Elad, Sharon3; Raber-Durlacher, Judith E3; Brennan, Michael T3; Saunders, Deborah P3; Mank, Arno P3; Zadik, Yehuda3; Quinn, Barry3; Epstein, Joel B3; Blijlevens, Nicole M A3; Waltimo, Tuomas3; Passweg, Jakob R3; Correa, M Elvira P3; Dahllöf, Göran3; Garming-Legert, Karin U E3; Logan, Richard M3; Potting, Carin M J3; Shapira, Michael Y3; Soga, Yoshihiko3; Stringer, Jacqui3; Stokman, Monique A3; Vokurka, Samuel3; Wallhult, Elisabeth3; Yarom, Noam3; Jensen, Siri Beier4
1 Section 02 - Paediatric Dentistry, Department of Odontology, Faculty of Health and Medical Sciences, Københavns Universitet2 Section 01 - Prosthetics, Department of Odontology, Faculty of Health and Medical Sciences, Københavns Universitet3 unknown4 Section 01 - Prosthetics, Department of Odontology, Faculty of Health and Medical Sciences, Københavns Universitet
a position paper from the joint task force of the Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISOO) and the European Society for Blood and Marrow Transplantation (EBMT)
PURPOSE: Hematology-oncology patients undergoing chemotherapy and hematopoietic stem cell transplantation (HSCT) recipients are at risk for oral complications which may cause significant morbidity and a potential risk of mortality. This emphasizes the importance of basic oral care prior to, during and following chemotherapy/HSCT. While scientific evidence is available to support some of the clinical practices used to manage the oral complications, expert opinion is needed to shape the current optimal protocols. METHODS: This position paper was developed by members of the Oral Care Study Group, Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISOO) and the European Society for Blood and Marrow Transplantation (EBMT) in attempt to provide guidance to the health care providers managing these patient populations. RESULTS: The protocol on basic oral care outlined in this position paper is presented based on the following principles: prevention of infections, pain control, maintaining oral function, the interplay with managing oral complications of cancer treatment and improving quality of life. CONCLUSION: Using these fundamental elements, we developed a protocol to assist the health care provider and present a practical approach for basic oral care. Research is warranted to provide robust scientific evidence and to enhance this clinical protocol.
Supportive Care in Cancer, 2015, Vol 23, Issue 1, p. 223-236