Evidence map›Paper›PMID 34111497›Full record

SynthesisJournal of the American Academy of Dermatology2021

Guidelines of care for the management of actinic keratosis: Executive summary.

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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 22 citations in OpenAlex.

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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

14 authors at 10 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, 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 · USMassachusetts General Hospital · USUniversity of California, Davis · USAlliance for Aging Research · USIcahn School of Medicine at Mount Sinai · USMayo Clinic in Arizona · USUniversity of Arizona · 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. Treatment options for AK include topical medications, photodynamic therapy, cryosurgery, and laser ablation.

objectiveThis executive summary provides a synopsis of the 18 evidence-based recommendations for the treatment of AK detailed in the Guidelines of Care for the Management of Actinic Keratosis.

methodsA multidisciplinary workgroup 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, suggesting there are several effective treatments available for AK. LIMITATIONS: The analysis informing the recommendations was based on the best available evidence at the time it was conducted. The results of future studies may necessitate a revision of current recommendations.

conclusionsStrong recommendations are presented for using ultraviolet protection, topical imiquimod, topical 5-fluorouracil, and cryosurgery. Conditional recommendations are presented 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, ActinicCryosurgeryFluorouracilHumansImiquimodPhotochemotherapyPractice Guidelines as TopicFluorouracilImiquimodactinic keratosisactinic keratosis guidelinesclinical guidelines for actinic keratosiscryosurgerydermatologyphotodynamic therapytopical agents

Identifiers

PMID34111497
PMCPMC12255291
OpenAlexW3170855248

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.