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Surgical versus non‐surgical treatment of actinic cheilitis: A systematic review and meta‐analysis
Objective The aim of this systematic review was to compare outcomes between surgical and non‐surgical treatment of actinic cheilitis (AC). Materials and Methods A systematic review and meta‐analysis based on the Preferred Reporting Items for Systematic reviews and Meta‐Analyses guideline were perfor...
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Published in: | Oral diseases 2019-05, Vol.25 (4), p.972-981 |
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Main Authors: | , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Objective
The aim of this systematic review was to compare outcomes between surgical and non‐surgical treatment of actinic cheilitis (AC).
Materials and Methods
A systematic review and meta‐analysis based on the Preferred Reporting Items for Systematic reviews and Meta‐Analyses guideline were performed. A search of PubMed/MEDLINE, Web of Science, and Cochrane Library databases was conducted. Articles were selected based on the inclusion criteria: randomized clinical trials, prospective/retrospective studies, and case series with at least 10 patients, with a minimum follow‐up period of 6 months. A weighted remission rate (RER) and recurrence rate (RR) with a 95% confidence interval was performed. Data analysis was performed using a comprehensive meta‐analysis software.
Results
A total of 283 ACs in 10 studies were included. About 2.5% surgically treated cases underwent malignant transformation. The weighted remission rate was higher for surgical (92.8%) compared to non‐surgical treatment (65.9%). The recurrence rate was lower for surgical (8.4%) compared to non‐surgical treatment (19.2%).
Conclusion
In this systematic review, the surgical treatment was more favorable than non‐surgical for AC. Meanwhile, further studies are needed that should maximize methodological standardization and have greater rigor of the data collection process. |
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ISSN: | 1354-523X 1601-0825 |
DOI: | 10.1111/odi.12916 |