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The Effect of Sanyrene Liquid Dressing in Preventing Radiation Dermatitis: A Systematic Review and Meta-analysis
Siqing Li1, Lanpeng Chen, Zhaoxia Yang
1Siqing Li, MD, is Enterostomal Therapist, Department of Gastrointestinal Surgery, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong, China. Lanpeng Chen, MD, is Lecturer, Kangda College of Nanjing Medical University, Lianyungang, Jiangsu, China. Also at Fifth Affiliated Hospital of Sun Yat-sen University, Zhaoxia Yang, MS, is Enterostomal Therapist; Wenxin Luo, MS, is Gastrointestinal Surgery Head Nurse, Department of Gastrointestinal Surgery; Liping Zhong, MS, is Enterostomal Therapist, Radiological Department; Yuxia Liu, MS, is Gastrointestinal Surgery Nurse, Department of Gastrointestinal Surgery; Jianmin Chen, MS, is Gastrointestinal Surgery Nurse, Department of Gastrointestinal Surgery; Lihong Xu, MS, is Gastrointestinal Surgery Nurse, Department of Gastrointestinal Surgery; Minyi Xie, MD, is Enterostomal Therapist and Head Nurse, Surgical Department; and Xiaoyue Yang, MS, is Director, Nursing Department.
Objective:
To assess the efficacy of Sanyrene liquid dressing (Urgo Medical) in preventing radiation dermatitis (RD) among patients with cancer after radiotherapy.
Data Sources:
The authors searched the China National Knowledge Infrastructure, SinoMed, WanFang Data, PubMed, Web of Science, EMBASE, and the Cochrane Library databases for articles published from inception to January 2021.
Study Selection:
The preliminary search identified 146 studies. After removing duplicates, applying exclusion criteria, and screening titles and abstracts, 19 studies met the inclusion criteria.
Data Extraction:
A standardized form was constructed to extract data from eligible studies. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias of the included studies.
Data Synthesis:
The authors identified a total of 19 studies involving 1,508 patients that assessed the effectiveness of Sanyrene liquid dressing in preventing RD in patients with cancer after radiotherapy. The findings suggested that Sanyrene decreases the total incidence of RD (odds ratio [OR], 5.00; 95% CI, 2.77-9.03; P < .00001), as well as the incidence of RD grade 2 (OR, 0.55; 95% CI, 0.36-0.85; P = .007), grade 3 (OR, 0.22; 95% CI, 0.09-0.57; P = .002), and grade 4 (OR, 0.32; 95% CI, 0.13-0.78; P = .01). In addition, in comparison with controls, Sanyrene liquid dressing improves the cure rate (OR, 8.18; 95% CI, 4.03-16.60; P < .00001) and delays the occurrence of RD (mean difference, 3.69; 95% CI, 3.03-4.36; P < .00001).
Conclusions:
Sanyrene liquid dressing can decrease both the total incidence of RD and the incidence of RD above grade 2. It also improves the cure rate and delays the occurrence of RD. Thus, Sanyrene may be a superior option for preventing RD after radiotherapy. However, the findings were assessed as moderate- to low-quality evidence and more high-quality trials are needed to support this result.
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