REVIEW article
Front. Oncol.
Sec. Gynecological Oncology
Volume 15 - 2025 | doi: 10.3389/fonc.2025.1645101
This article is part of the Research TopicOptimizing Radiotherapy for Cervical Cancer Efficacy Toxicity and Brachytherapy IntegrationView all 8 articles
Prevention and management of radiodermatitis in patients with brachytherapy for gynecologic neoplasms Summary of the evidence
Provisionally accepted- 1Henan University, Kaifeng, China
- 2Zhongshan City People's Hospital, Zhongshan, China
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Objective: This study aims to systematically retrieve, evaluate, and summarize the best evidence regarding the prevention and management of radiation dermatitis in patients undergoing endoluminal radiotherapy for gynecologic neoplasms. The goal is to provide an evidence-based foundation for developing personalized skin management programs.We conducted a comprehensive search of domestic and international databases, guideline networks, and the websites of relevant professional associations to identify all evidence related to the prevention and management of radiation dermatitis in patients receiving endoluminal radiotherapy for gynecologic neoplasms.The types of literature include guidelines, evidence summaries, systematic reviews, expert consensus, clinical decision-making, and randomized controlled trials. The search period spanned from database inception to September 2024. In addition, we 2 / 25 performed hand-searching of key journals and tracked gray literature (including conference abstracts and unpublished reports).The review included 14 articles, including 1 clinical decision-making paper, 4 guideline articles, 3 systematic reviews, 3 evidence summary papers, 1 expert consensus document, and 2 randomized controlled trials. We summarized 27 pieces of evidence categorized into 5 themes: assessment and evaluation, health education, general nursing measures, symptom management, and continuity of care.Conclusions: This study consolidates the most effective evidence for managing radiation dermatitis in patients receiving three-dimensional brachytherapy for gynecologic tumors. The findings can serve as a valuable resource for minimizing skin damage and enhancing patients' quality of life.
Keywords: Gynecologic neoplasms, Brachytherapy, Radiodermatitis, evidence summary, Evidence-Based Nursing
Received: 11 Jun 2025; Accepted: 23 Jul 2025.
Copyright: © 2025 Fan, Wang, Liang, Wei and Cui. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ling Wang, Zhongshan City People's Hospital, Zhongshan, China
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