Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-23T19:33:57.726Z Has data issue: false hasContentIssue false

An investigation into the use of a non-metallic deodorant during radiotherapy treatment: a randomised controlled trial

Published online by Cambridge University Press:  01 March 2009

Claire Bennett*
Affiliation:
Bristol Haematology and Oncology Centre, Bristol, UK
*
Correspondence to: Claire Bennett, Bristol Haematology and Oncology Centre, Horfield Road, Bristol, BS2 8ED, UK. E-mail: [email protected]

Abstract

Introduction: Many patients in the United Kingdom having radiotherapy for breast cancer are recommended not to use a deodorant during treatment. The advice is not evidence based, it is solely thought as deodorants contained metals, which would react with radiation and cause an increased skin reaction. Hence this research was undertaken to establish whether patients having a course of radiotherapy for breast cancer could use a deodorant as part of their daily routine.

Method: The research took place between May 2004 and February 2005. A total of 192 breast cancer patients were recruited. This included breast or chest-wall patients with or without axilla involvement. The study was designed with two groups. Group 1 used no deodorant and Group 2 a specific deodorant. The researcher reviewed patients weekly, assessing skin reactions and recording the researcher and patient's observations.

Results: Most patients experienced no reaction or mild erythema and dry desquamation in the axilla. This was observed in both groups. Therefore, findings of this study indicate that future breast cancer patients should be given the choice of using this deodorant.

Further recommendations: Test the reliability of the skin assessment form, extend the research to include other patient groups who have their axilla treated, test different deodorants.

Type
Original Article
Copyright
Copyright © Cambridge University Press 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hassey, K, Rose, C.Altered skin integrity in patients receiving radiation therapy. Oncol Nurs Forum 1982; 9 (4): 4450.Google ScholarPubMed
Bomford, C, Kunkler, I, Sherriff, S.Walter and Miller's Textbook of Radiotherapy. 5th edition. London: Churchill-Livingstone, 1993.Google Scholar
Sitton, E. Managing side effects of skin changes and fatigue. In: Dow, KH. (ed). Nursing Care in Radiation Oncology. Boston: Jones-Bartlett, 1997, pp. 79–100.Google Scholar
Lavery, B.Skin care during radiotherapy: A survey of UK Practice. Clin Oncol 1995; 7:184187.CrossRefGoogle ScholarPubMed
Pitrok Push-up Crystal Deodorant. Available online at URL: http://www.pitrok.co.uk/push.html (last accessed on 21/01/04).Google Scholar
Gee, A, Moffitt, D, Churn, M, Errington, R.A Randomised controlled trial to test a non-metallic deodorant used during a course of radiotherapy. J Radiother Pract 2000; 1:205212.CrossRefGoogle Scholar
Cox, J, Stetz, J, Pajak, T.Toxicity criteria of the Radiation Therapy Oncology Group (RTOG) and the European Organisation for Research and Treatment of Cancer (EORTC). Int J Radiat Oncol Biol Phys 1995; 31 (5):13411346.CrossRefGoogle ScholarPubMed
Roy, I, Fortin, A, Larochelle, M.The impact of skin washing with water and soap during breast irradiation: a randomised study. Radiother Oncol 2001; 58:333339.CrossRefGoogle Scholar
Porock, D, Kristjanson, L.Skin reactions during radiotherapy for breast cancer: the use and impact of topical agents and dressings. Eur J Cancer Care 1999; 8:143153.CrossRefGoogle ScholarPubMed
Meegan, M, Haycocks, T.An investigation into the management of acute skin reactions from tangential breast irradiation. Can J Med Radiat Technol 1997; 28 (4):169173.Google Scholar
Kaanders, H, Ang, K.Early reactions as dose limiting factors in radiotherapy. Semin Radiat Oncol 1994; 4 (2):5567.CrossRefGoogle ScholarPubMed
Burch, S, Parker, S, Vann, A, Arazie, J.Measurement of 6MV x ray surface dose when topical agents are applied prior to external beam irradiation. Int J Radiat Oncol Biol Phys 1997; 38 (2):447451.CrossRefGoogle ScholarPubMed
Campbell, I, Illingsworth, M.Can patients wash during radiotherapy to the breast or chest wall? A Randomised Controlled Trial. Clin Oncol 1992; 4:7882.CrossRefGoogle Scholar
National Breast Cancer Centre. Skin Care During Radiotherapy for Breast Cancer: A Summary of Key Research Findings. Australia: NBCC, 2004.Google Scholar
Wells, M, Macmillan, M, Raab, G, Macbride, S, Bell, N, Mackinnon, K, MacDougall, H, Samuel, L, Munro, A.Does aqueous or sucralfate cream affect the severity of erythematous radiation skin reactions? A rando mised controlled trial. Radiother Oncol 2004; 73:153162.CrossRefGoogle ScholarPubMed