucosite oral

Carvalho

Silva

Ramos

et al. 2017

cmbio

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ResumoObjetivo: este estudo observacional transversal objetivou avaliar o nível de conhecimento dos cirurgiões-dentistas, alunos de pós-graduação em Radiologia e Imaginologia da Faculdade São Leopoldo Mandic -Campinas sobre diagnóstico, prevenção e tratamento de mucosite oral induzida pelo tratamento do câncer, por meio da aplicação um questionário. Metodologia: participaram da pesquisa 54 voluntários, cirurgiões dentistas, alunos de especialização e mestrado, que responderam um questionário desenvolvido para esta pesquisa, composto de questões para caracterização do entrevistado e questões para avaliar os conhecimentos sobre mucosite. Após a coleta, os dados obtidos foram tabulados no editor de planilhas Microsoft Office Excel e submetidos a uma análise estatística descritiva e analítica das variáveis coletadas. Resultados: revelaram que quanto à autoavaliação do conhecimento específico sobre mucosite oral foi "Regular" (44,6%) a resposta mais prevalente, seguida de "Bom" com 30,4%, "Insuficiente" com 17,9% e "Ótimo", com 7,1%. Questionados sobre o contato com a mucosite oral na prática clínica, 62,5% dos voluntários (n:35) responderam não ter tido contato e 35,7% responderam ter tido contato com a mucosite oral (n:20). O local de conhecimento da condição foi na graduação (75%); e quanto à conduta 12,5% realizaria o tratamento e 64,3% encaminharia para um estomatologista; e 50% dos investigados relataram não ter tido orientação de prevenção e tratamento da mucosite oral durante o curso de Graduação. Conclusão: pode se concluir que os entrevistados têm conhecimento teórico em nível médio (54,97%) sobre os conceitos mais gerais de mucosite oral; e a grande maioria (62,5%) não teve experiência clínica com esta patologia. Palavras-chave: Mucosite Oral. Radioterapia. Quimioterapia. Abstract Objective: this cross-sectional observational study aimed to evaluate the level of knowledge of dentists, graduate students in Radiology and Imaging of Faculdade São Leopoldo Mandic -Campinas on diagnosis, prevention and treatment of oral mucositis induced by cancer treatment, through the application of an questionnaire.Methodology: the participants were 54 volunteers, dentists, specialization and master's students, who answered a questionnaire developed for this study, consisting of questions to characterize the interviewee and questions to assess the knowledge of mucositis. The data were tabulated and submitted to a descriptive and analytical statistical analysis of the collected variables.Results: the results revealed that the self-assessment of specific knowledge about oral mucositis was "Regular" (44.6%) the most prevalent response, followed by " Good" with 30.4%, "Not Enough" with 17.9% and "Great", with 7

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Promulgation of guidelines for mucositis management: educating health care professionals and patients

Cited by 18 publications

References 7 publications

Systematic review of basic oral care for the management of oral mucositis in cancer patients

Systematic review of basic oral care for the management of oral mucositis in cancer patients

National Survey of Oncology Members’ Knowledge, Education and Patient Management Regarding Oral Care in Cancer Therapy

Avaliação do nível de conhecimento de alunos de pós-graduação em Radiologia e Imaginologia sobre mucosite oral

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