Radiotherapy-induced skin reactions: Assessment and management

British Journal of Nursing

Volumn 23, Issue , 2014, Pages S28-S35

  Glover, Deborah ^a   Harmer, Victoria ^b  

^a London Center   (United Kingdom)

^b IMPERIAL COLLEGE HEALTHCARE NHS TRUST   (United Kingdom)

Author keywords

Cancer; Desquamation; Erythema; Radiotherapy; Skin reactions

Indexed keywords

EID: 84921519198     PISSN: 09660461     EISSN: None     Source Type: Journal    
DOI: 10.12968/bjon.2014.23.Sup2.S28     Document Type: Article

References (46)

1. Adamietz IA, Mose S, Haberl A et al (1995) Effect of self-adhesive, siliconecoated polyamide net dressing on irradiated human skin. Radiation Oncology Investigations 2(6): 277-82
2. Bensadoun R-J, Humbert P, Krutman J et al (2013) Daily baseline skin care in the prevention, treatment, and supportive care of skin toxicity in oncology patients: recommendations from a multinational expert panel. Cancer Manag Res 5: 401-8
3. Boström A, Lindman H, Swartling C et al (2001) Potent corticosteroid cream (mometasone furoate) significantly reduces acute radiation dermatitis: results from a double-blind, randomized study. Radiother Oncol 59(3): 257-65
4. Cancer Research UK (2014) Radiotherapy and your skin. http://tinyurl.com/paj9ax3 (accessed 11 February 2014)
5. Cork MJ, Danby S (2011) Aqueous cream damages the skin barrier. Br J Dermatol 164(6): 1179-80
6. Diggelmann KV, Zytkovicz AE, Tuaine JM et al (2010) Mepilex Lite dressings for the management of radiation-induced erythema: a systematic inpatient controlled clinical trail. Br J Radiol 83(995): 971-8
7. Faithfull S (2006) 'Radiotherapy'. In: Kearney N, Richardson A (eds.) Nursing patients with cancer: principles and practice. Elsevier Churchill Livingstone, Edinburgh: 265-82
8. Glean E, Edwards S, Faithfull S et al (2000) Intervention for acute radiotherapy induced skin reactions in cancer patients: the development of a clinical guideline recommended for use by the College of Radiographers. J Radiotherapy Pract 2(2): 75-84
9. Hareendran A, Bradbury A, Budd J et al (2005) Measuring the impact of venous leg ulcers on quality of life. J Wound Care 14(2): 53-7
10. Harris R, Probst H, Beardmore C et al (2011) A UK survey of Radiotherapy Skin Care by the SCoR. http://tinyurl.com/qybplxo (accessed 11 February 2014)
11. th Annual Symposium on Advanced Wound Care and the Wound Healing Society Meeting, Tampa, Florida, United States of America
12. Haviland JS, Owen JR, Dewar JA, et al (2013) The UK Standardisation of Breast Radiotherapy (START) trials of radiotherapy hypofractionation for treatment of early breast cancer: 10-year follow-up results of two randomised controlled trials. Lancet Oncol 14(11): 1086-94
13. Herst PM, Bennett NC, Sutherland AE et al (2014) Prophylactic use of Mepitel Film prevents radiation-induced moist desquamation in an intra-patient randomised controlled clinical trial of 78 breast cancer patients. Radiation and Oncology. http://tinyurl.com/nehclnu [Epub ahead of print] (accessed 17 February 2014)
14. Hornsby C, Fletcher J, Blyth CM (2005) The production of a best practice statement in the skincare of patients receiving radiotherapy. Journal of Radiotherapy in Practice 4(2-3): 126-30
15. Kedge EM (2009) A systematic review to investigate the effectiveness and acceptability of interventions for moist desquamation in radiotherapy patients. Radiography 15(3): 247-57
16. Kumar S, Juresic E, Barton M et al (2010) Management of skin toxicity during radiation therapy: a review of the evidence. J Med Imaging Radiat Oncol 54(3): 264-79
17. MacBride SK, Wells ME, Hornsby C et al (2008) A case study to evaluate a new soft silicone dressing, Mepilex Lite, for patients with radiation skin reactions. Cancer Nurs 31(1): E8-E14
18. Macmillan Cancer Support (2014) Side effects of radiotherapy. http://tinyurl.com/p73tpjw (accessed 11 February 2014)
19. Macmillan MS, Wells M, MacBride S et al (2007). Randomized comparison of dry dressings versus hydrogel in management of radiation induced moist desquamation. Int J Radiat Oncol Biol Phys 68(3): 864-72
20. Maddocks-Jennings W, Wilkinson JM, Shillington D (2005) Novel approaches to radiotherapy-induced skin reactions: a literature review. Complement Ther Clin Pract 11(4): 224-31
