HOPON: Hyperbaric oxygen for the prevention of osteoradionecrosis — a randomized controlled trial | Canada Hyperbarics
RCT Int J Radiat Oncol Biol Phys 2019

HOPON: Hyperbaric oxygen for the prevention of osteoradionecrosis — a randomized controlled trial

Shaw RJ, Butterworth CJ, Silcocks P, et al. — Int J Radiat Oncol Biol Phys, 2019

Tier 1 — Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Researchers conducted a randomized controlled trial to evaluate if hyperbaric oxygen therapy prevents osteoradionecrosis after dental procedures in patients with prior head and neck radiation.

What They Found

Out of 100 patients analyzed, the incidence of osteoradionecrosis at 6 months was 6.4% in the hyperbaric oxygen group and 5.7% in the control group. This difference was not statistically significant (odds ratio, 1.13; P = 1), although patients receiving hyperbaric oxygen reported fewer acute symptoms.

What This Means for Canadian Patients

Canadian patients undergoing dental procedures after head and neck radiation therapy should be aware that hyperbaric oxygen therapy may not prevent osteoradionecrosis. Current evidence suggests that this treatment does not significantly reduce the risk of this serious complication.

Canadian Relevance

This study has no direct Canadian connection.

Study Limitations

A limitation of this study is the analysis of only 100 out of 144 randomized patients for the primary endpoint, potentially impacting statistical power.

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Study Details

Study Type RCT
Category Radiation Injury
Source Pubmed
PubMed ID 30851351
Year Published 2019
Journal Int J Radiat Oncol Biol Phys

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.