Barrier films or dressings for the prevention of acute radiation dermatitis in breast cancer: a systematic review and network meta-analysis Journal Article
| Authors: | Wong, H. C. Y.; Lee, S. F.; Caini, S.; Chan, A. W.; Kwan, J. Y. Y.; Waddle, M.; Sonis, S.; Herst, P.; Alcorn, S.; Bonomo, P.; Wong, C.; Corbin, K.; Choi, J. I.; Rembielak, A.; Alkhaifi, M.; Marta, G. N.; Rades, D.; van den Hurk, C.; Wolf, J. R.; Chan, R. J.; Schmeel, L. C.; Lock, M.; Hijal, T.; Cao, J.; Kim, H.; Chow, E. |
| Article Title: | Barrier films or dressings for the prevention of acute radiation dermatitis in breast cancer: a systematic review and network meta-analysis |
| Abstract: | Background Barrier films or dressings were reported to be effective in preventing radiation dermatitis (RD) in breast cancer patients, but their comparative efficacy is unknown. Methods A systematic literature search was performed on Embase, MEDLINE and Cochrane CENTRAL Registry of Clinical Trials from inception to October 20, 2023. Randomised controlled trials (RCTs) comparing barrier films or dressings to the standard of care (SOC) or other interventions were included. We estimated summary odds ratios and mean differences using network meta-analysis with random effects. This study was registered with PROSPERO (ID: CRD42023475021). Results Fourteen RCTs met inclusion criteria. Six interventions were analysed: 3M (TM) Moisturizing Double Barrier Cream (MDBC), 3M (TM) No Sting Barrier Film (BF), Hydrofilm (R) (HF), Mepitel (R) Film (MF), Silver Leaf Nylon Dressing and StrataXRT (R). HF, MF and StrataXRT (R) reduced the incidence of moist desquamation compared to SOC (HF: OR = 0.08; p = 0.02; MF: OR = 0.31 p < 0.01; StrataXRT (R): OR = 0.22, p = 0.04). The ranking of agents from most to least effective in preventing moist desquamation according to P-scores was HF (92.5%), MF (78.5%), StrataXRT (R) (70.1%), BF (46.4%), Silver Leaf Nylon Dressing (24.9%), MDBC (22.9%) and SOC (14.7%). Only four RCTs on HF and MF included patient-reported outcome (PRO) assessments that allowed pooling for analysis. HF and MF were more effective in reducing pain, itchiness and burning sensation compared to SOC (p < 0.01 for all symptoms). Conclusion HF and MF were effective in preventing RD in breast cancer. Future RCTs should compare these interventions to effective cream preparations, such as topical corticosteroids. |
| Keywords: | quality of life; breast cancer; radiotherapy; therapy; radiation dermatitis; double-blind; phase-iii; randomized-trial; cream; mometasone furoate; acute skin toxicity; barrier dressings; barrier film; moist desquamation; mepitel film |
| Journal Title: | Breast Cancer Research and Treatment |
| ISSN: | 0167-6806 |
| Publisher: | Springer |
| Publication status: | Online ahead of print |
| Date Published: | 2024-01-01 |
| Online Publication Date: | 2024-01-01 |
| Language: | English |
| ACCESSION: | WOS:001286138100003 |
| DOI: | 10.1007/s10549-024-07435-2 |
| PROVIDER: | wos |
| Notes: | Review; Early Access -- Source: Wos |
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