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Systematic Review Cochrane Database Syst Rev 2018 Cochrane

Hyperbaric oxygenation for tumour sensitisation to radiotherapy

Bennett M, Feldmeier J, Smee R, Milross C — Cochrane Database Syst Rev, 2018

Tier 1, Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Researchers reviewed existing studies to assess the benefits and harms of combining hyperbaric oxygen therapy (HBOT) with radiotherapy for treating malignant tumours.

What They Found

The review of 19 trials involving 2286 participants found that for head and neck cancer, HBOT with radiotherapy reduced the risk of dying at one year (risk ratio 0.83) and five years (risk ratio 0.82), with 11 patients needing treatment for one additional beneficial outcome. There was also moderate-quality evidence of improved local tumour control immediately after irradiation (risk ratio 0.58) and a lower incidence of local recurrence.

What This Means for Canadian Patients

For Canadian patients undergoing radiotherapy for head and neck cancer, these findings suggest that adding hyperbaric oxygen therapy could potentially improve survival rates and enhance local control of their tumours. This offers a promising approach to improve treatment efficacy and reduce the likelihood of the cancer returning in this specific patient population.

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

A limitation noted was that some evidence for improved local tumour control was of moderate quality due to imprecision in the data.

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Study Details

Study Type Systematic Review
Category Radiation Injury
Source Pubmed
PubMed ID 29637538
Year Published 2018
Journal Cochrane Database Syst Rev
MeSH Terms Bronchial Neoplasms; Combined Modality Therapy; Esophageal Neoplasms; Female; Head and Neck Neoplasms; Humans; Hyperbaric Oxygenation; Male; Neoplasm Recurrence, Local; Neoplasms; Radiation Tolerance; Randomized Controlled Trials as Topic; Rectal Neoplasms; Time Factors; Urinary Bladder Neoplasms; Uterine Cervical Neoplasms

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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.