The impact of the COVID-19 outbreak on supportive care for oral mucositis: current concepts and practice

Bonomo, Pierluigi; Sharon, Elad; Kataoka, Tomoko; Bossi, Paolo

doi:10.1007/s00520-020-05966-0

Cited by 5 publications

(5 citation statements)

References 19 publications

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“…The accessibility of oral cavity to user-friendly imaging devices makes telemedicine an appealing solution for the management of secondary lesions as oral mucositis. Given the popularity of mobile phone-integrated cameras, the idea of obtaining images of the oral surfaces seems feasible; however, the quality of these photos does not enable us to apply this concept universally [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

The role of teledentistry in oral cancer patients during the COVID-19 pandemic: an integrative literature review

Silva

Santos

Leite

et al. 2021

Support Care Cancer

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Objectives This integrative review aimed to assess the benefits of the use of teledentistry for patients undergoing treatment of oral and head and neck cancer during the COVID-19 pandemic. Materials and methods We searched in PubMed, Cochrane, Scopus, Web of Science, Lilacs, Embase, Open Grey, Google Scholar, and Jstor databases for studies referring to the management, control, and assistance, through teledentistry, to patients with oral and head and neck cancer during the COVID-19 pandemic. Results We found 356 references in the databases, 209 after duplicates removal, 23 met criteria for full-text reading, and 11 studies were included for qualitative synthesis, in four categories: virtual visits, use of remote technology, patient’s satisfaction, multidisciplinary approach in teledentistry. We found that 78% of patients currently preferred teledentistry; 92% of patients would recommend the use of video consultation to other patients. The continuity of dental care, the reduction of patient visits to the hospital, the reduction of the risk of infection with the coronavirus, and limitation of face-to-face consultations to protect health professionals are benefits that reinforce the use of teledentistry by health institutions. Two studies showed patients’ satisfaction with the use of teledentistry in monitoring cancer patients and showed an improvement in quality of life. Conclusions The teledentistry, as a remote technology for monitoring patients with oral and head and neck cancer, is well accepted by patients in preliminary studies. Although these studies pointed out some benefits of using remote technologies for the care of cancer patients, further robust scientific evidence is still needed in this regard. Supplementary Information The online version contains supplementary material available at 10.1007/s00520-021-06398-0.

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Section: Discussionmentioning

confidence: 99%

The role of teledentistry in oral cancer patients during the COVID-19 pandemic: an integrative literature review

Silva

Santos

Leite

et al. 2021

Support Care Cancer

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“…Corroborating these findings, it is clear that the COVID-19 pandemic scenario has strongly affected the management of cancer patients worldwide [13][14][15], not only in relation to making therapeutic decisions but also regarding supportive care, as pointed out by the Mucositis Study Group of the Multinational Association for Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISOO). In this challenging context, it is necessary to rethink new approaches to acute side effects resulting from antineoplastic treatment, such as oral mucositis [14].…”

Section: Discussionmentioning

confidence: 97%

“…An alternative for monitoring cancer patients during the COVID-19 pandemic used in cancer treatment centers in several countries has been telemonitoring [18][19][20]. Although this remote communication enables live interaction with the patient allowing them to understand better the recommendations made by the multidisciplinary team, it also has weaknesses and limitations [14]. These shortcomings include, among others, the reluctance of some patients to use this application because they were unfamiliar with the new technology or preferred human contact [21], the limited examination since palpation and percussion are impossible, and difficulties in visualizing certain mucosal areas [14].…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on Oral Healthcare for Oncopediatric Patients: The Setting in a Reference Hospital in Northeast Brazil

Damascena

Bezerra

Santos

et al. 2022

Pesqui. Bras. Odontopediatria Clín. Integr.

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Objective: To describe the impact of the COVID-19 pandemic on dental care provided to pediatric cancer patients assisted in a referral hospital. Material and Methods: This is an observational, retrospective study based on secondary data extracted from worksheets of dental procedures for patients aged between 0 and 19 years assisted in the pediatric oncology sector of a hospital in João Pessoa, PB, Brazil. Dental procedures performed by the interdisciplinary team of researchers from August 2018 to February 2020 (19 months prior to the pandemic) and from April 2020 to October 2021 (19 months during the pandemic) were totaled and compared. A descriptive analysis of the data was performed. Results: There was a reduction of 80.2% in dental interventions implemented in the sector during the pandemic, with the number of procedures decreasing from 6,210 (the period before the pandemic) to 1,229 (during the pandemic). Most procedures in both periods were performed for patients assisted in beds, for whom there was a reduction of care provided for 81.2% from 5,275 to 994 procedures. Dental procedures in the outpatient clinic decreased by 74.9%, from 935 to 235. Conclusion: The COVID-19 pandemic negatively impacted dental care provided to pediatric oncology patients by restricting dental procedures to emergency demands, compromising performance prevention and health promotion actions.

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“…Recently, coronavirus disease (COVID-19) came with its challenges in both evaluation and management of mucositis in both pre, during, and post-chemotherapy stages. These challenges may offer innovations such as using images taken by patients' relatives in evaluating the incidence and severity of OM though with limitations [10]. Some studies, especially from Africa, have utilised retrospective analysis of mucositis risk and severity, but potential recall bias limits the usefulness of such studies [11].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient-reported oral mucositis in solid tumour patients undergoing chemotherapy: a Ugandan experience

Kamulegeya¹,

Rwenyonyi²,

Orem³

2023

ecancer

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Purpose:The mitotic rate of the gastrointestinal tract (GIT) mucosa predisposes the entire system to chemotherapeutic-induced mucositis but the oral cavity due to its accessibility provides an opening to evaluate the extent of the problem much more easily. In addition, the oral cavity being the gateway to the GIT affects the feeding ability of the patient when the ulcers set in.It is therefore from this perspective that we embarked on a study to evaluate the extent of mucositis among patients being treated for solid tumours at our centre.Methods: Using the mouth and throat soreness (OMDQ MTS) questionnaire, we prospectively evaluated mucositis among 100 patients undergoing chemotherapy for solid tumours at the Uganda Cancer Institute. In addition to patient reported outcomes, we also had clinician assessed mucositis measurements.Results: Approximately, 50% of the participants were breast cancer patients. The results demonstrated that patient assessment of mucositis is possible in our setting at a 76% full compliance rate. Up to 30% of our patients reported moderate-to-severe mucositis, though the figure was lower as assessed by the clinicians. Conclusions:The self-reported OMDQ MTS can be useful in our setting for daily mucositis evaluation, hence leading to timely hospital visits before the manifestation of severe complications.

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The impact of the COVID-19 outbreak on supportive care for oral mucositis: current concepts and practice

Cited by 5 publications

References 19 publications

The role of teledentistry in oral cancer patients during the COVID-19 pandemic: an integrative literature review

The role of teledentistry in oral cancer patients during the COVID-19 pandemic: an integrative literature review

Impact of COVID-19 on Oral Healthcare for Oncopediatric Patients: The Setting in a Reference Hospital in Northeast Brazil

Patient-reported oral mucositis in solid tumour patients undergoing chemotherapy: a Ugandan experience

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