1. Comparison of therapeutic agents' short-term effects on facial and scalp actinic keratosis: A network meta-analysis.
- Author
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Gupta AK, Bamimore MA, Wang T, Polla Ravi S, Haas-Neil S, Martin G, Piguet V, and Talukder M
- Subjects
- Humans, Fluorouracil administration & dosage, Network Meta-Analysis, Treatment Outcome, Dermatologic Agents administration & dosage, Facial Dermatoses diagnosis, Facial Dermatoses drug therapy, Keratosis, Actinic diagnosis, Keratosis, Actinic drug therapy, Scalp Dermatoses diagnosis, Scalp Dermatoses drug therapy
- Abstract
Background: Care for actinic keratosis (AK) can be improved with more knowledge on the relative of effect of indicated therapies., Objectives: Using network meta-analyses, we quantitatively determined the comparative "short-term" effects of interventions in adults with facial and scalp AK., Methods: On February 28, 2023, evidence from the peer-reviewed literature was systematically obtained from OVID, the Cochrane Central Register of Controlled Trials and ClinicalTrials.gov. We analyzed data from studies published in English, of a trial design, and investigating the effect of an actinic keratosis monotherapy. Patient complete clearance, patient partial clearance or lesion-specific clearance across adults were analyzed at 8-12 weeks after therapy. Patient complete clearance pertained to proportion of participants who experienced complete clearance of actinic keratosis lesions; patient partial clearance corresponded to percentage of subjects who achieved at least 75% clearance of actinic keratosis lesions; lesion-specific clearance represented the percentage of all lesions that were cleared. In the main (i.e., base) analyses, nodes were analyzed only at the level of the agent., Results: Data from a total of 84 studies were used-across which 22 active agents were identified. Estimates of interventions' surface under the cumulative ranking curve rankings and (pairwise) relative effects were estimated. Across the three outcomes, fluorouracil 5% was ranked the most effective., Conclusions: Our work is the first to provide information on covariate-adjusted relative effects of actinic keratosis therapies- including the more recently reported treatments-for the face and scalp; this knowledge may help physicians and patients make more informed decisions., (© 2024 The Author(s). Journal of Cosmetic Dermatology published by Wiley Periodicals LLC.)
- Published
- 2024
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