Evidence map›Paper›PMID 38205454›Full record

ReviewCureus2023

Comprehensive Analysis of Current Treatment Approaches for Keloids in Pediatrics: A Systematic Review.

Reem A Al Zahrani, Wejdan N Alotaibi, Zainab M Almanasef, Ibtihal Malawi, Lujain A Mohammed, Rana A Algahamdi, Abdulaziz A Almohanna, Ahmed N AlKhaytan, Rahaf J Albishi, Yazeed A Alsofyani and 1 more

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. The role of IL-17 and Th17 cells in keloid pathogenesis.Archives of dermatological research · 2024
    Pooled it
  2. Burns & trauma · 2025
    Article
  3. Skin Aging and the Upcoming Role of Ferroptosis in Geroscience.International journal of molecular sciences · 2024
    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

11 authors at 3 institutions in 2 countries.

Reem A Al ZahraniMedicine and Surgery, Umm Al Qura University, Makkah, SAU.
Wejdan N AlotaibiPediatrics, Armed Forces Hospital Southern Region, Khamis Mashait, SAU.
Zainab M AlmanasefCollege of Medicine, Royal College of Surgeons in Ireland, Dublin, IRL.
Ibtihal MalawiDermatology, King Fahad General Hospital, Makkah, SAU.
Lujain A MohammedCollege of Medicine, King Khaled University, Abha, SAU.
Rana A AlgahamdiCollege of Medicine, Al Bahah University, Al Bahah, SAU.
Abdulaziz A AlmohannaCollege of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.
Ahmed N AlKhaytanCollege of Medicine, Qassim University, Buraydah, SAU.
Rahaf J AlbishiCollege of Medicine, King Abdulaziz University, Jeddah, SAU.
Yazeed A AlsofyaniCollege of Medicine, Taif University, Taif, SAU.
Fahad K AljindanPlastic Surgery, King Abdullah Medical City, Makkah, SAU.
Islamic University · BDKing Abdulaziz University · SATaif University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Keloids, benign fibrous growths resulting from atypical skin responses to injuries, present a complex challenge in dermatology. These lesions, characterized by excessive collagen production, often lead to physical discomfort and psychological distress. While various treatment methods exist, the lack of a universally effective modality underscores the need for a systematic evaluation of current approaches. This systematic review aims to comprehensively analyze the current available treatment modalities used for the management of keloids in the pediatric population in terms of their effectiveness, safety, and quality of life outcomes. The review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive search was conducted on PubMed and Google Scholar databases to identify relevant studies published in English. The review specifically focused on randomized controlled trials involving patients under 18 diagnosed with keloids, assessing different treatment modalities, and reporting validated measures of treatment efficacy, safety outcomes, and quality of life. The risk of bias was assessed using Cochrane's Risk of Bias Tool for randomized studies to ensure the methodological quality of the included trials. Four studies met the inclusion criteria, collectively involving 196 pediatric patients. Treatment interventions included glucocorticosteroid and fusidic acid cream with silicone gel patches, botulinum toxin type A injections, and Scarban silicone gel sheets. Patient-reported outcomes exhibited varying degrees of improvement in scar size, vascularity, and pliability. Complications, such as rash and wound infection, were reported in some cases. Based on our review of the selected studies and due to the incompletely understood pathogenesis of keloids, there is an ongoing lack of universally effective treatment modality for the management of keloids resulting in their persistently high recurrence rate.

Indexed as

childreninterventionkeloidmanagementpediatrictherapytreatment

Identifiers

PMID38205454
PMCPMC10776453
OpenAlexW4389526116

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.