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Tejera-Vaquerizo A, Boada A, Puig S, Nagore E, Fernández-de-Misa R, Ferrándiz L, Conde-Taboada A, Castro E, Richarz NA, Paradela S, Llambrich Á, Salgüero I, Diago A, Samaniego E, Flórez Á, Segura S, Maldonado-Seral C, Coronel-Pérez IM, Tomás-Velázquez A, Rodríguez P, Mayor A, García-Doval I, Grau-Pérez M. Melanoma Registry of the Spanish Academy of Dermatology and Venereology (REGESMEL): Description and Data in its First Year of Operation. Actas Dermosifiliogr 2024:S0001-7310(24)00184-4. [PMID: 38452890 DOI: 10.1016/j.ad.2024.02.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 01/24/2024] [Accepted: 02/25/2024] [Indexed: 03/09/2024] Open
Abstract
INTRODUCTION The incidence of melanoma is rising in Spain. The prognostic stages of patients with melanoma are determined by various biological factors, such as tumor thickness, ulceration, or the presence of regional or distant metastases. The Spanish Academy of Dermatology and Venereology (AEDV) has encouraged the creation of a Spanish Melanoma Registry (REGESMEL) to evaluate other individual and health system-related factors that may impact the prognosis of patients with melanoma. The aim of this article is to introduce REGESMEL and provide basic descriptive data for its first year of operation. METHODS REGESMEL is a prospective, multicentre cohort of consecutive patients with invasive cutaneous melanoma that collects demographic and staging data as well as individual and healthcare-related baseline data. It also records the medical and surgical treatment received by patients. RESULTS A total of 450 cases of invasive cutaneous melanoma from 19 participant centres were included, with a predominance of thin melanomas≤1mm thick (54.7%), mainly located on the posterior trunk (35.2%). Selective sentinel lymph node biopsy was performed in 40.7% of cases. Most cases of melanoma were suspected by the patient (30.4%), or his/her dermatologist (29.6%). Patients received care mainly in public health centers (85.2%), with tele-dermatology resources being used in 21.6% of the cases. CONCLUSIONS The distribution of the pathological and demographic variables of melanoma cases is consistent with data from former studies. REGESMEL has already recruited patients from 15 Spanish provinces and given its potential representativeness, it renders the Registry as an important tool to address a wide range of research questions.
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Affiliation(s)
| | - A Boada
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Institut d'Investigació Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, España
| | - S Puig
- Servicio de Dermatología, Hospital Clínic de Barcelona, IDIBAPS, Universidad de Barcelona, Barcelona, España; Centro de investigación biomédica en red de enfermedades raras, CIBERER, Barcelona, España
| | - E Nagore
- Servicio de Dermatología, Instituto Valenciano de Oncología, Valencia, España
| | - R Fernández-de-Misa
- Servicio de Dermatología, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, España
| | - L Ferrándiz
- Unidad de Melanoma, Servicio de Dermatología médico-quirúrgico, Hospital Universitario Virgen Macarena, Sevilla, España
| | - A Conde-Taboada
- Servicio de Dermatología, Hospital Clínico San Carlos, Madrid, España
| | - E Castro
- Servicio de Dermatología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, España
| | - N A Richarz
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Institut d'Investigació Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, España
| | - S Paradela
- Servicio de Dermatología, Complexo Hospitalario A Coruña, A Coruña, España
| | - Á Llambrich
- Servicio de Dermatología, Hospital Universitario Son Llàtzer, Palma de Mallorca, España
| | - I Salgüero
- Servicio de Dermatología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, España
| | - A Diago
- Servicio de Dermatología, Hospital Universitario Miguel Servet, Zaragoza, España
| | - E Samaniego
- Servicio de Dermatología, Complejo Asistencial Universitario de León, León, España
| | - Á Flórez
- Servicio de Dermatología, Complejo Hospitalario Universitario de Pontevedra, Grupo de Investigación DIPO, Instituto de Investigación Sanitaria Galicia Sur, SERGAS-UVIGO, Pontevedra, España
| | - S Segura
- Servicio de Dermatología, Hospital del Mar de Barcelona, Barcelona, España
| | - C Maldonado-Seral
- Servicio de Dermatología, Hospital Universitario Central de Asturias, Oviedo, España
| | - I M Coronel-Pérez
- Servicio de Dermatología, Hospital Universitario Virgen de Valme de Sevilla, Sevilla, España
| | - A Tomás-Velázquez
- Servicio de Dermatología, Clínica Universidad de Navarra, Madrid, España
| | - P Rodríguez
- Servicio de Dermatología, Hospital Universitario La Princesa, Madrid, España; Servicio de Dermatología, Hospital Ruber Internacional, Madrid, España
| | - A Mayor
- Servicio de Dermatología, Hospital Universitario La Paz, Madrid, España
| | - I García-Doval
- Unidad de Investigación, Academia Española de Dermatología y Venereología, Madrid, España; Servicio de Dermatología, Complexo Hospitalario Universitario de Vigo, Vigo, España
| | - M Grau-Pérez
- Unidad de Investigación, Academia Española de Dermatología y Venereología, Madrid, España; Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España.
