Evidence map›Paper›PMID 32681454›Full record

ArticleDermatology and therapy2020

Management Pearls on the Treatment of Actinic Keratoses and Field Cancerization.

Jaime Piquero-Casals, Daniel Morgado-Carrasco, Yolanda Gilaberte, Rubén Del Rio, Antonio Macaya-Pascual, Corinne Granger, José Luis López-Estebaranz

Abstract read
In one paragraph

Article in Dermatology and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Trial
  2. Article
  3. Opportunities to Avoid Invasive Cancer by Diagnosis and Interception of Preneoplastic Lesions and Cancer Risk Conditions.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Clinical Applications ofLife (Basel, Switzerland) · 2023
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  15. Actinic keratosis of the lower lip treated with photodynamic therapy.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  16. Review
  17. Use of a Topical Film-Forming Medical Device Containing RepairsomesClinical, cosmetic and investigational dermatology · 2020
    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.

Jaime Piquero-CasalsDermik Clinica Dermatológica Multidisciplinar, Barcelona, Spain. j.piquero@dermik.es.ORCID http://orcid.org/0000-0002-4481-5602
Daniel Morgado-CarrascoDermatology Department, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain.
Yolanda GilaberteDermatology Department, Instituto de Investigación Sanitaria (IIS) Aragón, Miguel Servet University Hospital, Zaragoza, Spain.
Rubén Del RioDermatology Department, Hospital de L'Esperit Sant, Santa Coloma de Gramenet, Barcelona, Spain.
Antonio Macaya-PascualDermatology Department, Hospital Universitari Bellvitge, Barcelona, Spain.
Corinne GrangerInnovation and Development, ISDIN, Barcelona, Spain.
José Luis López-EstebaranzDermatology Department, Hospital Universitario Fundación Alcorcón, Madrid, Spain.

Funding

ISDIN Labs (ES) Publication costs are supported by ISDIN
6 · The paper itself

Abstract

Field cancerization (FC) is a chronic disease involving multiple clinical and subclinical actinic keratoses (AK) on large photo-exposed surfaces with multifocal areas of dysplasia and precancerous changes. Patients and treatment must be properly monitored and managed to avoid aggravation and progression of the disease. Management of actinic keratoses includes lesion-directed treatments, such as cryotherapy and field-directed therapies. Field-directed therapies may have the potential to address subclinical damage, reduce AK recurrence rates and potentially reduce the risk of squamous cell carcinoma development. Multiple studies have demonstrated the efficacy of field-directed treatments, including 5-fluorouracil, photodynamic therapy, imiquimod, chemical exfoliation with trichloroacetic acid and diclofenac gel, for multiple AK and FC. The choice of therapy should be based on multiple factors, such as efficacy, tolerability, patient risk profile, costs and cosmetic results. Management of AK includes not only treatment but also prevention. Medical devices, such as sunscreens containing liposome-encapsulated DNA repair enzymes, can repair DNA damage associated with chronic UV radiation and reduce the number of new AK lesions. Here we provide therapeutic pearls and expert opinions on the treatment of AK and FC (as monotherapy or in combination) with the overall aim to achieve better, faster, and well-tolerated clinical responses.

Indexed as

5-FUActinic keratosisChemical peelsCutaneous field cancerizationPhotoagingPhoto-carcinogenesisPhotodynamic therapyPhotolyaseSunscreens

Identifiers

PMID32681454
PMCPMC7477025

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.