Photobiomodulation for the prevention and treatment of oral mucositis in patients submitted to hematopoietic stem cell transplantation: health quality evaluation.

Autor: Marinho LCN; Dentistry Department, Federal University of Rio Grande Do Norte, - UFRN, 1787 Sen. Salgado Filho Ave., Lagoa Nova, Natal, RN, Zip code 59056-000, Brazil., Freire GCB; Dentistry Department, Federal University of Rio Grande Do Norte, - UFRN, 1787 Sen. Salgado Filho Ave., Lagoa Nova, Natal, RN, Zip code 59056-000, Brazil., de Araújo Silva DN; School of Dentistry, University of California, Los Angeles (UCLA), Los Angeles, USA., de Lima KC; Dentistry Department, Federal University of Rio Grande Do Norte, - UFRN, 1787 Sen. Salgado Filho Ave., Lagoa Nova, Natal, RN, Zip code 59056-000, Brazil., da Silveira ÉJD; Dentistry Department, Federal University of Rio Grande Do Norte, - UFRN, 1787 Sen. Salgado Filho Ave., Lagoa Nova, Natal, RN, Zip code 59056-000, Brazil., Potter GS; Bone Marrow Transplant Sector, Hospital Rio Grande, Natal, RN, Brazil., de Almeida Soares RD; Center for Hematology and Hemotherapy, Federal University of Rio Grande Do Norte, Natal, RN, Brazil., de Aquino Martins ARL; Dentistry Department, Federal University of Rio Grande Do Norte, - UFRN, 1787 Sen. Salgado Filho Ave., Lagoa Nova, Natal, RN, Zip code 59056-000, Brazil. anarafaela.luz@terra.com.br.
Jazyk: angličtina
Zdroj: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2024 Oct 31; Vol. 32 (11), pp. 760. Date of Electronic Publication: 2024 Oct 31.
DOI: 10.1007/s00520-024-08952-y
Abstrakt: Objective: To evaluate the quality of oral health care through indicators in patients undergoing hematopoietic stem cell transplantation for the management of oral mucositis.
Methods: Thirty-five patients were evaluated. Photobiomodulation was performed during the conditioning regimen, 1 day, 5 days, and 10 days after transplantation. Four process indicators and 13 outcome indicators were used to evaluate the effectiveness of the intervention, according to SQUIRE 2.0.
Results: All process indicators demonstrated a compliance rate of 100% to the desired standard. Outcome indicators revealed that 66.6% of patients experienced mucositis during at least one follow-up period. A statistically significant increase was observed between periods of 1 and 5 days post-transplant, as well as between 1 and 10 days post-transplant (p < 0.05), with a predominance of grade I mucositis (p = 0.014). Four patients (16.7%) reported feeling pain, occurring between 5 and 10 days after transplantation, with moderate pain being the most prevalent. Oral mucositis did not show a statistically significant association with pain, associated treatments, leukopenia, comorbidities, or type of transplant.
Conclusions: The indicators demonstrated their suitability for evaluating oral health in both the prevention and treatment of oral mucositis in these patients. Furthermore, the effectiveness of photobiomodulation in improving the quality of oral health in the patients studied was confirmed.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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