Evidence map›Paper›PMID 35488780›Full record

SynthesisJournal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology2022

Critical update, systematic review, and meta-analysis of oral erythroplakia as an oral potentially malignant disorder.

Alejandro I Lorenzo-Pouso, Irene Lafuente-Ibáñez de Mendoza, Mario Pérez-Sayáns, Alba Pérez-Jardón, Cintia M Chamorro-Petronacci, Andrés Blanco-Carrión, José Manuel Aguirre-Urízar

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
4.8field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Critical update, systematic review, and meta-analysis of oral erythroplakia as an oral potentially malignant disorder.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2022
    Pooled it
  4. Review
  5. Article
  6. Diseases of the tongue: a review of etiologies and treatments.Maxillofacial plastic and reconstructive surgery · 2026
    Review
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  8. Review
  9. Article
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  12. A Comparative Study of the Treatment of Oral Premalignant Lesions with Surgical Excision and Medical Therapy.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  13. Article
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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

7 authors at 2 institutions in 1 country.

Alejandro I Lorenzo-PousoOral Medicine, Oral Surgery and Implantology Unit (MedOralRes Group), Faculty of Medicine and Dentistry, University of Santiago de Compostela, A Coruña, Spain.ORCID https://orcid.org/0000-0002-9180-4703
Irene Lafuente-Ibáñez de MendozaOral Medicine and Oral Pathology, Department of Stomatology II, University of the Basque Country/EHU, Leioa, Spain.ORCID https://orcid.org/0000-0001-7704-4122
Mario Pérez-SayánsOral Medicine, Oral Surgery and Implantology Unit (MedOralRes Group), Faculty of Medicine and Dentistry, University of Santiago de Compostela, A Coruña, Spain.ORCID https://orcid.org/0000-0003-2196-9868
Alba Pérez-JardónOral Medicine, Oral Surgery and Implantology Unit (MedOralRes Group), Faculty of Medicine and Dentistry, University of Santiago de Compostela, A Coruña, Spain.ORCID https://orcid.org/0000-0001-5174-8922
Cintia M Chamorro-PetronacciOral Medicine, Oral Surgery and Implantology Unit (MedOralRes Group), Faculty of Medicine and Dentistry, University of Santiago de Compostela, A Coruña, Spain.ORCID https://orcid.org/0000-0002-5637-9908
Andrés Blanco-CarriónOral Medicine, Oral Surgery and Implantology Unit (MedOralRes Group), Faculty of Medicine and Dentistry, University of Santiago de Compostela, A Coruña, Spain.ORCID https://orcid.org/0000-0002-7405-1834
José Manuel Aguirre-UrízarOral Medicine and Oral Pathology, Department of Stomatology II, University of the Basque Country/EHU, Leioa, Spain.ORCID https://orcid.org/0000-0001-7822-0968
Universidade de Santiago de Compostela · ESUniversity of the Basque Country · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral erythroplakia has been classically considered as the potentially malignant disorder with the highest rate of malignant development into squamous cell carcinoma. This critical systematic review and meta-analysis aim to estimate the malignant development rate of oral erythroplakia and identify the associated risk factors.

methodsWe performed a bibliographic search in PubMed, Scopus, Web of Science, Embase, and LILACS, with keywords "erythroplakia," "erythroplasia," "malignant transformation," "malignant development," "malignization," "carcinogenesis," "oral cancer," "oral squamous cell carcinoma," "mouth neoplasm," and "prognosis." Meta-analysis was conducted using a random-effects model.

resultsTen observational studies with 441 patients met the inclusion criteria, whose mean malignant development rate was 12.7% and with a mean follow-up period of patients of 6.66 years. In the initial biopsy, 42.8% of oral erythroplakia were already squamous cell carcinoma. The buccal mucosa was the most frequent location of oral erythroplakia, but the floor of the mouth was the most common site of malignant development. All patients who underwent malignant development showed epithelial dysplasia on the initial diagnostic biopsy.

conclusionOverall malignant development rate of OE in the meta-analysis was 19.9%. We could not associate any specific clinicopathological feature with the malignant development. The presence of epithelial dysplasia in the initial biopsy remains the worst prognostic factor. Further observational studies on OE are needed, with well-established diagnostic criteria and good clinical follow-up, in order to identify the true risk of malignant development of oral erythroplakia and the related risk factors.

Indexed as

Carcinoma in SituCarcinoma, Squamous CellErythroplasiaMouth DiseasesMouth NeoplasmsOral UlcerPrecancerous ConditionsCell Transformation, NeoplasticHumansLeukoplakia, OralMouth Mucosamalignant developmentmeta-analysismouth neoplasmoral erythroplakiaoral potentially malignant disorder

Identifiers

PMID35488780
PMCPMC9545979
OpenAlexW4225137820

What OpenQuestion holds

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LicenceCC BY
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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.