SCIENCE, PRACTICE AND EDUCATION DOI: 10.35279/jowm2022.23.03.07 Scoping review on the treatment of radiodermatitis secondary to radiotherapy treatment of head and neck, and breast cancer Maryse Beaumier , RN, PhD, Professor, Health Care Science Department, Université du Québec at Rimouski, Province of Quebec, Canada Sebastian Probst , RN, DClinPrac, MNS, BNS, Professor of Tissue Viability and Wound Care, Geneva School of Health Sciences, HES-SO, University of Applied Sciences and Arts Western Switzerland, Geneva School of Health Sciences, Geneva, Switzerland. Care Directorate, University Hospital Geneva, Geneva Switzerland Faculty of Medicine Nursing and Health Sciences, Monash University, Melbourne, Australia Dr Mathieu Chamberland , MD, Faculty of Medicine, Université Laval, Province of Quebec, Canada Antony Bertrand-Grenier , Medical Physicist, PhD, Centre intégré universitaire de santé et des services sociaux de la Mauricie Centre-du-Québec (CIUSSS-MCQ), Province of Quebec, Canada Dr Anne Dagnault , MD, PhD, FRCPC, Radiation Oncologist, Faculty of Medicine, Université Laval, Province of Quebec, Canada Jérémy Laroche, Marie-Ève Daigle, Aude Jalbert-Drouin, Annabelle Prud’homme, Élyse Ménard , all Medical students, Faculty of Medicine, Université Laval, Province of Quebec, Canada Hind Sadiqi , B.Sc. Nutrition, Medical student, Dania Sakr , B.Sc., M.Sc. Pharmacy, Faculty of Medicine, Université Laval, Province of Quebec, Canada Correspondence: Maryse Beaumier, Maryse_Beaumier@uqar.ca Conflict of interest: None Keywords: Radiodermatitis, radiotherapy, tissue damage, wound care, wound management ABSTRACT Purpose Almost 95% of patients undergoing radiotherapy treatments will develop a form of radiodermatitis. Despite this prevalence, treatment recommenda- tions lack consensus, and clinical practices differ. The purpose of this scoping review is to examine the literature for radiodermatitis treatment options occurring in persons with head and neck, as well as breast, cancer and to report the pain felt by these populations after receiving radiotherapy. Methods A scoping review based on the Preferred Report- ing Items for Systematic reviews and Meta-analyses extension for Scoping Reviews (PRISMA_Sc-R) checklist was performed. To identify the sources of evidence, the MEDLINE, CINAHL, Cochrane, LiSSA and Google Scholar databases were searched. All available articles published in the French and English languages were included. Results Two hundred fifty-five studies met the inclusion cri- teria. The included studies demonstrated heteroge- neous results, owing to significant variations in the interventions, the controls and the assessment tools. The quality of the evidence was found to be low and at high risk for biases. Conclusion This scoping review provides a broad overview of the available data and highlights the paucity of high- quality evidence to guide therapeutic interventions for the optimal management of radiodermatitis. Since radiodermatitis is a common injury of radio- therapy for breast cancer and head and neck cancer, more research is needed to guide the prevention and treatment of radiodermatitis for patients suffering from this complication. INTRODUCTION Cancer is among the leading causes of non-accidental deaths worldwide, with more than 19 million peo- ple diagnosed each year; nearly 50% of them receive JOURNAL OF WOUND MANAGEMENT OFFICIAL JOURNAL OF THE EUROPEAN WOUND MANAGEMENT ASSOCIATION 193
Download PDF file
Build your own flipbook