Chronic radiation-induced xerostomia Signs and Symptoms Diseases of salivary glands
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients treated with radical radiotherapy for head and neck cancer at least 18 months previously 2. At least one parotid gland within field of radiotherapy 3. Patient complains of xerostomia 4. No clinical sign of local recurrence 5. Age 18 years or over, either sex
Exclusion criteria
Exclusion criteria: 1. Xerostomia caused by reason other than radiotherapy, e.g., Sjogren's disease 2. Previous surgery to more than one parotid gland 3. Currently using pilocarpine 4. Previous acupuncture treatment for this condition 5. Any physical characteristics that could prevent, or complicate, correct needle insertion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient reported change in severity of chronic dry mouth. Outcomes will be measured at the following timepoints for each intervention: baseline (before delivery of intervention), week 5, week 9, then once more 6 months after completion of acupuncture. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Change in severity of other key xerostomia symptoms (sticky saliva, dry lips, difficulty swallowing, problems with sense of smell, waking at night, need to sip water to relieve a dry mouth, need to sip water to help swallow food) 2. Change in total salivary output measured using Schirmer strips 3. Benefits of regular group meetings to aspects of quality of life for patients experiencing chronic xerostomia 4. Health economic evaluation Outcomes will be measured at the following timepoints for each intervention: baseline (before delivery of intervention), week 5, week 9, then once more 6 months after completion of acupuncture. | — |
Countries
United Kingdom