Radiation-induced cystitis treated with hyperbaric... (2019 study) Skip to main content
RCT Lancet Oncol 2019

Radiation-induced cystitis treated with hyperbaric oxygen therapy (RICH-ART): a randomised, controlled, phase 2–3 trial

Oscarsson N, Arnell P, Lodding P, et al., Lancet Oncol, 2019

Tier 1, Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Doctors tested whether hyperbaric oxygen therapy could ease long-term bladder symptoms in patients who had past radiation treatment for pelvic cancer.

What They Found

This randomised controlled trial found that hyperbaric oxygen therapy produced a significantly greater improvement in bladder symptoms than standard care alone. In the intention-to-treat analysis of 41 patients assigned to hyperbaric oxygen and 38 assigned to standard care, the hyperbaric oxygen group showed a 10.1-point greater improvement in the EPIC urinary total score (95% CI 2.2 to 18.1, p equals 0.013). Patients in the treatment group received 30-40 sessions of 100% oxygen at a pressure of 240-250 kPa for 80-90 minutes daily, with no restrictions on other medications or interventions for the control group.

Canadian Relevance

No direct Canadian connection identified; the trial was conducted at five Nordic university hospitals.

Study Limitations

The trial used no masking (no blinding of patients or staff), which can affect how symptoms are reported and assessed.

This plain-language summary was generated with AI assistance from the study's abstract; it has not been individually reviewed by a clinician. Always consult the source study and a qualified healthcare professional. See our editorial policy.

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Study Details

Study Type RCT
Category Radiation Injury
Source Pubmed
PubMed ID 31537473
Year Published 2019
Journal Lancet Oncol

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This study relates to Delayed Radiation Injury. Read the full clinical overview, the evidence base, and Canadian treatment access for this condition.

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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.

Last updated: March 19, 2026 | Reviewed by: Canada Hyperbarics Editorial Team | Editorial process | Research sources | Counts & methodology