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Erschienen in: Supportive Care in Cancer 8/2010

01.08.2010 | Review Article

A systematic review of dysgeusia induced by cancer therapies

verfasst von: Allan J. Hovan, P. Michele Williams, Peter Stevenson-Moore, Yula B. Wahlin, Kirsten E. O. Ohrn, Linda S. Elting, Fred K. L. Spijkervet, Michael T. Brennan, Dysgeusia Section, Oral Care Study Group, Multinational Association of Supportive Care in Cancer (MASCC)/International Society of Oral Oncology (ISOO)

Erschienen in: Supportive Care in Cancer | Ausgabe 8/2010

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Abstract

Purpose

The purpose was to review relevant scientific papers written since 1989 which focused on the prevalence and management of dysgeusia as an oral side effect of cancer treatment.

Methods

Our literature search was limited to English language papers published between 1990 and 2008. A total of 30 papers were reviewed; the results of 26 of these papers were included in the present systematic review. A structured assessment form was used by two reviewers for each paper. Studies were weighted as to the quality of the study design, and treatment recommendations were based on the relative strength of each paper.

Results

A wide range in reported prevalence of dysgeusia was identified with the weighted prevalence from 56–76%, depending on the type of cancer treatment. Attempts to prevent dysgeusia through the prophylactic use of zinc sulfate or amifostine have been of limited benefit. Nutritional counseling may be helpful to some patients in minimizing the symptoms of dysgeusia.

