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Most used photobiomodulation dosimetry parameters to treat oral mucositis after preconditioning for hematopoietic stem cell transplantation: systematic review and meta-analysis

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Abstract

Parameter reproducibility in photobiomodulation therapy (PBMT) is still scarce in literature for the management of oral mucositis (OM). This study aimed to identify the most used PBMT dosimetry parameters (DP) and their efficacy in OM management after preconditioning for hematopoietic stem cell transplantation (HSCT). This research was conducted according to the PRISMA guidelines. The search for primary studies was in PubMed/MEDLINE, Web of Science, Embase, BVS, and Cochrane Library. Gray literature was verified on BDTD-Ibict and Open Gray. A total of 1044 studies were identified. Nine met the eligibility criteria for qualitative assessment and 7 for meta-analysis. The studies involved 396 patients submitted to preconditioning for HSCT, 211 with PBMT and 185 without PBMT in the OM management. The WHO scale was the most used to assess OM degree. The most used parameters were 660-nm wavelength, 40-mw power, 0.16-J energy, 1-W/cm2 power density, 4-J/cm2 energy density, and 0.04-cm2 spot size. The meta-analysis demonstrated that PBMT decreased the severity of OM, with a protection factor 20% higher than the control group (without PBMT), and when the parameters are similar to the DP mentioned, the protection factor increases to 94%. These most used DP with similarity seem to be a therapeutic strategy for the management of OM in this population.

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Funding

This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), through the postgraduate program in stomatology at the University Federal of Paraná.

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Authors and Affiliations

  1. Department of Stomatology, Federal University of Paraná, Curitiba, Paraná, Brazil

    Bruna Machado da Silva, Maria Luiza Prosdócimo, Larissa Rodrigues Gasparini, Melissa Rodrigues de Araujo & José Miguel Amenábar

  2. Department of Medicine of the Pontifical Catholic University, Curitiba, Paraná, Brazil

    Betânia Machado da Silva

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  1. Bruna Machado da Silva
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  2. Maria Luiza Prosdócimo
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  3. Larissa Rodrigues Gasparini
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  4. Betânia Machado da Silva
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  5. Melissa Rodrigues de Araujo
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  6. José Miguel Amenábar
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Contributions

Conceptualization, BMS1; methodology, BMS1; MLP; LRG; validation, MRA; formal analysis, MRA and JMA.; resources, BMS1; MLP; LRG and BMS2; writing, BMS1; MLP; LRG, BMS2; review and editing, MRA, JMA, and BMS1. All authors have read and agreed to the published version of the manuscript.

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Correspondence to Bruna Machado da Silva.

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da Silva, B.M., Prosdócimo, M.L., Gasparini, L.R. et al. Most used photobiomodulation dosimetry parameters to treat oral mucositis after preconditioning for hematopoietic stem cell transplantation: systematic review and meta-analysis. Support Care Cancer 30, 3721–3732 (2022). https://doi.org/10.1007/s00520-022-06817-w

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