Ice-cream used as cryotherapy during high-dose melphalan conditioning reduces oral mucositis after autologous hematopoietic stem cell transplantation

Abstract Oral mucositis (OM) is one of the most frequent adverse events of high-dose conditioning chemotherapy with melphalan prior to autologous hematopoietic stem cell transplantation (AHSCT). It significantly reduces the patients’ quality of life. One of the preventive strategies for OM is cryoth...

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Autores principales: Marcin Jasiński, Martyna Maciejewska, Anna Brodziak, Michał Górka, Kamila Skwierawska, Wiesław W. Jędrzejczak, Agnieszka Tomaszewska, Grzegorz W. Basak, Emilian Snarski
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:cb6d440c7d39446ba4cbf932b06f14ea2021-11-21T12:19:44ZIce-cream used as cryotherapy during high-dose melphalan conditioning reduces oral mucositis after autologous hematopoietic stem cell transplantation10.1038/s41598-021-02002-x2045-2322https://doaj.org/article/cb6d440c7d39446ba4cbf932b06f14ea2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02002-xhttps://doaj.org/toc/2045-2322Abstract Oral mucositis (OM) is one of the most frequent adverse events of high-dose conditioning chemotherapy with melphalan prior to autologous hematopoietic stem cell transplantation (AHSCT). It significantly reduces the patients’ quality of life. One of the preventive strategies for OM is cryotherapy. We retrospectively analyzed whether commercially available ice-cream could prevent OM during the melphalan infusion. We retrospectively analyzed 74 patients after AHSCT to see whether there is any correlation between OM and cryotherapy (ice-cream), melphalan dose (140 mg/m2 or 200 mg/m2). The incidence of OM in our study inversely correlated with cryotherapy in the form of ice-cream. Out of 74 patients receiving conditioning chemotherapy with high-dose melphalan, 52 received cryotherapy. Fifteen patients in the cryotherapy group (28.84%) developed OM, whereas 13 patients (59.09%) developed it in the group without cryotherapy. In a multiple linear regression test cryotherapy remained a significant protective factor against OM (p = 0.02) We have also seen the relationship between melphalan dose with OM (p < 0.005). Cryotherapy in the form of ice-cream is associated with a lower rate of OM and, therefore, could potentially be used as a cost-effective, less burdensome, and easy to implement method in prevention of oral mucositis.Marcin JasińskiMartyna MaciejewskaAnna BrodziakMichał GórkaKamila SkwierawskaWiesław W. JędrzejczakAgnieszka TomaszewskaGrzegorz W. BasakEmilian SnarskiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-4 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Marcin Jasiński
Martyna Maciejewska
Anna Brodziak
Michał Górka
Kamila Skwierawska
Wiesław W. Jędrzejczak
Agnieszka Tomaszewska
Grzegorz W. Basak
Emilian Snarski
Ice-cream used as cryotherapy during high-dose melphalan conditioning reduces oral mucositis after autologous hematopoietic stem cell transplantation
description Abstract Oral mucositis (OM) is one of the most frequent adverse events of high-dose conditioning chemotherapy with melphalan prior to autologous hematopoietic stem cell transplantation (AHSCT). It significantly reduces the patients’ quality of life. One of the preventive strategies for OM is cryotherapy. We retrospectively analyzed whether commercially available ice-cream could prevent OM during the melphalan infusion. We retrospectively analyzed 74 patients after AHSCT to see whether there is any correlation between OM and cryotherapy (ice-cream), melphalan dose (140 mg/m2 or 200 mg/m2). The incidence of OM in our study inversely correlated with cryotherapy in the form of ice-cream. Out of 74 patients receiving conditioning chemotherapy with high-dose melphalan, 52 received cryotherapy. Fifteen patients in the cryotherapy group (28.84%) developed OM, whereas 13 patients (59.09%) developed it in the group without cryotherapy. In a multiple linear regression test cryotherapy remained a significant protective factor against OM (p = 0.02) We have also seen the relationship between melphalan dose with OM (p < 0.005). Cryotherapy in the form of ice-cream is associated with a lower rate of OM and, therefore, could potentially be used as a cost-effective, less burdensome, and easy to implement method in prevention of oral mucositis.
format article
author Marcin Jasiński
Martyna Maciejewska
Anna Brodziak
Michał Górka
Kamila Skwierawska
Wiesław W. Jędrzejczak
Agnieszka Tomaszewska
Grzegorz W. Basak
Emilian Snarski
author_facet Marcin Jasiński
Martyna Maciejewska
Anna Brodziak
Michał Górka
Kamila Skwierawska
Wiesław W. Jędrzejczak
Agnieszka Tomaszewska
Grzegorz W. Basak
Emilian Snarski
author_sort Marcin Jasiński
title Ice-cream used as cryotherapy during high-dose melphalan conditioning reduces oral mucositis after autologous hematopoietic stem cell transplantation
title_short Ice-cream used as cryotherapy during high-dose melphalan conditioning reduces oral mucositis after autologous hematopoietic stem cell transplantation
title_full Ice-cream used as cryotherapy during high-dose melphalan conditioning reduces oral mucositis after autologous hematopoietic stem cell transplantation
title_fullStr Ice-cream used as cryotherapy during high-dose melphalan conditioning reduces oral mucositis after autologous hematopoietic stem cell transplantation
title_full_unstemmed Ice-cream used as cryotherapy during high-dose melphalan conditioning reduces oral mucositis after autologous hematopoietic stem cell transplantation
title_sort ice-cream used as cryotherapy during high-dose melphalan conditioning reduces oral mucositis after autologous hematopoietic stem cell transplantation
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/cb6d440c7d39446ba4cbf932b06f14ea
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AT martynamaciejewska icecreamusedascryotherapyduringhighdosemelphalanconditioningreducesoralmucositisafterautologoushematopoieticstemcelltransplantation
AT annabrodziak icecreamusedascryotherapyduringhighdosemelphalanconditioningreducesoralmucositisafterautologoushematopoieticstemcelltransplantation
AT michałgorka icecreamusedascryotherapyduringhighdosemelphalanconditioningreducesoralmucositisafterautologoushematopoieticstemcelltransplantation
AT kamilaskwierawska icecreamusedascryotherapyduringhighdosemelphalanconditioningreducesoralmucositisafterautologoushematopoieticstemcelltransplantation
AT wiesławwjedrzejczak icecreamusedascryotherapyduringhighdosemelphalanconditioningreducesoralmucositisafterautologoushematopoieticstemcelltransplantation
AT agnieszkatomaszewska icecreamusedascryotherapyduringhighdosemelphalanconditioningreducesoralmucositisafterautologoushematopoieticstemcelltransplantation
AT grzegorzwbasak icecreamusedascryotherapyduringhighdosemelphalanconditioningreducesoralmucositisafterautologoushematopoieticstemcelltransplantation
AT emiliansnarski icecreamusedascryotherapyduringhighdosemelphalanconditioningreducesoralmucositisafterautologoushematopoieticstemcelltransplantation
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