Conclusions

Dysgeusia is a common oral side effect of cancer therapy (radiotherapy, chemotherapy, or combined modality therapy) and often impacts negatively on quality of life. From the current literature, there does not appear to be a predictable way of preventing or treating dysgeusia.
Literatur
1.
Zurück zum Zitat Bartoshuk LM (1990) Chemosensory alterations and cancer therapies. NCI Monogr 9:179–184PubMed Bartoshuk LM (1990) Chemosensory alterations and cancer therapies. NCI Monogr 9:179–184PubMed
2.
Zurück zum Zitat Amossan C et al (2003) Dosimetric predictors of xerostomia for head-and-neck cancer patients treated with the SMART (simultaneous modulated accelerated radiation therapy) boost technique. Int J Oncol Biol Phys 56(1):136–144 Amossan C et al (2003) Dosimetric predictors of xerostomia for head-and-neck cancer patients treated with the SMART (simultaneous modulated accelerated radiation therapy) boost technique. Int J Oncol Biol Phys 56(1):136–144
3.
Zurück zum Zitat Batist G et al (2002) Neovastat (AE-941) in refractory renal cell carcinoma patients: report of a phase II trial with two dose levels. Ann Oncol 13:1259–1263CrossRefPubMed Batist G et al (2002) Neovastat (AE-941) in refractory renal cell carcinoma patients: report of a phase II trial with two dose levels. Ann Oncol 13:1259–1263CrossRefPubMed
4.
Zurück zum Zitat Beale J et al (2003) A phase I clinical and pharmacological study of cis-diamminedichloro (2-methylpuridine) platinum II (AMD473). Br J Cancer 88:1128–1134CrossRefPubMed Beale J et al (2003) A phase I clinical and pharmacological study of cis-diamminedichloro (2-methylpuridine) platinum II (AMD473). Br J Cancer 88:1128–1134CrossRefPubMed
5.
Zurück zum Zitat Buntzel et al (1998) Radiochemotherapy with amifostine cytoprotection for head and neck cancer. Support Care Cancer 6:155–160CrossRefPubMed Buntzel et al (1998) Radiochemotherapy with amifostine cytoprotection for head and neck cancer. Support Care Cancer 6:155–160CrossRefPubMed
6.
Zurück zum Zitat Denis et al (2003) Late toxicity results of the gortec 94-01 randomized trial comparing radiotherapy with concomitant radiochemotherapy for advanced-stage oropharynx carcinoma: comparison of LENT/SOMA, RTOG/EORTC, and NCI-CTC scoring systems. Int J Radiat Oncol Biol Phys 55(1):93–98CrossRefPubMed Denis et al (2003) Late toxicity results of the gortec 94-01 randomized trial comparing radiotherapy with concomitant radiochemotherapy for advanced-stage oropharynx carcinoma: comparison of LENT/SOMA, RTOG/EORTC, and NCI-CTC scoring systems. Int J Radiat Oncol Biol Phys 55(1):93–98CrossRefPubMed
7.
Zurück zum Zitat Epstein J et al (2001) Quality of life and oral function in patients treated with radiation therapy for head and neck cancer. Head and Neck 23:389–398CrossRefPubMed Epstein J et al (2001) Quality of life and oral function in patients treated with radiation therapy for head and neck cancer. Head and Neck 23:389–398CrossRefPubMed
8.
Zurück zum Zitat Fu-Min F et al (2005) Changing quality of life in patients with advanced head and neck cancer after primary radiotherapy or chemoradiation. Oncology 68:405–413CrossRef Fu-Min F et al (2005) Changing quality of life in patients with advanced head and neck cancer after primary radiotherapy or chemoradiation. Oncology 68:405–413CrossRef
9.
Zurück zum Zitat Fu-Min F et al (2004) Changes in quality of life of head-and-neck cancer patients following postoperative radiotherapy. Acta Oncol 43(6):571–578CrossRef Fu-Min F et al (2004) Changes in quality of life of head-and-neck cancer patients following postoperative radiotherapy. Acta Oncol 43(6):571–578CrossRef
10.
Zurück zum Zitat Febbo PG et al (2005) Neoadjuvant docetaxel before radical prostatectomy in patients with high-risk localized prostate cancer. Clin Cancer Res 11(14):5233–5240CrossRefPubMed Febbo PG et al (2005) Neoadjuvant docetaxel before radical prostatectomy in patients with high-risk localized prostate cancer. Clin Cancer Res 11(14):5233–5240CrossRefPubMed
11.
Zurück zum Zitat Hainsworth J et al (2002) Induction paclitaxel, carboplatin and infusional 5-FU followed by concurrent radiation therapy and weekly paclitaxel/carboplatin in the treatment of locally-advanced head and neck cancer: a phase II trial of the Minnie Pearl Cancer Research Network. Cancer J 8:311–321CrossRefPubMed Hainsworth J et al (2002) Induction paclitaxel, carboplatin and infusional 5-FU followed by concurrent radiation therapy and weekly paclitaxel/carboplatin in the treatment of locally-advanced head and neck cancer: a phase II trial of the Minnie Pearl Cancer Research Network. Cancer J 8:311–321CrossRefPubMed
12.
Zurück zum Zitat Halyard et al (2007) Does zinc sulfate prevent therapy-induced taste alterations in head and neck cancer patients? Results of phase III double-blind, placebo-controlled trial from the North Central Cancer Treatment Group (N01C4). Int J Radiat Oncol Biol Phys 67(5):1318–1322PubMed Halyard et al (2007) Does zinc sulfate prevent therapy-induced taste alterations in head and neck cancer patients? Results of phase III double-blind, placebo-controlled trial from the North Central Cancer Treatment Group (N01C4). Int J Radiat Oncol Biol Phys 67(5):1318–1322PubMed
