Barrier films for the prevention of acute radiation dermatitis in breast cancer: A systematic review and meta-analysis of randomised controlled trials

Autor: Cas Stefaan Dejonckheere, Egon Dejonckheere, Julian Philipp Layer, Katharina Layer, Gustavo Renato Sarria, David Koch, Alina Abramian, Christina Kaiser, Kira Lindner, Anne Bachmann, Teresa Anzböck, Fred Röhner, Frederic Carsten Schmeel, Leonard Christopher Schmeel
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Breast, Vol 71, Iss , Pp 31-41 (2023)
Druh dokumentu: article
ISSN: 1532-3080
DOI: 10.1016/j.breast.2023.07.001
Popis: Purpose: Radiation dermatitis (RD) is the most common side effect of adjuvant whole-breast or chest wall irradiation, majorly impacting quality of life in numerous patients. The use of barrier films (polyurethane dressings such as Hydrofilm® and Mepitel® film remaining on the skin for the duration of the radiation treatment) has been investigated as a prophylactic measure in several prospective trials. Here, we critically appraise the available evidence behind preventive barrier film application in the context of breast cancer treatment. Methods: International literature was reviewed and high-quality randomised controlled trials (RCTs) were included in this meta-analysis. Results: The results of 5 RCTs (663 patients; >90% Caucasian) were analysed. Overall, barrier films lead to improved clinician- and patient-reported outcomes: fewer grade ≥2 RD (11% vs. 42%; OR = 0.16; p
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