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 Vol. 25; no. 4; pp. 972 - 981 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
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01-05-2019
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| Abstract | 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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| AbstractList | ObjectiveThe aim of this systematic review was to compare outcomes between surgical and non‐surgical treatment of actinic cheilitis (AC).Materials and MethodsA 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.ResultsA 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%).ConclusionIn 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. 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. The aim of this systematic review was to compare outcomes between surgical and non-surgical treatment of actinic cheilitis (AC). 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. 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%). 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. Abstract 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 AC s 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. |
| Author | Pellizzer, Eduardo Piza Vasconcelos, Belmiro Cavalcanti do Egito Santiago Júnior, Joel Ferreira Carvalho, Marianne de Vasconcelos Moraes, Sandra Lúcia Dantas Lemos, Cleidiel Aparecido Araujo |
| Author_xml | – sequence: 1 givenname: Marianne de Vasconcelos orcidid: 0000-0002-6815-5696 surname: Carvalho fullname: Carvalho, Marianne de Vasconcelos email: mariannecarvalho@gmail.com organization: Pernambuco University (UPE) – sequence: 2 givenname: Sandra Lúcia Dantas surname: Moraes fullname: Moraes, Sandra Lúcia Dantas organization: Pernambuco University (UPE) – sequence: 3 givenname: Cleidiel Aparecido Araujo surname: Lemos fullname: Lemos, Cleidiel Aparecido Araujo organization: São Paulo State University (UNESP) – sequence: 4 givenname: Joel Ferreira surname: Santiago Júnior fullname: Santiago Júnior, Joel Ferreira organization: Sacred Heart University – sequence: 5 givenname: Belmiro Cavalcanti do Egito surname: Vasconcelos fullname: Vasconcelos, Belmiro Cavalcanti do Egito organization: Pernambuco University (UPE) – sequence: 6 givenname: Eduardo Piza surname: Pellizzer fullname: Pellizzer, Eduardo Piza organization: São Paulo State University (UNESP) |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29908101$$D View this record in MEDLINE/PubMed |
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The aim of this systematic review was to compare outcomes between surgical and non‐surgical treatment of actinic cheilitis (AC).
Materials and... The aim of this systematic review was to compare outcomes between surgical and non-surgical treatment of actinic cheilitis (AC). A systematic review and... Abstract Objective The aim of this systematic review was to compare outcomes between surgical and non‐surgical treatment of actinic cheilitis ( AC ). Materials... ObjectiveThe aim of this systematic review was to compare outcomes between surgical and non‐surgical treatment of actinic cheilitis (AC).Materials and MethodsA... OBJECTIVEThe aim of this systematic review was to compare outcomes between surgical and non-surgical treatment of actinic cheilitis (AC). MATERIALS AND... |
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| SubjectTerms | actinic cheilitis Biopsy Cheilitis - pathology Cheilitis - therapy Clinical trials Data processing Dentistry Humans intervention management Meta-analysis Neoplasm Recurrence, Local Prospective Studies Remission Retrospective Studies Standardization Systematic review Treatment Outcome |
| Title | Surgical versus non‐surgical treatment of actinic cheilitis: A systematic review and meta‐analysis |
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