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Int. J. Radiat. Oncol. Biol. Phys. · Oct 2014
Randomized Controlled TrialEfficacy of synbiotics to reduce acute radiation proctitis symptoms and improve quality of life: a randomized, double-blind, placebo-controlled pilot trial.
- Mariana Nascimento, José Eduardo Aguilar-Nascimento, Cervantes Caporossi, Heloisa Michelon Castro-Barcellos, and Rodrigo Teixeira Motta.
- Department of Medicine, University Center of Varzea Grande (UNIVAG), Varzea Grande, Mato Grosso, Brazil. Electronic address: mari1980hemato@yahoo.com.br.
- Int. J. Radiat. Oncol. Biol. Phys. 2014 Oct 1;90(2):289-95.
PurposeTo evaluate whether the daily intake of synbiotics interferes in radiation-induced acute proctitis symptoms and in quality of life in patients with prostate cancer.Methods And MaterialsTwenty patients who underwent 3-dimensional conformal radiation therapy for prostate cancer were randomized to intake either a synbiotic powder containing Lactobacillus reuteri 10(8) colony-forming units and 4.3 g of soluble fiber (Nestlé) or placebo. The questionnaire EORTC QLQ-PRT23 was applied before the beginning of radiation therapy and in every week for the first 4 weeks of treatment. The sum of both the complete (proctitis symptoms plus quality of life) and partial (proctitis symptoms) scores of the EORTC QLQ-PRT23 (European Organization for Research and Treatment of Cancer Quality of Life Module for Proctitis-23 items) questionnaire were the main endpoints.ResultsThis pilot study showed that the complete questionnaire score (median [range]) was higher in the second (23 [21-30] vs 26.5 [22-34], P<.05) and third (23 [21-32] vs 27.5 [24-33], P<.01) weeks in the placebo group. Proctitis symptoms were highest scored in the placebo group in both the second (19.5 [16-25]) and third (19 [17-24]) weeks than in the synbiotic group (week 2: 16.5 [15-20], P<.05; week 3: 17 [15-23], P<.01). In both scores the placebo group had a significantly higher result (P<.01) than the synbiotic group (repeated-measures analysis of variance).ConclusionsSynbiotics reduce proctitis symptoms and improve quality of life in radiation-induced acute proctitis during radiation therapy for prostate cancer.Copyright © 2014 Elsevier Inc. All rights reserved.
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