中国科学院机构知识库网格
Chinese Academy of Sciences Institutional Repositories Grid
The effectiveness of probiotics in prevention and treatment of cancer therapy-induced oral mucositis: A systematic review and meta-analysis

文献类型:期刊论文

作者Shu, Zekai2; Li, Peijing3,4; Yu, Bingqi1; Huang, Shuang3,4; Chen, Yuanyuan3,4
刊名ORAL ONCOLOGY
出版日期2020-03-01
卷号102
关键词Probiotics Radiotherapy Chemotherapy Chemo-radiotherapy Oral mucositis Stomatitis Head and neck cancer
ISSN号1368-8375
DOI10.1016/j.oraloncology.2019.104559
通讯作者Chen, Yuanyuan(chenyy@zjcc.org.cn)
英文摘要Oral mucositis (OM) is a common and troublesome adverse side effect of many cancer therapy modalities (chemotherapy, radiotherapy, and chemo-radiotherapy), which can cause pain, ulceration, dysphagia, malnutrition, even treatment interruption. Probiotics may be effective in preventing and treating of cancer therapy-induced OM. We performed a systematic review and meta-analysis of the effectiveness of probiotics in prevention and treatment of cancer therapy-induced OM. Four databases and one trial registry were searched as of the 12th of May 2019 to identify all eligible randomized controlled trials (RCT). Five studies involving 435 patients were included in this study. Methodological quality and outcomes were evaluated in every study included. Pooled results showed a moderate heterogeneity (P = 0.15, I-2 = 44%). The pooled RRs indicated that the use of probiotics decreased the risk of OM for grade >= 3 (RR = 0.66, 95%CI = 0.54-0.81, P < 0.0001) as well as all grades (RR = 0.83, 95% CI = 0.72-0.97, P = 0.02). There was no significant difference between probiotics and placebo for cancer therapy completion rate (RR = 1.14, 95%CI = 0.65-2.00, P = 0.64). The subgroup analysis indicated that the use of probiotics was not statistically significant for patients receiving chemo-radiotherapy (RR = 0.52, 95% CI = 0.26-1.04, P = 0.07). In conclusion, probiotics may reduce the incidence and mitigate the severity of cancer therapy-induced OM. Further trials with a randomized, double-blind and multicentric study design are needed to confirm this effect. The PROSPERO registration number of this systematic review and meta-analysis is CRD42019130414.
WOS关键词LACTOBACILLUS-BREVIS CD2 ; DOUBLE-BLIND ; NECK-CANCER ; RADIATION ; HEAD ; SAFETY ; RISK ; CHEMOTHERAPY ; MICROBIOME ; MANAGEMENT
WOS研究方向Oncology ; Dentistry, Oral Surgery & Medicine
语种英语
WOS记录号WOS:000518642200027
出版者ELSEVIER
源URL[http://ir.hfcas.ac.cn:8080/handle/334002/103769]  
专题中国科学院合肥物质科学研究院
通讯作者Chen, Yuanyuan
作者单位1.Zhejiang Hosp, Hangzhou, Zhejiang, Peoples R China
2.Zhejiang Chinese Med Univ, Clin Med Coll 2, Hangzhou, Zhejiang, Peoples R China
3.Chinese Acad Sci, Inst Canc Res & Basic Med Sci, Beijing, Peoples R China
4.Univ Chinese Acad Sci, Zhejiang Canc Hosp, Canc Hosp, Beijing, Peoples R China
推荐引用方式
GB/T 7714
Shu, Zekai,Li, Peijing,Yu, Bingqi,et al. The effectiveness of probiotics in prevention and treatment of cancer therapy-induced oral mucositis: A systematic review and meta-analysis[J]. ORAL ONCOLOGY,2020,102.
APA Shu, Zekai,Li, Peijing,Yu, Bingqi,Huang, Shuang,&Chen, Yuanyuan.(2020).The effectiveness of probiotics in prevention and treatment of cancer therapy-induced oral mucositis: A systematic review and meta-analysis.ORAL ONCOLOGY,102.
MLA Shu, Zekai,et al."The effectiveness of probiotics in prevention and treatment of cancer therapy-induced oral mucositis: A systematic review and meta-analysis".ORAL ONCOLOGY 102(2020).

入库方式: OAI收割

来源:合肥物质科学研究院

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