Cost-effectiveness of photobiomodulation therapy for the prevention and management of cancer treatment toxicities: a systematic review

• Published in: Supportive care in cancer 2021-06, Vol.29 (6), p.2875-2884
• Main Authors: Kauark-Fontes, Elisa, Rodrigues-Oliveira, Leticia, Epstein, Joel B, Faria, Karina Morais, Araújo, Anna Luiza Damaceno, Gueiros, Luiz Alcino Monteiro, Migliorati, Cesar Augusto, Salloum, Ramzi G., Burton, Patricia, Carroll, James, Lopes, Marcio Ajudarte, Alves, Carolina Guimarães Bonfim, Palmier, Natalia Rangel, Prado-Ribeiro, Ana Carolina, Brandão, Thaís Bianca, Santos-Silva, Alan Roger
• Format: Article
• Language: English
• Subjects: Breast cancer; Cancer; Cancer therapies; Chemotherapy; Cost analysis; Cost-Benefit Analysis - methods; Epidemiology; Health aspects; Humans; Lasers in surgery; Light therapy; Low-Level Light Therapy - economics; Low-Level Light Therapy - methods; Lymphedema; Medicine; Medicine & Public Health; Neoplasms - prevention & control; Neoplasms - therapy; Nursing; Nursing Research; Oncology; Oncology, Experimental; Pain Medicine; Physical therapy; Prevention; Rehabilitation Medicine; Review Article; Systematic review; Therapeutics, Physiological
• ISSN: 0941-4355; 1433-7339
• DOI: 10.1007/s00520-020-05949-1

Purpose To identify and summarize the evidence on the cost-effectiveness of photobiomodulation (PBM) therapy for the prevention and treatment of cancer treatment-related toxicities. Methods This systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA) and Meta-analysis Of Observational Studies in Epidemiology (MOOSE). Scopus, MEDLINE/PubMed, and Embase were searched electronically. Results A total of 1490 studies were identified, and after a two-step review, 4 articles met the inclusion criteria. The included studies analyzed the cost-effectiveness of PBM therapy used in the context of lymphedema for breast cancer and oral mucositis (OM) induced by chemotherapy and radiotherapy. Better outcomes were associated with PBM therapy. The incremental cost-effectiveness ratio ranged from 3050.75 USD to 5592.10 USD per grade 3–4 OM case prevented. PBM therapy cost 21.47 USD per percentage point reduction in lymphedema in comparison with 80.51 USD for manual lymph drainage and physical therapy. Conclusion There is limited evidence that PBM therapy is cost-effective in the prevention and treatment of specific cancer treatment-related toxicities, namely, OM and breast cancer-related lymphedema. Studies may have underreported the benefits due to a lack of a comprehensive cost evaluation. This suggests a wider acceptance of PBM therapy at cancer treatment centers, which has thus far been limited by the number of robust clinical studies that demonstrate cost-effectiveness for the prevention and treatment of toxicities.