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Title: | Multinational Association of Supportive Care in Cancer (MASCC) clinical practice guidelines for the prevention and management of acute radiation dermatitis: international Delphi consensus-based recommendations | Authors: | Behroozian, Tara Bonomo, Pierluigi Patel, Partha Kanee, Lauren Finkelstein, Samuel van den Hurk, Corina Chow, Edward Wolf, Julie Ryan Behroozian, Tara Bonomo, Pierluigi Patel, Partha Kanee, Lauren Finkelstein, Samuel van den Hurk, Corina Chow, Edward Ryan Wolf, Julie Banerjee, Suvam Becherini, Carlotta Boers-Doets, Christine Carlesimo, Marta Caro, Gemma Caterina Fortuna, Maria Chan, Adrian Wai Drapek, Lorraine Freites-Martinez, Azael Hirakawa, Satoshi Hoffman Smith, Emily Iacovelli, Nicola Alessandro Kwong, Bernice Lee, Shing Fung Markova, Alina Miller, Robert Marta, Gustavo Nader Pugliese, Silvina Reyes Habito, Claire Marie ROBIJNS, Jolien Salvestrini, Viola Schmeel, Leonard Christopher Spalek, Mateusz Trombetta, Mark Wong, Henry Chun Yip |
Issue Date: | 2023 | Source: | LANCET ONCOLOGY, 24 (4) , p. e172 -e185 | Abstract: | Acute radiation dermatitis is a frequent adverse effect of radiotherapy, but standardisation of care for acute radiation dermatitis is lacking. Due to the conflicting evidence and variability in current guidelines, a four-round Delphi consensus process was used to compile opinions of 42 international experts on care for people with acute radiation dermatitis on the basis of the evidence in existing medical literature. Interventions for acute radiation dermatitis prevention or management that reached at least 75% consensus were recommended for clinical use. Six interventions could be recommended for the prevention of acute radiation dermatitis: photobiomodulation therapy and Mepitel film in people with breast cancer, Hydrofilm, mometasone, betamethasone, and olive oil. Mepilex Lite dressings were recommended for the management of acute radiation dermatitis. Most interventions were not recommended due to insufficient evidence, conflicting evidence, or lack of consensus to support use, suggesting a need for further research. Clinicians can consider implementing recommended interventions in their practice to prevent and manage acute radiation dermatitis until additional evidence becomes available. | Document URI: | http://hdl.handle.net/1942/39872 | ISSN: | 1470-2045 | e-ISSN: | 1474-5488 | DOI: | 10.1016/S1470-2045(23)00067-0 | Rights: | 2023 Elsevier Ltd. All rights reserved | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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1-s2.0-S1470204523000670-main.pdf Restricted Access | Published version | 438.7 kB | Adobe PDF | View/Open Request a copy |
Final_Part 2) Delphi-Consensus Based Recommendations Draft_20221103_FINAL copy (3) (1).pdf Until 2024-05-01 | Peer-reviewed author version | 680.14 kB | Adobe PDF | View/Open Request a copy |
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