13.
Zurück zum Zitat Halyard M (2009) Taste and smell alterations in cancer patients—real problems with few solutions. J Support Oncol 7(2):68–69PubMed Halyard M (2009) Taste and smell alterations in cancer patients—real problems with few solutions. J Support Oncol 7(2):68–69PubMed
14.
Zurück zum Zitat Heckmann SM et al (2005) Zinc gluconate in the treatment of dysgeusia—a randomized clinical trial. J Dent Res 84(1):35–38CrossRefPubMed Heckmann SM et al (2005) Zinc gluconate in the treatment of dysgeusia—a randomized clinical trial. J Dent Res 84(1):35–38CrossRefPubMed
15.
Zurück zum Zitat Hong JH et al (2009) Taste and odor abnormalities in cancer patients. J Support Oncol 7(2):58–65PubMed Hong JH et al (2009) Taste and odor abnormalities in cancer patients. J Support Oncol 7(2):58–65PubMed
16.
Zurück zum Zitat Huang et al (2000) Symptom profile of nasopharyngeal cancer patients during radiation therapy. Cancer Pract 8(6):274–281CrossRefPubMed Huang et al (2000) Symptom profile of nasopharyngeal cancer patients during radiation therapy. Cancer Pract 8(6):274–281CrossRefPubMed
17.
18.
Zurück zum Zitat Just et al (2005) Confocal microscopy of the peripheral gustatory system: comparison between healthy subjects and patients suffering from taste disorders during radiochemotherapy. Laryngoscope 115:2178–2182CrossRefPubMed Just et al (2005) Confocal microscopy of the peripheral gustatory system: comparison between healthy subjects and patients suffering from taste disorders during radiochemotherapy. Laryngoscope 115:2178–2182CrossRefPubMed
19.
Zurück zum Zitat Kearvell et al (2004) Acute radiation toxicity assessment of a 3-D conformal head and neck radiation treatment technique. Australas Radiol 48:358–363CrossRefPubMed Kearvell et al (2004) Acute radiation toxicity assessment of a 3-D conformal head and neck radiation treatment technique. Australas Radiol 48:358–363CrossRefPubMed
20.
Zurück zum Zitat Kita T et al (2004) Multifactorial analysis on the short-term side-effects occurring within 96 hours after radioiodine-131 therapy for differentiated thyroid carcinoma. Ann Nucl Med 18(4):345–349CrossRefPubMed Kita T et al (2004) Multifactorial analysis on the short-term side-effects occurring within 96 hours after radioiodine-131 therapy for differentiated thyroid carcinoma. Ann Nucl Med 18(4):345–349CrossRefPubMed
21.
Zurück zum Zitat Komaki et al (2004) Effects of amifostine on acute toxicity from concurrent chemotherapy and radiotherapy for inoperable non-small-cell lung cancer: report of a randomized comparative trial. Int J Radiat Oncol Biol Phys 58(5):1369–1377CrossRefPubMed Komaki et al (2004) Effects of amifostine on acute toxicity from concurrent chemotherapy and radiotherapy for inoperable non-small-cell lung cancer: report of a randomized comparative trial. Int J Radiat Oncol Biol Phys 58(5):1369–1377CrossRefPubMed
22.
Zurück zum Zitat Lu et al (2005) Prospective phase II trial of concomitant boose radiotherapy for stage II nasopharyngeal carcinoma: an evaluation of response and toxicity. Laryngoscope 115:806–810CrossRefPubMed Lu et al (2005) Prospective phase II trial of concomitant boose radiotherapy for stage II nasopharyngeal carcinoma: an evaluation of response and toxicity. Laryngoscope 115:806–810CrossRefPubMed
23.
Zurück zum Zitat Macquart-Moulin et al (2000) High-dose sequential chemotherapy with recombinant granulocyte colony-stimulating factor and repeated stem-cell support for inflammatory breast cancer patients: does impact on quality of life jeopardize feasibility and acceptability of treatment? J Clin Oncol 18(4):754–764PubMed Macquart-Moulin et al (2000) High-dose sequential chemotherapy with recombinant granulocyte colony-stimulating factor and repeated stem-cell support for inflammatory breast cancer patients: does impact on quality of life jeopardize feasibility and acceptability of treatment? J Clin Oncol 18(4):754–764PubMed
24.
Zurück zum Zitat Maisano R et al (2003) Is weekly docetaxel an active and gentle chemotherapy in treatment of metastatic breast cancer? Anticancer Res 23:1923–1930PubMed Maisano R et al (2003) Is weekly docetaxel an active and gentle chemotherapy in treatment of metastatic breast cancer? Anticancer Res 23:1923–1930PubMed
25.
Zurück zum Zitat Martin M et al (2006) Toxicity and health-related quality of life in breast cancer patients receiving adjuvant docetaxel, doxorubin, cyclophosphamide (TAC) or 5-fluorouracil, doxorubicin and cyclophosphamide (FAC): impact of adding primary prophylactic granuloctye-colony stimulating factor to the TAC regimen. Ann Oncol 17:1205–1212CrossRefPubMed Martin M et al (2006) Toxicity and health-related quality of life in breast cancer patients receiving adjuvant docetaxel, doxorubin, cyclophosphamide (TAC) or 5-fluorouracil, doxorubicin and cyclophosphamide (FAC): impact of adding primary prophylactic granuloctye-colony stimulating factor to the TAC regimen. Ann Oncol 17:1205–1212CrossRefPubMed
