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Cranberry in radiotherapy: dispelling the myths. A review of the literature

Published online by Cambridge University Press:  09 July 2013

Lynne Gordon*
Affiliation:
Division of Radiotherapy, School of Health and Social Work, University of Hertfordshire, Hatfield, Hertfordshire, UK
*
Correspondence to: Lynne Gordon, Division of Radiotherapy, School of Health and Social Work, University of Hertfordshire, College Lane, Hatfield, Hertfordshire AL10 9AB, UK. Tel: 01707 285088. Fax: 01707284977. E-mail: l.gordon@herts.ac.uk

Abstract

Background

Therapeutic radiographers routinely offer advice to patients regarding treatment-related side effects. Cranberry has long been used as a natural remedy for several health complaints and has more recently been suggested as having a role in the treatment and prophylaxis of urinary tract infection (UTI) and symptoms.

Purpose

The aim of this review was to investigate whether there is a place for cranberry as part of the management of radiation cystitis caused by radiotherapy treatment of pelvic cancers, in order to aid therapeutic radiographers in tailoring their advice regarding pelvic side effects.

Materials and methods

A structured search was carried out using PubMed, CINAHL, Scopus and Cochrane Library databases. A total of 25 articles were selected for review.

Results

Themes of mechanism of action of cranberry, composition of cranberry products, cranberry and UTI, use of cranberry in radiotherapy and further issues to consider were identified and explored.

Conclusion

A lack of high-quality data was identified in the literature reviewed and no firm evidence was found to support the continued recommendation of cranberry as part of management of radiation induced urinary tract side effects. Well-designed randomised controlled trials are required before further recommendations regarding the use of cranberry in radiotherapy are made.