21. Mak SS, Molassiotis A, Wan W-M et al (2000) The effects of hydrocolloid dressing and gentian violet on radiation-induced moist desquamation wound healing. Cancer Nurs 23(3): 220-9
22. Mak SS, Zee CY, Molassiotis A et al (2005) A comparison of wound treatments in nasopharyngeal cancer patients receiving radiation therapy. Cancer Nurs 28(6): 436-45
23. Margolin S, Breneman JC, Denman DL (1990) Management of radiationinduced moist skin desquamation using hydrocolloid dressing 1. Cancer Nurs 13(2): 71-80
24. McGough C, Baldwin C, Frost G et al (2004) Role of nutritional intervention in patients treated with radiotherapy for pelvic malignancy. Br J Cancer 90(12): 2278-87
25. McQuestion M (2006) Evidence-based skin care management in radiation therapy. Semin Oncol Nurs 22(3): 163-73
26. Meuleneire F, Rügnagal H (2013) Soft silicones made easy. Wounds International. http://tinyurl.com/ou5bses (accessed 11 November 2014)
27. National Cancer Institute (2010) Radiation therapy for cancer. http://tinyurl.com/yc3wme (accessed 11 February 2014)
28. NHS Choices (2011) Side effects of radiotherapy. http://tinyurl.com/qxr4tk2 (accessed 11 February 2014)
29. NHS Quality Improvement Scotland (2010) Skincare of patients receiving radiotherapy. http://tinyurl.com/og3r6p7 (accessed 11 February 2014)
30. Noble-Adams R (1999) Radiation-induced skin reactions 2: development of a measurement tool. Br J Nurs 8(18): 1208-11
31. Poonam P (2013) The Effect of Mepilex Lite Dressings on Acute Radiation-Induced Skin Reactions in Women Receiving Post-Mastectomy Chest wall Irradiation. University of Otago. http://tinyurl.com/p7w7tpf (accessed 11 February 2014)
32. Paterson DB, Poonam P, Bennett NC et al (2012) Randomized Intra-patient Controlled Trial of Mepilex Lite Dressings versus Aqueous Cream in Managing Radiation-Induced Skin Reactions Post-mastectomy. J Cancer Sci Ther 4(11): 347-56
33. Salvo N, Barnes E, van Draanen J et al (2010) Prophylaxis and management of acute radiation-induced skin reactions: a systematic review of the literature. Curr Oncol 17(4): 94-112
34. Schreiber GJ, Meyers AD, Kalhoun AH et al (2013) General Principles of Radiation Therapy. Medscape. http://tinyurl.com/nty7qpt (accessed 11 February 2014)
35. Shukla P, Gairola M, Mohanti BK (2006) Prophylactic beclomethasone spray to the skin during postoperative radiotherapy of carcinoma breast: a prospective randomized study. Indian J Cancer 43(4): 180-4
36. Society of Radiographers (2014) An overview of radiotherapy. http://tinyurl.com/p2zyp5w (accessed 11 February 2014)
37. Stanford Medicine Cancer Institute (2014) Radiation therapy. http://tinyurl. com/6r5emwx (accessed 11 February 2014)
38. Stone HB, Coleman CN, Anscher MS et al (2003) Effects of radiation on normal tissue: consequences and mechanisms. Lancet Oncol 4(9): 529-36
39. Tidy C (2013) Radiotherapy. http://tinyurl.com/ohb86dt (accessed 11 February 2014)
40. The Princess Royal Radiotherapy Review Team (2011) Managing Radiotherapy Induced Skin Reactions. A Toolkit for Healthcare Professionals. St James's Institute Of Oncology, Leeds. http://tinyurl.com/pbu2hl2 (accessed 11 February 2014)
41. Trueman E (2011) Understanding & managing radiotherapy skin reactions. Poster presented at the European Wound Management Association conference, Brussels
42. Trueman E (2013) Managing radiotherapy-induced skin reactions in the community. Journal of Community Nursing 27(4): 16-20
43. Waring M, Rippon M, Bielfeldt S et al (2008) Cell attachment to adhesive dressings: qualitative and quantitative analysis. Wounds UK 4(3): 35-47 http://tinyurl.com/otqkb6o (accessed 11 February 2014)
44. Wells M, MacBride S (2003) Radiation skin reactions. In: Faithfull S, Wells M (eds) Supportive Care in Radiotherapy. Elsevier Science Ltd.
45. White R (2005) Evidence for atraumatic soft silicone wound dressing use. Wounds UK 1: 104-9. http://tinyurl.com/q5fsb7g (accessed 11 February 2014)
46. White R (2008) A multinational survey of the assessment of pain when removing dressings. Wounds UK 4(1): 1-6. http://tinyurl.com/q72fezq (accessed 11 February 2014)