The role of dermocosmetics in the management of cancer-related skin toxicities: international expert consensus.

Brigitte Dreno, Kiarash Khosrotehrani, Giselle De Barros Silva, Julie Ryan Wolf, Delphine Kerob, Mark Trombetta, Etienne Atenguena, Pascale Dielenseger, Meng Pan, Florian Scotte, Ivan Krakowski, Mario Lacouture

Journal: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer 2023;31(12):672

PMID: 37925388

Abstract

Skin toxicities are very common in patients undergoing cancer treatment and have been found to occur with all types of cancer therapeutic interventions (cytotoxic chemotherapy, targeted therapies, immunotherapy, and radiotherapy). Further, skin toxicities can lead to interruption or even discontinuation of anticancer treatment in some patients, translating to suboptimal outcomes. Dermocosmetics (or cosmeceuticals)-defined as skincare solutions incorporating dermatologically active ingredients (beyond vehicle effects) that directly improve symptoms of various skin conditions-are increasingly being used in cancer care to prevent and manage skin toxicities. The active ingredients in these products have a measurable biological action in skin; they typically improve skin integrity (barrier function/hydration and other factors) while relieving skin symptoms. The Association Francophone des Soins Oncologiques de Support (AFSOS) and Multinational Association of Supportive Care in Cancer (MASCC) partnered to select a multidisciplinary group of healthcare professionals involved in the management of patients with cancer and skin toxicities. The group reviewed existing literature and created a summary of recommendations for managing these toxicities through online meetings and communication. In this publication, the group (1) reviews new skin toxicities seen with oncology drugs and (2) evaluates the role of dermocosmetics in improving patient outcomes and minimizing cancer treatment interruptions. We provide general recommendations for initiation and selection of skin care in all oncology patients as well as recommendations for what factors should be considered when using dermocosmetics in specific types of skin toxicities.

© 2023. The Author(s).

Address: Nantes Université, INSERM, CNRS, Immunology and New Concepts in Immunotherapy, INCIT, UMR 1302/EMR6001. F-44000, Nantes, France.; Experimental Dermatology Group, University of Queensland Diamantina Institute, Brisbane, Australia.; Department of Oncology, Hospital Alemao Oswaldo Cruz, Sao Paulo, Brazil.; Departments of Dermatology and Radiation Oncology, School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, NY, USA.; La Roche Posay International, Levallois, France. [email protected].; Department of the Radiologic Sciences, Allegheny Health Network, Drexel University College of Medicine, Pittsburgh, PA, USA.; Department of Internal Medicine, University of Yaoundé I, Yaoundé Hospital General, Yaoundé, Cameroon.; Research and Education for Paramedic Professionals Nursing Coordinator, Gustave Roussy, Villejuif, France.; École Des Sciences du Cancer, Université Paris Sud (XI), Paris, France.; Association Française Des Infirmières de Cancerologie (AFIC), Paris, France.; Department of Dermatology, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.; Interdisciplinary Patient Pathway Division, Gustave Roussy, Villejuif, France.; Multinational Association of Supportive Care in Cancer (MASCC), Aurora, Canada.; Medical Oncologist, Bordeaux, France.; Association Francophone Des Soins Oncologiques de Support (AFSOS), Bègles, France.; Dermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
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