Type
Literature Review
Copyright
Copyright © Cambridge University Press 2013 

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References

1.Peeters, S T H, Heemsbergen, W D, van Putten, W L Jet al. Acute and late complications after radiotherapy for prostate cancer: results of a multicenter randomized trial comparing 68 Gy to 78 Gy. Int J Radiat Oncol* Biol* Phys 2005; 61: 10191034.CrossRefGoogle ScholarPubMed
2.Majewski, W, Tarnawski, R. Acute and late toxicity in radical radiotherapy for bladder cancer. Clin Oncol 2009; 21: 598609.CrossRefGoogle ScholarPubMed
3.Cimolai, N, Cimolai, T. The cranberry and the urinary tract. Eur J Clin Microbiol Infect Dis 2007; 26: 767776.CrossRefGoogle ScholarPubMed
4.Buchan, S, Shakeel, M, Trinidade, A, Buchan, D, Ah-See, K. The use of complementary and alternative medicine by nurses. Br J Nurs 2012; 21: 672675.CrossRefGoogle ScholarPubMed
5.Avorn, J, Monane, M, Gurwitz, J H, Glynn, R J, Choodnovskiy, I, Lipsitz, L A. Reduction of bacteriuria and pyuria after ingestion of cranberry juice. J Am Med Assoc 1994; 271: 751754.CrossRefGoogle ScholarPubMed
6.Raz, R, Chazan, B, Dan, M. Cranberry juice and urinary tract infection. Clin Infect Dis 2004; 38: 14131419.CrossRefGoogle ScholarPubMed
7.Griffiths, P. The role of cranberry juice in the treatment of urinary tract infections. Br J Community Nurs 2003; 8: 557561.CrossRefGoogle ScholarPubMed
8.Harkins, K J. What's the use of cranberry juice? Age Ageing 2000; 29: 912.CrossRefGoogle ScholarPubMed
9.Henig, Y S, Leahy, M M. Cranberry juice and urinary-tract health: science supports folklore. Nutrition 2000; 16: 684687.CrossRefGoogle ScholarPubMed
10.Ofek, I, Goldhar, J, Sharon, N. Anti-Escherichia coli adhesin activity of cranberry and blueberry juices. Adv Exp Med Biol 1996; 408: 179183.CrossRefGoogle ScholarPubMed
11.Franco, A V M. Recurrent urinary tract infections. Best Prac Res Clin Obstet Gynaecol 2005; 19: 861873.CrossRefGoogle ScholarPubMed
12.Greenberg, J A, Newmann, S J, Howell, A B. Consumption of sweetened dried cranberries versus unsweetened raisins for inhibition of uropathogenic Escherichia coli adhesion in human urine: a pilot study. J Altern Complement Med 2005; 11: 875878.CrossRefGoogle ScholarPubMed
13.Howell, A B, Reed, J D, Krueger, C G, Winterbottom, R, Cunningham, D G, Leahy, M. A-type cranberry proanthocyanidins and uropathogenic bacterial anti-adhesion activity. Phytochemistry 2005; 66: 22812291.CrossRefGoogle ScholarPubMed
14.Kontiokari, T, Sundqvist, K, Nuutinen, M, Pokka, T, Koskela, M, Uhari, M. Randomised trial of cranberry-lingonberry juice and Lactobacillus GG drink for the prevention of urinary tract infections in women. BMJ 2001; 322: 1571.CrossRefGoogle ScholarPubMed
15.Guay, D R. Cranberry and urinary tract infections. Drugs 2009; 69: 775807.CrossRefGoogle ScholarPubMed
16.Bazinet, L, Cossec, C, Gaudreau, H, Desjardins, Y. Production of a phenolic antioxidant enriched cranberry juice by electrodialysis with filtration membrane. J Agric Food Chem 2009; 57: 1024510251.CrossRefGoogle ScholarPubMed
17.Cowan, C C, Hutchison, C, Cole, Tet al. A randomised double-blind placebo-controlled trial to determine the effect of cranberry juice on decreasing the incidence of urinary symptoms and urinary tract infections in patients undergoing radiotherapy for cancer of the bladder or cervix. Clin Oncol 2012; 24(2): e31e38.CrossRefGoogle ScholarPubMed
18.Campbell, G, Pickles, T, D'Yachkova, Y A. Randomised trial of cranberry versus apple juice in the management of urinary symptoms during external beam radiation therapy for prostate cancer. Clin Oncol (R Coll Radiol) 2003; 15: 322328.CrossRefGoogle ScholarPubMed
19.Barbosa-Cesnik, C, Brown, M B, Buxton, M, Zhang, L, DeBusscher, J, Foxman, B. Cranberry juice fails to prevent recurrent urinary tract infection: results from a randomized placebo-controlled trial. Clin Infect Dis 2011; 52: 2330.CrossRefGoogle ScholarPubMed
20.McMurdo, M E, Bissett, L Y, Price, R J, Phillips, G, Crombie, I K. Does ingestion of cranberry juice reduce symptomatic urinary tract infections in older people in hospital? A double-blind, placebo-controlled trial. Age Ageing 2005; 34: 256261.CrossRefGoogle ScholarPubMed
21.Ngo, N, Yan, Z, Graf, T Net al. Identification of a cranberry juice product that inhibits enteric CYP3A-mediated first-pass metabolism in humans. Drug Metab Dispos 2009; 37: 514522.CrossRefGoogle ScholarPubMed
22.Sen, A. Recurrent cystitis in non-pregnant women. Clin Evid (Online) 2008; 2008: 0801.Google ScholarPubMed
23.Bailey, D T, Dalton, C, Joseph Daugherty, F, Tempesta, M S. Can a concentrated cranberry extract prevent recurrent urinary tract infections in women? A pilot study. Phytomedicine 2007; 14: 237241.CrossRefGoogle ScholarPubMed
24.Hess, M J, Hess, P E, Sullivan, M R, Nee, M, Yalla, SV. Evaluation of cranberry tablets for the prevention of urinary tract infections in spinal cord injured patients with neurogenic bladder. Spinal Cord 2008; 46: 622626.CrossRefGoogle ScholarPubMed
25.Vidlar, A, Vostalova, J, Ulrichova, Jet al. The effectiveness of dried cranberries (Vaccinium macrocarpon) in men with lower urinary tract symptoms. Br J Nutr 2010; 104: 11811189.CrossRefGoogle ScholarPubMed
26.Bonetta, A, Di Pierro, F. Enteric-coated, highly standardized cranberry extract reduces risk of UTIs and urinary symptoms during radiotherapy for prostate carcinoma. Cancer Manag Res 2012; 4: 281286.Google ScholarPubMed
27.McMurdo, M E, Argo, I, Phillips, G, Daly, F, Davey, P. Cranberry or trimethoprim for the prevention of recurrent urinary tract infections? A randomized controlled trial in older women. J Antimicrob Chemother 2009; 63: 389395.CrossRefGoogle ScholarPubMed
28.Stothers, L. A randomized trial to evaluate effectiveness and cost effectiveness of naturopathic cranberry products as prophylaxis against urinary tract infection in women. Can J Urol 2002; 9: 15581562.Google ScholarPubMed
29.Sanderson, C, Hardy, J, Spruyt, O, Currow, D C. Placebo and nocebo effects in randomized controlled trials: the implications for research and practice. J Pain Symptom Manage 2013.CrossRefGoogle ScholarPubMed
30.Izzo, A A, Ernst, E. Interactions between herbal medicines and prescribed drugs. Drugs 2001; 61: 21632175.CrossRefGoogle ScholarPubMed
31.Paeng, C H, Sprague, M, Jackevicius, C A. Interaction between warfarin and cranberry juice. Clin Ther 2007; 29: 17301735.CrossRefGoogle ScholarPubMed
32.Pham, D Q, Pham, A Q. Interaction potential between cranberry juice and warfarin. Am J Health Syst Pharm 2007; 64: 490494.CrossRefGoogle ScholarPubMed