# Effectiveness of oral mucositis management based on MASCC/ISOO guidelines in pediatric oncology patients: a randomized controlled trial

## TL;DR

A study found that following a specific oral care protocol reduced the severity of mouth sores in children undergoing cancer treatment.

## Contribution

The study demonstrates the effectiveness of a MASCC/ISOO-based oral mucositis protocol in pediatric oncology patients.

## Key findings

- The intervention group had significantly lower mucositis scores using the ChIMES scale.
- On Days 7 and 14, the WHO scale showed significant differences favoring the intervention group.
- Standardized oral care protocols can reduce mucositis severity in children with cancer.

## Abstract

Although survival rates in childhood cancer have improved with more effective, risk-adapted multimodal treatments, oral mucositis remains one of the most common treatment-related oral complications. This study evaluated the impact of an oral mucositis care protocol on the severity of mucositis.

This prospective randomized controlled study was conducted with 30 pediatric oncology patients aged 6 to 18 years. The sample included children with hematologic malignancies (predominantly acute lymphoblastic leukemia) and solid tumors. The data were collected using a descriptive information form, the Children’s International Mucositis Evaluation Scale (ChIMES), and the WHO Oral Mucositis Grading Scale. Standard care was applied to the control group. For the intervention group, an oral care protocol was prepared, and the patients received training. The oral care intervention was applied for 14 days and monitored by the researcher. The patients were monitored for oral mucositis on Days 0, 3, 7, and 14. Those in the intervention group received a calendar for documenting their oral care practices.

The ChIMES scores showed a significant difference between the groups and were lower in the intervention group (z = 0.010; p = 0.011). The WHO scale results revealed significant differences between the groups on Day 7 (Z = −3.106; p = 0.002) and Day 14 (Z = −2.841; p = 0.005).

At the end of the study, the severity of mucositis was lower in the patients who received the oral mucositis care protocol. It is recommended that a standardized oral care protocol specific to children be developed and that education on oral mucositis care be provided to children and their parents from the beginning of hospitalization.

ClinicalTrials.gov (Identifier: NCT06711315; Registration date: 29 November 2024).