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Shedding light on the management of acute radiation dermatitis: insight from the MASCC Oncodermatology study group

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Abstract

This paper highlights a collection of eleven recently published manuscripts on the prevention and management of acute radiation dermatitis. These meta-analyses provide additional evidence for the updated clinical practice guidelines by the Multinational Association of Supportive Care in Cancer (MASCC) Oncodermatology study group for prevention and management of acute radiation dermatitis. The collection of papers elucidate the currently available evidence on acute radiation dermatitis, highlighting consolidated knowledge, effective treatments, and proposed areas for future clinical trials. Overall, a total of 51 randomized controlled trials were retrieved and included for quantitative analysis of an initial systematic review of literature from 1946 to January 2023. Discussion of the clinical impact of various therapeutic interventions include: antiperspirant and deodorant use, barrier films and dressings, natural and miscellaneous agents, photobiomodulation therapy, topical corticosteroids, topical non-steroidal agents, skin hygiene and washing, as well as StrataXRT and Mepitel film in breast cancer patients. The comprehensive nature of the meta-analyses and their related findings may help reduce the discrepancies in in treatment of acute radiation dermatitis and facilitate consistency of therapeutic interventions employed in clinical practice worldwide.

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References

  1. Ryan Wolf J, Hong A. Radiation dermatitis. In: UpToDate, Fowler J, Wazer, DE, Corona R (Ed), UpToDate, Waltham, MA. (Accessed on November 18, 2022). https://www.uptodate.com/contents/radiation-dermatitis

  2. Bolderston A, Lloyd NS, Wong RKS et al (2006) The prevention and management of acute skin reactions related to radiation therapy: a systematic review and practice guideline. Supp Care Cancer 14:802–817. https://doi.org/10.1007/s00520-006-0063-4

    Article  Google Scholar 

  3. Behroozian T, Goldshtein D, Ryan Wolf J, et al (2023) MASCC clinical practice guidelines on the prevention and management of acute radiation dermatitis: part 1) systematic review. eClnicalMedicine 101886. https://doi.org/10.1016/j.eclinm.2023.101886

  4. Behroozian T, Bonomo P, Patel P et al (2023) 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. Lancet Oncol 24:e172–e185

    Article  PubMed  Google Scholar 

  5. Behroozian T, Caini S, van den Hurk C et al (2023) Systematic review and meta-analysis on interventions for radiation dermatitis prevention and management: an overview of the methods. Support Care Cancer 31:261. https://doi.org/10.1007/s00520-023-07707-5

    Article  PubMed  Google Scholar 

  6. Salvestrini V, Marta GN, Caini S et al (2023) The effect of antiperspirant and deodorant use on acute radiation dermatitis in breast cancer patients during radiotherapy: a systematic review and meta-analysis. Support Care Cancer 31:198. https://doi.org/10.1007/s00520-023-07657-y

    Article  PubMed  Google Scholar 

  7. Robijns J, Aquilano M, Banerjee S et al (2023) Barrier films and dressings for the prevention of acute radiation dermatitis: a systematic review and meta-analysis. Support Care Cancer 31:219. https://doi.org/10.1007/s00520-023-07671-0

    Article  PubMed  Google Scholar 

  8. Robijns J, Aquilano M, Banerjee S et al (2023) Correction to: Barrier films and dressings for the prevention of acute radiation dermatitis: a systematic review and meta-analysis. Support Care Cancer 31:333. https://doi.org/10.1007/s00520-023-07807-2

    Article  PubMed  Google Scholar 

  9. Robijns J, Becherini C, Caini S et al (2023) Natural and miscellaneous agents for the prevention of acute radiation dermatitis: a systematic review and meta-analysis. Support Care Cancer 31:195. https://doi.org/10.1007/s00520-023-07656-z

    Article  PubMed  Google Scholar 

  10. Gobbo M, Rico V, Caini S et al (2023) Photobiomodulation therapy for the prevention of acute radiation dermatitis: a systematic review and meta-analysis. Support Care Cancer 31(4):227. https://doi.org/10.1007/s00520-023-07673-y

    Article  PubMed  PubMed Central  Google Scholar 

  11. Tam S, Zhou G, Trombetta M et al (2023) Topical corticosteroids for the prevention of severe radiation dermatitis: a systematic review and meta-analysis. Support Care Cancer 31:382. https://doi.org/10.1007/s00520-023-07820-5

    Article  PubMed  Google Scholar 

  12. Fatima S, Hirakawa S, Marta GN et al (2023) (2023) Topical non-steroidal agents for the prevention of radiation dermatitis: a systematic review and meta-analysis. Support Care Cancer 31:217. https://doi.org/10.1007/s00520-023-07677-8

    Article  PubMed  Google Scholar 

  13. Chan DCW, Wong HCY, Riad MA et al (2023) (2023) Prevention of radiation dermatitis with skin hygiene and washing: a systematic review and meta-analysis. Support Care Cancer 31:294. https://doi.org/10.1007/s00520-023-07720-8

