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Actual research evidence in effectiveness of hyperbaric oxygen therapy in available chronical indications: overview of systematic reviews


Authors: M. Klugar 1,2;  M. Hájek 3,4;  J. Klugarová 1,2
Authors‘ workplace: České Cochrane centrum, České centrum Evidence-Based Healthcare: centrum excelence Joanna Briggs Institute, GRADE centrum Masarykovy univerzity, České národní centrum Evidence-Based Healthcare a Knowledge Translation, Institut biostatistiky a analýz, Léka 1;  Institut biostatistiky a analýz, Lékařská fakulta, Masarykova univerzita, vedoucí institutu doc. RNDr. Ladislav Dušek, Ph. D. 2;  Centrum hyperbarické medicíny, Městská nemocnice Ostrava, primář MUDr. Michal Hájek, Ph. D. 3;  Katedra biomedicínských oborů, Lékařská fakulta, Ostravská univerzita v Ostravě, vedoucí katedry prof. MUDr. David Stejskal, Ph. D., MBA 4
Published in: Pracov. Lék., 70, 2018, No. 3-4, s. 139-145.
Category:

Overview

The research in hyperbaric medicine is still developing, so it is important to keep Czech medical professionals up to date about latest research evidence in this field. Within this study we have focused on the actual research evidence in the field of available chronical diagnoses. Purpose of this overview of systematic reviews was to investigate what are existing research evidence in the effectiveness of hyperbaric oxygen therapy (HBOT) at available chronical indications. The systematic search retrieved through 10 databases search by Epistemonikos 13 systematic reviews which matched inclusion criteria. HBOT has statistically and clinically significant effect at several chronical indications. For example, in patients with diabetic foot ulcers in short period until 6 weeks. HBOT is very statistically and clinically significant for treatment in patients with femoral head necrosis. On the other hand, there is no effect of HBOT in patients with autism. HBOT could be used preventively to reduce risk of implant failure in patients after radiotherapy. There is some evidence of moderate quality that HBOT improves outcome in late radiation tissue injury affecting bone and soft tissues of the head and neck

Keywords:

hyperbaric oxygen therapy – chronic indications – leg ulcers – femoral head necrosis – radiation-induced skin necrosis – Autism spectrum disorder


Sources

1. Bennett, M. H., Feldmeier, J., Hampson, N. B., Smee, R., Milross, C. Hyperbaric oxygen therapy for late radiation tissue injury. Cochrane Database of Systematic Reviews, 2016, 4, CD005005. doi:10.1002/14651858.CD005005.pub4.

2. Borab, Z., Mirmanesh, M. D., Gantz, M., Cusano, A., Pu, L. L. Q. Systematic review of hyperbaric oxygen therapy for the treatment of radiation-induced skin necrosis. Journal of Plastic, Reconstructive and Aesthetic Surgery, 2017, 70, 4, p. 529–538. doi:10.1016/j.bjps.2016.11.024

3. Goldfarb, C., Genore, L., Hunt, C., Flanagan, J., Handley-Derry, M., Jethwa, A., Anagnostou, E. Hyperbaric oxygen therapy for the treatment of children and youth with Autism Spectrum disorders: An evidence-based systematic review. Research in Autism Spectrum Disorders, 2016, 29-30, p. 1–7. doi:10.1016/j.rasd.2016.05.004.

4. Hajek, M., Chmelař, D., Rozložník, M., Lochmanová, A. Současná evropská doporučení pro léčbu hyperbarickým kyslíkem. Paper presented at the Hyperbaric, diving and aviation medicine 2017, Měřín.

5. Kranke, P., Bennett, M. H., Martyn-St James, M., Schnabel, A., Debus, S. E., Weibel, S. Hyperbaric oxygen therapy for chronic wounds. Cochrane Database of Systematic Reviews, 2015, 6, 6, CD004123. doi:10.1002/14651858.CD004123.pub4.

6. Li, W., Ye, Z., Wang, W., Wang, K., Li, L., Zhao, D. Clinical effect of hyperbaric oxygen therapy in the treatment of femoral head necrosis : A systematic review and meta-analysis. Der Orthopade, 2017, 46, 5, p. 440–446. doi:10.1007/s00132-016-3360-8.

7. Shah, D. N., Chauhan, C. J., Solanki, J. S. Effectiveness of hyperbaric oxygen therapy in irradiated maxillofacial dental implant patients: A systematic review with meta-analysis. Journal of Indian Prosthodontic Society, 2017, 17, 2, p. 109-119. doi:10.4103/0972-4052.203193.

8. Sutherland, A. M., Clarke, H. A., Katz, J., Katznelson, R. Hyperbaric Oxygen Therapy: A New Treatment for Chronic Pain? Pain practice : the official journal of World Institute of Pain, 2016, 16, 5, p. 620–628. doi:10.1111/papr.12312.

9. Xiong, T., Chen, H., Luo, R., Mu, D. Hyperbaric oxygen therapy for people with autism spectrum disorder (ASD). Cochrane Database of Systematic Reviews, 2016, 10, CD010922. doi:10.1002/14651858.CD010922.pub2.

10. Zhao, D., Luo, S., Xu, W., Hu, J., Lin, S., Wang, N. Efficacy and Safety of Hyperbaric Oxygen Therapy Used in Patients With Diabetic Foot: A Meta-Analysis of Randomized Clinical Trials. Clinical Therapeutics, 2017, 39, 10, p. 2088. doi:10.1016/j.clinthera.2017.08.014

Labels
Hygiene and epidemiology Hyperbaric medicine Occupational medicine

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Occupational Medicine

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