Dodd 2003

Supportive Therapie · Version 2.1

Referenz

(Autor, Jahr, Journal)

Studientyp

Mono- vs. Multizentrisch, Verblindung, Randomisierung, Arme, Fallzahl n, Land, Zeitraum

Patienten-merkmale

Indikation, Alter, Geschlecht (m/w)

Intervention

Fallzahl n, Beschreibung der präventiven bzw. therapeutischen Maßnahme

Kontrolle

Fallzahl n, Beschreibung der präventiven Maßnahme bzw. therapeutischen Maßnahme

Zielgrößen

Primärer Endpunkt

Sekundäre(r) Endpunkt(e)

Primärer Endpunkt

Angaben für Intervention vs. Kontrolle

Sekundäre(r) Endpunkt(e)

Angaben für Intervention vs. Kontrolle

Finanzierung

Evidenzstufe

Bei Abwertung: Angabe von Gründen

Bewertung des Autors

Dodd

 

2003

 

CANCER INVESTIGATION

randomized, double-blind clinical trial

 

n = 30

 

USA

HNC who

were initiating a course of RT to the oral cavity or

pharynx

 

Age (SD) 53.7 y (18.1) vs. 56.6 y (13.0)

 

Gender:

Female: 7 (50.0) vs. 2 (12.5) 0.05

Male: 7 (50.0) vs. 14 (87.5)

Sucralfate n = 14

 

1g sucralfate /15 ml mouthwash

 

Salt & Soda n = 16

severity of the mucositis

severity of mucositis-related pain

time required to heal RT-induced mucositis

Sucralfate vs. Salt & Soda

 

Time to heal (days)

70.8 (28.9) vs. 57.7 (22.5), p = 0.19

 

Worst-MacDibbs score

18.3 (4.2) vs. 17.9 (6.2), p = 0.85

 

Pain (swallowing) at worst MacDibbs score

2.1 (1.1) vs. 2.4 (0.9), p = 0.54

Presented at the 24th Annual Congress of the

Oncology Nursing Society, Atlanta, Georgia, 1999.

Funded by the Oncology Nursing Foundation, Sigma Theta Tau International, and the Research Center for Symptom Management (P30 NR03927) at the University of California, San Francisco School of Nursing

2b

small sample size - lack of statistical power
moderate adherence rates

no information anbout concealment method
no patient in either mouthwash group scored “0” on the MacDibbs Oral Assessment

 

"The findings from this trial provide important clinical information regarding cost analysis of RT mucositis management. Given that there is no significant difference in efficacy between micronized sucralfate and salt & soda, use of the less costly salt & soda is prudent and cost-effective."