26.
Zurück zum Zitat Ohrn K et al (2001) Oral status during RT and CT: a descriptive study of patient experiences and the occurrence of oral complications. Support Care Cancer 9:247–257CrossRefPubMed Ohrn K et al (2001) Oral status during RT and CT: a descriptive study of patient experiences and the occurrence of oral complications. Support Care Cancer 9:247–257CrossRefPubMed
27.
Zurück zum Zitat Ravasco P et al (2005) Impact of nutrition on outcome: a prospective randomized controlled trial in patients with head and neck cancer undergoing radiotherapy. Head and Neck 27:659–668CrossRefPubMed Ravasco P et al (2005) Impact of nutrition on outcome: a prospective randomized controlled trial in patients with head and neck cancer undergoing radiotherapy. Head and Neck 27:659–668CrossRefPubMed
28.
Zurück zum Zitat Ripamonti C (1998) Taste alterations in cancer patients. J Pain Symptom Manage 16(6):349–351CrossRefPubMed Ripamonti C (1998) Taste alterations in cancer patients. J Pain Symptom Manage 16(6):349–351CrossRefPubMed
29.
Zurück zum Zitat Rosenbluth B et al (2005) Intensity-modulated radiation therapy for the treatment of nonanaplastic thyroid cancer. Int J Radiat Oncol Biol Phys 63:1419–1426CrossRefPubMed Rosenbluth B et al (2005) Intensity-modulated radiation therapy for the treatment of nonanaplastic thyroid cancer. Int J Radiat Oncol Biol Phys 63:1419–1426CrossRefPubMed
30.
Zurück zum Zitat Steinback S et al (2009) Qualitative and quantitative assessment of taste and smell changes in patients undergoing chemotherapy for breast cancer or gynecologic malignancies. J Clin Oncol 27(11):1899–1905CrossRef Steinback S et al (2009) Qualitative and quantitative assessment of taste and smell changes in patients undergoing chemotherapy for breast cancer or gynecologic malignancies. J Clin Oncol 27(11):1899–1905CrossRef
31.
Zurück zum Zitat Van Poznak C et al (2001) Oral gossypol in the treatment of patients with refractory metastatic breatst cancer: a phase I/II clinical trial. Breast Cancer Res Treat 66:239–248CrossRefPubMed Van Poznak C et al (2001) Oral gossypol in the treatment of patients with refractory metastatic breatst cancer: a phase I/II clinical trial. Breast Cancer Res Treat 66:239–248CrossRefPubMed
32.
Zurück zum Zitat Vosmik M et al (2006) IMRT with the use of simultaneous integrated boost in treatment of head and neck cancer: acute toxicity evaluation. Acta Med 49(3):167–173 Vosmik M et al (2006) IMRT with the use of simultaneous integrated boost in treatment of head and neck cancer: acute toxicity evaluation. Acta Med 49(3):167–173
33.
Zurück zum Zitat Williams et al (2004) The effect of education in managing side effects in women receiving chemotherapy for treatment of breast cancer. Oncol Nurs Forum 31(1):E16–E23CrossRefPubMed Williams et al (2004) The effect of education in managing side effects in women receiving chemotherapy for treatment of breast cancer. Oncol Nurs Forum 31(1):E16–E23CrossRefPubMed
34.
Zurück zum Zitat Winter et al (2004) Quality of life following resection, free flap reconstruction and postoperative external beam radiotherapy for squamous cell carcinoma of the base of tongue. Clin Otolaryngol 29:274–278CrossRefPubMed Winter et al (2004) Quality of life following resection, free flap reconstruction and postoperative external beam radiotherapy for squamous cell carcinoma of the base of tongue. Clin Otolaryngol 29:274–278CrossRefPubMed
35.
Zurück zum Zitat Yamashita et al (2006) Relation between acute and late irradiation impairment of four basic tastes and irradiated tongue volume in patients with head-and-neck cancer. Int J Radiat Oncol Biol Phys 66(5):1422–1429PubMed Yamashita et al (2006) Relation between acute and late irradiation impairment of four basic tastes and irradiated tongue volume in patients with head-and-neck cancer. Int J Radiat Oncol Biol Phys 66(5):1422–1429PubMed
36.
Zurück zum Zitat Brennan MT, Elting LS, Spijkervet FKL. Systematic reviews of oral complications from cancer therapies, Oral Care Study Group, MASCC/ISOO: methodology and quality of the literature. Support Care Cancer doi:10.1007/s00520-010-0856-3 Brennan MT, Elting LS, Spijkervet FKL. Systematic reviews of oral complications from cancer therapies, Oral Care Study Group, MASCC/ISOO: methodology and quality of the literature. Support Care Cancer doi:10.​1007/​s00520-010-0856-3
Metadaten
Titel
A systematic review of dysgeusia induced by cancer therapies
verfasst von
Allan J. Hovan
P. Michele Williams
Peter Stevenson-Moore
Yula B. Wahlin
Kirsten E. O. Ohrn
Linda S. Elting
Fred K. L. Spijkervet
Michael T. Brennan
Dysgeusia Section, Oral Care Study Group, Multinational Association of Supportive Care in Cancer (MASCC)/International Society of Oral Oncology (ISOO)
Publikationsdatum
01.08.2010
Verlag
Springer-Verlag
Erschienen in
Supportive Care in Cancer / Ausgabe 8/2010
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-010-0902-1

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