Revised WCCNR Stomatitis Staging System for Chemotherapy-Induced Stomatitis

Description

The Western Consortium for Cancer Nursing Research (WCCNR) developed a staging system for chemotherapy-induced stomatitis with 8 parameters (lesions, color, bleeding, moisture, edema, infection, ability to eat and drink, and pain). Subsequent studies found that just 3 parameters sufficed for staging the severity of the stomatitis.

Patient selection: chemotherapy-induced stomatitis

Parameters:

(1) lesions

(2) erythema

(3) bleeding

Parameter	Finding	Points
lesions	none	0
	1 to 4	1
	>= 5	2
	more than 50% of oral surfaces denuded	3
micosal erythema	>= 50% pink	0
	>= 50% slightly red	1
	>= 50% moderately red	2
	>= 50% very red	3
bleeding	none	0
	with eating or mouth care	2
	spontaneous	3

total score =

= SUM(points for all 3 parameters)

Interpretation:

• minimum score: 0

• maximum score: 9

Total Score	Stomatitis
0	normal mucosa
1 to 4	mild
5 to 7	moderate
8 or 9	severe

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Revised WCCNR Stomatitis Staging System for Chemotherapy-Induced Stomatitis

Description

Specialty