Evidence map›Paper›PMID 40586422›Full record

ArticleDermatology reports2025

The efficacy of cryotherapy compared to other modalities in the management of palmoplantar warts: a systematic review and network meta-analysis.

Anwar R Alrashidi, Esraa Shaheen, Amal Abualola, Alanoud A Alharkan, Abdulaziz Aljuaid, Khalid M Alshareef, Abdullah A Ghaddaf, Samer Alamri, Sahal J Samarkandy

Abstract read
In one paragraph

Article in Dermatology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

9 authors.

Anwar R AlrashidiDepartment of Dermatology, King Fahad Medical City, Riyadh.
Esraa ShaheenCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah; King Abdullah International Medical Research Center, Jeddah.
Amal AbualolaCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah; King Abdullah International Medical Research Center, Jeddah.
Alanoud A AlharkanDepartment of Family Medicine, King Abdulaziz Medical City, National Guard Hospital, Riyadh.
Abdulaziz AljuaidCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah; King Abdullah International Medical Research Center, Jeddah.
Khalid M AlshareefCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah; King Abdullah International Medical Research Center, Jeddah.
Abdullah A GhaddafCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah; King Abdullah International Medical Research Center, Jeddah.
Samer AlamriDepartment of Dermatology, King Abdulaziz Medical City, Jeddah.
Sahal J SamarkandyCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah; King Abdullah International Medical Research Center, Jeddah.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several treatment modalities for palmoplantar warts (PPW) have been introduced, but none have been proven to be significantly effective in all patients. The study aims to assess the efficacy and safety of cryotherapy compared to other modalities for PPW. Searches were conducted in Medline, Embase, Scopus, and CENTRAL databases, along with additional reference and citation tracking from included studies. Randomized controlled trials (RCTs) comparing various treatments for PPW were included. Two independent pairs extracted the data from the included studies. Outcomes assessed included cure rates, pain scores, recurrence rates, and adverse events. A network meta-analysis using Netmeta in R software was employed, with treatments ranked by p-scores. A total of 27 RCTs that enrolled 2539 participants were deemed eligible. As per p-scores, needling yielded the highest odds for the cure rate (p=1.00), followed by intralesional injection of the measles, mumps, and rubella (MMR) vaccine (p=0.90). For the pain score, 76% topical monochloroacetic acid (p=0.13) showed the lowest mean pain score, while cryotherapy yielded the highest score (p=0.90). Furthermore, cryotherapy showed the highest odds for recurrence rate (p=0.75), followed by intralesional injection of Candida antigen (p=0.61). Regarding adverse events, 0.05% intralesional bleomycin had the highest rate (p=0.93), followed by cryotherapy (p=0.61).

Identifiers

PMID40586422
PMCPMC12264738

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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.