    Article  PubMed  Google Scholar 

  14. Lee SF, Shariati S, Caini S et al (2023) (2023) StrataXRT for the prevention of acute radiation dermatitis in breast cancer: a systematic review and meta-analysis of randomized controlled trials. Support Care Cancer 31:515. https://doi.org/10.1007/s00520-023-07983-1

    Article  PubMed  Google Scholar 

  15. Shariati S, Behroozian T, Kennedy S et al (2023) (2023) Mepitel film for the prevention and treatment of acute radiation dermatitis in breast cancer: a systematic review and meta-analysis of randomized controlled trials. Support Care Cancer 31:524. https://doi.org/10.1007/s00520-023-07982-2

    Article  PubMed  Google Scholar 

  16. Lee SF, Wong HCY, Chan AW et al (2023) Mepitel Film for the prevention of acute radiation dermatitis in head and neck cancer: a systematic review and meta-analysis of randomized controlled trials. Support Care Cancer 31:527. https://doi.org/10.1007/s00520-023-07988-w

    Article  PubMed  Google Scholar 

  17. Behroozian T, Milton L, Karam I, et al (2022) Mepitel film for the prevention of acute radiation dermatitis in breast cancer: a randomized multicenter open-label phase III trial. J Clin Oncol. https://doi.org/10.1200/JCO.22.01873

  18. Isaksson LJ, Pepa M, Zafforoni M, et al (2020) Machine Learning-based models for prediction of toxicity outcomes in radiotherapy. Frontiers 10. https://doi.org/10.3389/fonc.2020.00790.

  19. Bang C, Benard G, Le WT et al (2023) Artificial intelligence predict outcomes of head and neck radiotherapy. Clin Transl Radiat Oncol 39:100590. https://doi.org/10.1016/j.ctro.2023.100590

    Article  PubMed  PubMed Central  Google Scholar 

  20. Jung Y, Hur J, Han K et al (2023) Radiation dose reduction using deep learning-based image reconstruction for a low dose chest computed tomography protocol: a phantom study. Quant Imaging Med Surg 13(3):1937–1947. https://doi.org/10.21037/qims-22-618

    Article  PubMed  PubMed Central  Google Scholar 

  21. Burnett LR, Hughes TR, Rejeski A et al (2021) Review of the terminology describing ionizing radiation-induced skin injury: a case for standardization. Technol Cancer Res Treat 20:15330338211039680. https://doi.org/10.1177/15330338211039681

    Article  PubMed  PubMed Central  Google Scholar 

  22. Lam E, Yee C, Wong G et al (2020) A systematic review and meta-analysis of clinician-reported versus patient-reported outcomes of radiation dermatitis. Breast 50:125–134. https://doi.org/10.1016/j.breast.2019.09.009

    Article  PubMed  Google Scholar 

  23. Rossi AM, Hibler BP, Navarrete-Dechent C et al (2021) Restorative oncodermatology: diagnosis and management of dermatologic sequelae from cancer therapies. J Am Acad Dermatol 85(3):693–707. https://doi.org/10.1016/j.jaad.2020.08.005

    Article  PubMed  Google Scholar 

  24. Li Y, Sakai M, Tsunoda A et al (2022) Normal tissue complication probability model for acute radiation dermatitis in patients with head and neck cancer treated with carbon ion radiation therapy. Int J Radiat Oncol Biol Phys 113(3):675–684. https://doi.org/10.1016/j.ijrobp.2022.03.002

    Article  PubMed  Google Scholar 

  25. Deutsch A, Leboeuf NR, Lacouture ME et al (2020) Dermatologic adverse events of systemic anticancer therapies: cytotoxic chemotherapy, targeted therapy, and immunotherapy. Am Soc Clin Oncol Educ Book 40:485–500. https://doi.org/10.1200/EDBK_289911

    Article  PubMed  Google Scholar 

  26. Behroozian T, Fatima S, Finkelstein S et al (2023) Current quality of life assessment tools may not fully address dermatological adverse events from anti-cancer therapies. Support Care Cancer 30(12):9681–9685. https://doi.org/10.1007/s00520-022-07424-5

    Article  Google Scholar 

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Acknowledgements

P.B. is the first and J.R.W. is the senior author. J.R.W. is the Chair of the Multinational Association of Supportive Care in Cancer (MASCC) Oncodermatology Study Group. P.B. is a member of the MASCC Oncodermatology Study Group.

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Both authors contributed to this paper. The first draft of the manuscript was written by P.B. with subsequent versions edited by J.R.W. and P.B. Both authors approved the final manuscript.

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Correspondence to Julie Ryan Wolf.

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Bonomo, P., Wolf, J.R. Shedding light on the management of acute radiation dermatitis: insight from the MASCC Oncodermatology study group. Support Care Cancer 31, 568 (2023). https://doi.org/10.1007/s00520-023-08011-y

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