Evidence map›Paper›PMID 25584800›Full record

Trial reportThe Journal of investigative dermatology2015

Monochloroacetic acid application is an effective alternative to cryotherapy for common and plantar warts in primary care: a randomized controlled trial.

Sjoerd C Bruggink, Jacobijn Gussekloo, Paulette F Egberts, Jan Nico Bouwes Bavinck, Margot W M de Waal, Willem J J Assendelft, Just A H Eekhof

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in The Journal of investigative dermatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. HPV type-specific distribution among family members and linen in households of cutaneous wart patients.Journal of the European Academy of Dermatology and Venereology : JEADV · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Sjoerd C BrugginkDepartment of Public Health and Primary Care (V0-P), Leiden University Medical Center, Leiden, The Netherlands. Electronic address: s.c.bruggink@lumc.nl.
Jacobijn GusseklooDepartment of Public Health and Primary Care (V0-P), Leiden University Medical Center, Leiden, The Netherlands.
Paulette F EgbertsDepartment of Public Health and Primary Care (V0-P), Leiden University Medical Center, Leiden, The Netherlands.
Jan Nico Bouwes BavinckDepartment of Dermatology (B1-Q), Leiden University Medical Center, Leiden, The Netherlands.
Margot W M de WaalDepartment of Public Health and Primary Care (V0-P), Leiden University Medical Center, Leiden, The Netherlands.
Willem J J AssendelftDepartment of Public Health and Primary Care (V0-P), Leiden University Medical Center, Leiden, The Netherlands; Radboud University Nijmegen Medical Centre, Department of Primary and Community Care, 117-hag, Nijmegen, The Netherlands.
Just A H EekhofDepartment of Public Health and Primary Care (V0-P), Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cryotherapy and salicylic acid (SA) often fail as treatments for skin warts. We examined the effectiveness of monochloroacetic acid (MCA) for patients with common or plantar warts. Consecutive patients aged 4 years and older with one or more newly diagnosed common or plantar warts were recruited in 53 Dutch general practices. We randomly allocated eligible patients to 13-week treatment protocols of office-applied MCA versus liquid nitrogen cryotherapy every 2 weeks for patients with common warts (n=188), and MCA versus cryotherapy combined with daily SA self-application for patients with plantar warts (n=227). The primary outcome was the proportion of patients whose warts were all cured at 13 weeks. In the common wart group, cure rates were 40/92 (43%, 95% confidence interval 34-54) for MCA and 50/93 (54%, 44-64) for cryotherapy (risk difference (RD) -10%, -25-4.0, P=0.16). In the plantar wart group, cure rates were 49/106 (46%, 37-56) for MCA and 45/115 (39%, 31-48) for cryotherapy combined with SA (RD 7.1, 5.9-20, P=0.29). For common warts, MCA is an effective alternative to cryotherapy to avoid pain during the treatment, although pain after the treatment is similar. For plantar warts, office-applied MCA may be preferred over cryotherapy combined with SA, on the basis of comparable effectiveness, less treatment pain, and less treatment burden.

Indexed as

AcetatesAdministration, TopicalAdolescentAdultChildCryotherapyFemaleFollow-Up StudiesHumansIncidenceMaleNetherlandsPainPrimary Health CareTreatment OutcomeWartsAcetateschloroacetic acid

Identifiers

PMID25584800
OpenAlexW1996855623

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.