Evidence map›Paper›PMID 35407401›Full record

ReviewJournal of clinical medicine2022

Malignant Transformation Rate of Oral Submucous Fibrosis: A Systematic Review and Meta-Analysis.

Vignesh Murthy, Petros Mylonas, Barbara Carey, Sangeetha Yogarajah, Damian Farnell, Owen Addison, Richard Cook, Michael Escudier, Marcio Diniz-Freitas, Jacobo Limeres and 11 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–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

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Oral submucous fibrosis: pathogenesis and therapeutic approaches.International journal of oral science · 2025
    Review
  18. Review
  19. Review
  20. Review
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

21 authors.

Vignesh MurthyDepartment of Oral Medicine, Guy's & St Thomas' NHS Foundation Trust, London SE1 9RT, UK.
Petros MylonasSchool of Dentistry, University Dental Hospital, Cardiff University, Cardiff CF14 4XY, UK.
Barbara CareyDepartment of Oral Medicine, Guy's & St Thomas' NHS Foundation Trust, London SE1 9RT, UK.
Sangeetha YogarajahDepartment of Oral Medicine, Guy's & St Thomas' NHS Foundation Trust, London SE1 9RT, UK.ORCID 0000-0003-0844-8347
Damian FarnellSchool of Dentistry, University Dental Hospital, Cardiff University, Cardiff CF14 4XY, UK.ORCID 0000-0003-0662-1927
Owen AddisonFaculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London SE1 9RT, UK.
Richard CookDepartment of Oral Medicine, Guy's & St Thomas' NHS Foundation Trust, London SE1 9RT, UK.
Michael EscudierDepartment of Oral Medicine, Guy's & St Thomas' NHS Foundation Trust, London SE1 9RT, UK.
Marcio Diniz-FreitasSchool of Medicine and Dentistry, University Santiago de Compostela, 15782 Santiago de Compostela, Spain.ORCID 0000-0001-5349-1091
Jacobo LimeresSchool of Medicine and Dentistry, University Santiago de Compostela, 15782 Santiago de Compostela, Spain.ORCID 0000-0001-6340-1993
Luis MonteiroOral Medicine, CESPU University, 4585-116 Gandra, Portugal.ORCID 0000-0002-8938-1297
Luis SilvaOral Medicine, CESPU University, 4585-116 Gandra, Portugal.
Jean-Cristophe FricainOral Medicine, University of Bordeaux, 33405 Bordeaux, France.
Sylvain CatrosOral Medicine, University of Bordeaux, 33405 Bordeaux, France.ORCID 0000-0002-3419-3467
Mathilde FenelonOral Medicine, University of Bordeaux, 33405 Bordeaux, France.ORCID 0000-0001-6015-8983
Giovanni LodiOral Medicine, Università degli Studi di Milano, 20126 Milano, Italy.ORCID 0000-0002-0218-8292
Niccolò LombardiOral Medicine, Università degli Studi di Milano, 20126 Milano, Italy.ORCID 0000-0001-8261-1179
Vlaho BrailoOral Medicine, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0002-8449-871X
Raj AriyaratnamOral Medicine, University of Manchester, Manchester M15 6FH, UK.
José López-LópezOral Medicine, Faculty of Medicine and Health Sciences, School of Dentistry, University of Barcelona, 08907 Barcelona, Spain.ORCID 0000-0001-8035-4412
Rui AlbuquerqueDepartment of Oral Medicine, Guy's & St Thomas' NHS Foundation Trust, London SE1 9RT, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oral submucous fibrosis (OSF) is a chronic progressive condition affecting the oral cavity, oropharynx and upper third of the oesophagus. It is a potentially malignant disorder. The authors collated and analysed the existing literature to establish the overall malignant transformation rate (MTR). A retrospective analysis of medical and dental scientific literature using online indexed databases was conducted for the period 1956 to 2021. The quality of the enrolled studies was assessed by the Newcastle-Ottawa Scale (NOS). A meta-analysis using a random effects model of a single proportion was performed along with statistical tests for heterogeneity. The overall proportion of malignancy across all studies was 0.06 (95% CI, 0.02-0.10), indicating an overall 6% risk of malignant transformation across all studies and cohorts. Sub-group analyses revealed strong differences in proportion of malignancy according to ethnicity/cohort; Chinese = 0.02 (95% CI 0.01-0.02), Taiwanese = 0.06 (95% CI, 0.03-0.10), Indian = 0.08 (95% CI, 0.03-0.14) and Pakistani = 0.27 (95% CI 0.25-0.29). Overall, the MTR was 6%; however, wide heterogeneity of the included studies was noted. Geographic variations in MTR were noted but were not statistically significant. Further studies are required to analyse the difference between cohort groups.

Indexed as

areca nutbetel nutmalignant transformation rateoral canceroral potentially malignant disordersoral squamous cell carcinomaoral submucous fibrosis

Identifiers

PMID35407401
PMCPMC8999767

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.