Abstract
Background and purpose
Mepitel Film (MF) has been demonstrated to reduce the severity of radiation dermatitis (RD) in patients receiving breast cancer radiotherapy (RT). The objective of this study was to characterize patient-reported experience with MF use, including its impact on daily activities and wellbeing.
Materials and methods
This single-institution study analyzed anonymized responses to a questionnaire completed by patients who used MF for the prevention of RD during breast cancer RT.
Results
Of the 254 patients contacted, 192 patients completed the survey. Most patients disagreed or strongly disagreed that MF limited their ability to perform their daily activities, including household chores (88%, n = 169/191), their ability to work (83%, n = 157/189), or their ability to sleep (85%, n = 163/191). Furthermore, patients agreed or strongly agreed MF was comfortable on their skin (67%, n = 126/189) and protected their skin from rubbing against clothing (86%, n = 161/188). Some patients agreed or strongly agreed that MF affected their ability to shower (31%, n = 50/162), wear bras (28%, n = 51/185), and impacted their level of pruritus (35%, n = 67/189). However, most patients agreed or strongly agreed that their overall experience with MF was positive (92%, n = 173/189) and would recommend MF to a friend undergoing breast cancer RT (88%, n = 166/188).
Conclusion
MF use is associated with positive patient-reported experience during breast RT with minimal impact on daily activities.
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Data Availability
All data used in the included tables and figures.
References
Siegel RL, Miller KD, Wagle NS, Jemal A (2023) Cancer statistics. CA Cancer J Clin 73(1):17–48. https://doi.org/10.3322/caac.21763
Group EBCTC (2011) Effect of radiotherapy after breast-conserving surgery on 10-year recurrence and 15-year breast cancer death: meta-analysis of individual patient data for 10 801 women in 17 randomized trials. Lancet 378(9804):1707–2171. https://doi.org/10.1016/s0140-6736(11)61629-2
Hegedus F, Mathew LM, Schwartz RA (2017) Radiation dermatitis: An overview. Int J Dermatol 56(9):909–914. https://doi.org/10.1111/ijd.13371
Chu C-N, Hu K-C, Wu RS-C, Bau D-T (2021) Radiation-irritated skin and hyperpigmentation may impact the quality of life of breast cancer patients after whole breast. BMC Cancer 21(1). https://doi.org/10.1186/s12885-021-08047-5
Herst PM (2014) Protecting the radiation-damaged skin from friction: A mini review. J Med Radiat Sci 61(2):119–125. https://doi.org/10.1002/jmrs.46
McQuestion M (2011) Evidence-based skin care management in radiation therapy: Clinical update. Semin Oncol Nurs 27(2):e1–e17. https://doi.org/10.1016/j.soncn.2011.02.009
Herst PM, Bennett NC, Sutherland AE, Peszynski RI, Paterson DB, Jasperse ML (2014) Prophylactic use of Mepitel Film prevents radiation-induced moist desquamation in an intra-patient randomized controlled clinical trial of 78 breast cancer patients. Radiother Oncol 110(1):137–143. https://doi.org/10.1016/j.radonc.2014.01.005
Møller PK, Berg OK, M, et al (2018) Breast cancer patients report reduced sensitivity and pain using a barrier film during radiotherapy – a Danish intra-patient randomized multicentre study. Tech Innov Patient Support Radiat Oncol 7:20–25. https://doi.org/10.1016/j.tipsro.2018.05.004
Yee C, Lam E, Gallant F et al (2021) A feasibility study of Mepitel Film for the prevention of breast radiation dermatitis in a Canadian center. Pract Radiat Oncol 11(1):e36–e45. https://doi.org/10.1016/j.prro.2020.09.004
Behroozian T, Milton L, Karam I et al (2023) Mepitel Film for the prevention of acute radiation dermatitis in breast cancer: A randomized multicenter open-label phase III trial. J Clin Oncol 41(6):1250–1264. https://doi.org/10.1200/jco.22.01873
Noble-Adams R (1999) Radiation-Induced Skin Reactions 3: Evaluating the RISRAS. Br J Nurs 8(19):1305–1312. https://doi.org/10.12968/bjon.1999.8.19.1305
Asadi-Lari M, Tamburini M, Gray D (2004) Patients’ needs, satisfaction, and health related quality of life: Towards a comprehensive model. Health Qual Life Outcomes 2(1):32. https://doi.org/10.1186/1477-7525-2-32
Baumbach L, Frese M, Härter M, König H-H, Hajek A (2023) Patients satisfied with care report better quality of life and self-rated health – cross-sectional findings based on hospital quality data. Healthcare 11(5):775. https://doi.org/10.3390/healthcare11050775
Yan J, Yuan L, Wang J et al (2020) Mepitel film is superior to Biafine Cream in managing acute radiation-induced skin reactions in head and neck cancer patients: A randomised intra-patient controlled clinical trial. J Med Radiat Sci 67(3):208–216. https://doi.org/10.1002/jmrs.397
Rajeswaran T, Kennedy SKF, Gojsevic M et al (2023) Perceptions of healthcare professionals on the use of Mepitel Film for the prevention of acute radiation dermatitis in breast cancer. Support Care Cancer 31(12):725. https://doi.org/10.1007/s00520-023-08205-4
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Contributions
Milena Gojsevic distributed patient surveys, wrote the main manuscript text, and prepared figures. Samantha Kennedy and Thenugaa Rajeswaran distributed patient surveys and edited the manuscript, Patries Herst, Amir H. Safavi, Kimberly Corbin, Rosemary Hill, Irene Karam, William Tran, Katherine Carothers, François Gallant, Mark Trombetta, William T. Arscott, Saba Shariati, Jacqueline Lam, Shereen Akkila, Tara Behroozian, and Elwyn Zhang edited and commented on previous versions of the manuscript. Edward Chow conceptualized this work, supervised as joint senior authors with Irene Karam, and edited the manuscript. All authors have read and approved the final version.
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Ethics
The questionnaire and methodology for this study was approved by the Research Ethics Board (REB) at Sunnybrook Health Sciences Center (REB #: 5565). All procedures performed in the study were in accordance with the ethical standards of the institutional research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.
Competing interests
Edward Chow received the free supply of Mepitel Film in a randomized controlled trial of Mepitel Film in the prevention of radiation dermatitis in breast cancer. The authors have no relevant financial interests to disclose.
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Gojsevic, M., Kennedy, S., Rajeswaran, T. et al. Patient-reported experience with the use of Mepitel Film for prevention of acute radiation dermatitis in breast cancer. Support Care Cancer 32, 89 (2024). https://doi.org/10.1007/s00520-023-08302-4
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DOI: https://doi.org/10.1007/s00520-023-08302-4