Evidence map›Paper›PMID 33820677›Full record

SynthesisJournal of the American Academy of Dermatology2021

Guidelines of care for the management of actinic keratosis.

Daniel B Eisen, Maryam M Asgari, Daniel D Bennett, Suzanne M Connolly, Robert P Dellavalle, Esther E Freeman, Gary Goldenberg, David J Leffell, Sue Peschin, James E Sligh and 4 more

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Academy of Dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 3 pooled it
16.3field-weighted citation impact, top 1% 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

81 citing papers in PubMed, 3 syntheses or guidelines pooled it, 152 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guidelines of care for the management of actinic keratosis: Executive summary.Journal of the American Academy of Dermatology · 2021
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Current Perspectives on Photodynamic Therapy for Skin Diseases: A Narrative Review.Clinical, cosmetic and investigational dermatology · 2026
    Review
  15. A rare case of acantholytic actinic keratoses on the face.Postepy dermatologii i alergologii · 2026
    Article
  16. Review
  17. SkinspanMayo Clinic proceedings · 2025
    Review
  18. Review
  19. Review
  20. Article

21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 11 institutions in 1 country.

Daniel B EisenDepartment of Dermatology, University of California, Davis, Sacramento, California.
Maryam M AsgariDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Population Medicine, Harvard Medical School, Boston, Massachusetts.
Daniel D BennettDepartment of Dermatology, University of Wisconsin, Madison, Wisconsin.
Suzanne M ConnollyDepartment of Dermatology, Mayo Clinic, Scottsdale, Arizona.
Robert P DellavalleDepartment of Dermatology, University of Colorado School of Medicine, Aurora, Colorado.
Esther E FreemanDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Gary GoldenbergMount Sinai School of Medicine, New York, New York.
David J LeffellDepartment of Dermatology, Yale University School of Medicine, New Haven, Connecticut.
Sue PeschinAlliance for Aging Research, Washington, DC.
James E SlighSection of Dermatology, University of Arizona College of Medicine, Tucson, Arizona; Southern Arizona Department of Veterans Affairs Healthcare System, Tucson, Arizona.
Peggy A WuDepartment of Dermatology, University of California, Davis, Sacramento, California.
Lindsy Frazer-GreenAmerican Academy of Dermatology, Rosemont, Illinois. Electronic address: lfrazer-green@aad.org.
Sameer MalikAmerican Academy of Dermatology, Rosemont, Illinois.
Todd E SchlesingerDermatology & Laser Center of Charleston, Clinical Research Center of the Carolinas, Charleston, South Carolina.
American Academy of Dermatology · USUniversity of California, Davis · USAlliance for Aging Research · USHarvard University · USIcahn School of Medicine at Mount Sinai · USMassachusetts General Hospital · USMayo Clinic in Arizona · USSouthern Arizona VA Health Care System · USUniversity of Colorado Denver · USUniversity of Wisconsin–Madison · USYale University · US

Funding

Patient-oriented research and mentoring program in dermatologic diseasesK24AR069760 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI ASGARI, MARYAM MANDANA · 2017 to 2025
$1.9M
NIAMS NIH HHS K24 AR069760
6 · The paper itself

Abstract

backgroundActinic keratoses (AK) are rough scaly patches that arise on chronically ultraviolet-exposed skin and can progress to keratinocyte carcinoma.

objectiveThis analysis examined the literature related to the management of AK to provide evidence-based recommendations for treatment. Grading, histologic classification, natural history, risk of progression, and dermatologic surveillance of AKs are also discussed.

methodsA multidisciplinary Work Group conducted a systematic review to address 5 clinical questions on the management of AKs and applied the Grading of Recommendations, Assessment, Development, and Evaluation approach for assessing the certainty of the evidence and formulating and grading clinical recommendations. Graded recommendations were voted on to achieve consensus.

resultsAnalysis of the evidence resulted in 18 recommendations. LIMITATIONS: This analysis is based on the best available evidence at the time it was conducted. The pragmatic decision to limit the literature review to English language randomized trials may have excluded data published in other languages or limited identification of relevant long-term follow-up data.

conclusionsStrong recommendations are made for using ultraviolet protection, topical imiquimod, topical 5-fluorouracil, and cryosurgery. Conditional recommendations are made for the use of photodynamic therapy and diclofenac for the treatment of AK, both individually and as part of combination therapy regimens.

Indexed as

Keratosis, ActinicPhotochemotherapyDiclofenacFluorouracilHumansImiquimodDiclofenacFluorouracilImiquimodactinic keratosisactinic keratosis guidelinesclinical guidelines for actinic keratosiscryosurgerydermatologyphotodynamic therapytopical agents

Identifiers

PMID33820677
PMCPMC12255292
OpenAlexW3145291182

What OpenQuestion holds

Textmetadata
LicenceTDM
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.