Primary study · included by 1 review

Effect of melatonin on quality of life and symptoms in patients with cancer: a systematic review and meta-analysis of randomised controlled trials.

Fan 2022 · Fan Rongrong, Bu Xiaofan, Yang Siyu, et al. · BMJ open · 2022

Included by

Outcome this study informsPooled effectEvidenceCertainty
Fatigue
Melatonin (3 to 20 mg/d or 3% oral gel) vs Placebo, no treatment, bright white light therapy or zolpidem
Fatigue (EORTC, FACT-F, MFI-20, VAS): SMD NS (5 RCTs, n = 855)5 studies · 855 participantsVery low
Severe stomatitis (WHO grade)
Melatonin (3 to 20 mg/d or 3% oral gel) vs Placebo, no treatment, bright white light therapy or zolpidem
Reducing severe stomatitis (WHO-G) RR NS (3 RCTs, n = 154)3 studies · 154 participantsVery low
Stomatitis incidence (WHO grade)
Melatonin (3 to 20 mg/d or 3% oral gel) vs Placebo, no treatment, bright white light therapy or zolpidem
RR 0.47 [0.26, 0.88]4 studies · 674 participantsGRADE not reported
Quality of life
Melatonin (3 to 20 mg/d or 3% oral gel) vs Placebo, no treatment, bright white light therapy or zolpidem
QoL (EORTC, FACT) SMD NS (6 RCTs, n = 967)6 studies · 967 participantsVery low
Stomatitis incidence (WHO grade)
Melatonin (3 to 20 mg/d or 3% oral gel) vs Placebo, no treatment, bright white light therapy or zolpidem
Stomatitis incidence (WHO-G, NR): RR NS (7 RCTs, n = 832) All cancers7 studies · 832 participantsVery low
Sleep quality
Melatonin (3 to 20 mg/d or 3% oral gel) vs Placebo, no treatment, bright white light therapy or zolpidem
Sleep quality (AIS, EORTC, ISI, KSS, MOS, PSQI): SMD NS (9 RCTs, n = 112)9 studies · 1128 participantsVery low

1 including review in total.