The Relevance of Assessing Subjective Experiences of Skin Toxicity During Adjuvant Radiotherapy for Breast Cancer

Bibliographic Details
Title: The Relevance of Assessing Subjective Experiences of Skin Toxicity During Adjuvant Radiotherapy for Breast Cancer
Authors: Gioia Bottesi, Antonio Stefanelli, Giovanni Ambroso, Gianni Baratto, Eleonora Carraro, Agostino Cristaudo, Laura Giuntoli, Giada Maramaldi, Martino Meneghin, Genny Pozzati, Alessandra Semenzato, Stefano Togni, Giulio Vidotto
Source: Frontiers in Oncology, Vol 11 (2021)
Publisher Information: Frontiers Media S.A., 2021.
Publication Year: 2021
Collection: LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Subject Terms: radiodermatitis, skin toxicity, breast cancer, adjuvant radiotherapy, subjective experiences, supportive care, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
More Details: PurposeRadiodermatitis is likely to be an inevitable side effect of radiotherapy (RT) but experiencing pain relief during RT might contribute making treatment more acceptable and less impairing. The current study aimed to assess the subjective perceptions and experiences of skin toxicity in a sample of women undergoing adjuvant RT for breast cancer.MethodsEighty patients were randomly assigned to one out of two groups: treatment (i.e., a newly developed topical product) and control (i.e., standard-of-care). Patients underwent adjuvant RT for 3 weeks. Clinical assessment of radiodermatitis and self-reported levels of pain, relief, and perceptions of treatment response were collected at the initiation of RT (T1), during RT (T2 and T3), and 2 weeks after treatment completion (T4). To assess changes in skin-related QoL, a subgroup of patients completed the Padua Skin-Related QoL questionnaire at T0 (before the initiation of RT) and at T4.ResultsA comparable timing of onset and severity of radiodermatitis during treatment was observed in both groups. The treatment group reported lower levels of pain and higher levels of relief compared to the control group when skin toxicity was at its highest levels (T2 and T3). Independent of the group, levels of perceived improvements in clinical status increased over time, whereas skin-related QoL worsened from T0 to T4.ConclusionCurrent findings outline the relevance of integrating clinical evaluations of radiodermatitis with patients’ subjective experiences of skin toxicity in interventional studies. Moreover, they provide preliminary evidence about the soothing effect of a newly developed topical product, thus supporting its usefulness of as a supportive care.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2234-943X
Relation: https://www.frontiersin.org/articles/10.3389/fonc.2021.645921/full; https://doaj.org/toc/2234-943X
DOI: 10.3389/fonc.2021.645921
Access URL: https://doaj.org/article/2094d62c1a25495ab014cf7eaa391a37
Accession Number: edsdoj.2094d62c1a25495ab014cf7eaa391a37
Database: Directory of Open Access Journals
More Details
ISSN:2234943X
DOI:10.3389/fonc.2021.645921
Published in:Frontiers in Oncology
Language:English