Evidence map›Paper›PMID 40829850›Full record

ArticleBMJ open2025

Creating an evidence map of the safety profile of spironolactone across all clinical indications to establish whether it may be a safe treatment in female adolescent acne: a protocol for a scoping review.

Fiona C Sexton, Myranda Attard, Lisa O'Higgins, Zahra Moledina, Julia Fordham, Grishma Ramesh, James Law, Susannah George, Esther Burden-Teh

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Fiona C SextonDepartment of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland fionasexton1@hotmail.com.ORCID http://orcid.org/0009-0000-3404-8289
Myranda AttardDepartment of Dermatology, HCS Belfast Health and Social Care Trust, Belfast, UK.
Lisa O'HigginsDepartment of Dermatology, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Zahra MoledinaDepartment of Dermatology, King's College Hospital NHS Foundation Trust, London, UK.
Julia FordhamDepartment of Dermatology, Torbay and South Devon NHS Foundation Trust, Torquay, UK.
Grishma RameshDepartment of Dermatology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
James LawDepartment of Paediatric Endocrinology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Susannah GeorgeDepartment of Dermatology, Brighton and Sussex University Hospitals NHS Trust, Worthing, UK.
Esther Burden-TehCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSpironolactone is a useful and effective acne treatment option for adult female patients. We aim to establish whether spironolactone could be a safe treatment for the management of acne in the female adolescent population as well. The objective of this scoping review is to provide an evidence map of the safety profile of spironolactone in the paediatric population aged 0-17 across all clinical indications. METHODS AND ANALYSIS: This scoping review will be conducted according to the Joanna Briggs Institute scoping review protocol. Relevant publications will be searched on the MEDLINE, Embase and Web of Science databases from inception until July 2025. The authors of included studies will be contacted using contact details provided in the manuscript to check for any further published or unpublished data on the review question. An initial search will be conducted using keywords to identify relevant articles. After identifying the research strategy, articles will be extracted into a reference management tool, and a two-part study selection process will be systematically applied by two reviewers. The first part consists of screening titles and abstracts to define the eligibility of each article. In the second part, the full texts will be screened and only relevant articles will be kept. All articles related to the safety of spironolactone in children and adolescents across all clinical indications will be included. Data will be extracted using a scoping review management software such as Covidence, collated and charted to summarise all the relevant methods, outcomes and key findings in the articles. ETHICS AND DISSEMINATION: This scoping review will provide an extensive overview of the available safety evidence for the use of spironolactone in children and teenagers. Since the scoping review methodology consists of reviewing and collecting data from publicly available materials, this study does not require ethics approval. The results will be disseminated in a peer-reviewed publication.

Indexed as

Acne VulgarisMineralocorticoid Receptor AntagonistsSpironolactoneAdolescentChildFemaleHumansInfantResearch DesignScoping Reviews as TopicMineralocorticoid Receptor AntagonistsSpironolactoneAcnePaediatric dermatologyReviewSafety

Identifiers

PMID40829850
PMCPMC12366613

What OpenQuestion holds

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Registered trials

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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.