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Tomás-Velázquez A, Rodríguez-Garijo N, Redondo P. FR - Anticuerpos contra la oncoproteína del poliomavirus en el carcinoma de células de Merkel: marcador pronóstico y evolutivo. Actas Dermo-Sifiliográficas 2021. [DOI: 10.1016/j.ad.2019.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Tomás-Velázquez A, Rodríguez-Garijo N, Redondo P. RF - Polyomavirus Oncoprotein Antibodies in Merkel Cell Carcinoma: A Marker of Disease Progression and Prognosis. Actas Dermo-Sifiliográficas (English Edition) 2021. [DOI: 10.1016/j.adengl.2021.09.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Estenaga A, Rodriguez-Garijo N, Tomás-Velázquez A, Antoñanzas-Pérez J, Alvarez-Gigli ML, García-Tobar L, Espaa-Alonso A, Salido-Vallejo R. Immunotherapy-intensified paraneoplastic dermatomyositis. Indian J Dermatol Venereol Leprol 2021; 88:93-96. [PMID: 34491672 DOI: 10.25259/ijdvl_1306_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Accepted: 06/01/2021] [Indexed: 11/04/2022]
Affiliation(s)
- A Estenaga
- Department of Dermatology, Clínica Universidad de Navarra, Pamplona, Spain
| | - N Rodriguez-Garijo
- Department of Dermatology, Clínica Universidad de Navarra, Pamplona, Spain
| | - A Tomás-Velázquez
- Department of Dermatology, Clínica Universidad de Navarra, Pamplona, Spain
| | - J Antoñanzas-Pérez
- Department of Dermatology, Clínica Universidad de Navarra, Pamplona, Spain
| | - M L Alvarez-Gigli
- Department of Pathology, Clínica Universidad de Navarra, Pamplona, Spain
| | - L García-Tobar
- Department of Pathology, Clínica Universidad de Navarra, Pamplona, Spain
| | - A Espaa-Alonso
- Department of Dermatology, Clínica Universidad de Navarra, Pamplona, Spain
| | - R Salido-Vallejo
- Department of Dermatology, Clínica Universidad de Navarra, Pamplona, Spain
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Recalde-Zamacona B, Tomás-Velázquez A, Campo A, Satrústegui-Alzugaray B, Fernández-Alonso M, Iñigo M, Rodríguez-Mateos M, Di Frisco M, Felgueroso C, Bertó J, Marín-Oto M, Alcaide AB, Zulueta JJ, Seijo L, Landecho MF. Chronic rhinosinusitis is associated with prolonged SARS-CoV-2 RNA shedding in upper respiratory tract samples: A case-control study. J Intern Med 2021; 289:921-925. [PMID: 33372300 DOI: 10.1111/joim.13237] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 12/15/2020] [Accepted: 12/21/2020] [Indexed: 01/12/2023]
Abstract
BACKGROUND SARS-CoV-2, the COVID-19 causative agent, has infected millions of people and killed over 1.6 million worldwide. A small percentage of cases persist with prolonged positive RT-PCR on nasopharyngeal swabs. The aim of this study was to determine risk factors for prolonged viral shedding amongst patient's basal clinical conditions. METHODS We have evaluated all 513 patients attended in our hospital between 1 March and 1 July. We have selected all 18 patients with prolonged viral shedding and compared them with 36 sex-matched randomly selected controls. Demographic, treatment and clinical data were systematically collected. RESULTS Global median duration of viral clearance was 25.5 days (n = 54; IQR, 22-39.3 days), 48.5 days in cases (IQR 38.7-54.9 days) and 23 days in controls (IQR 20.2-25.7), respectively. There were not observed differences in demographic, symptoms or treatment data between groups. Chronic rhinosinusitis and atopy were more common in patients with prolonged viral shedding (67%) compared with controls (11% and 25% respectively) (P < 0.001 and P = 0.003). The use of inhaled corticosteroids was also more frequent in case group (P = 0.007). Multivariate analysis indicated that CRS (odds ratio [OR], 18.78; 95% confidence interval [95%CI], 3.89-90.59; P < 0.001) was independently associated with prolonged SARS-CoV-2 RNA shedding in URT samples, after adjusting for initial PCR Ct values. CONCLUSION We found that chronic rhinosinusitis and atopy might be associated with increased risk of prolonged viral shedding. If confirmed in prospective trials, this finding might have clinical implications for quarantine duration due to increased risk of pandemic spread.
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Affiliation(s)
- B Recalde-Zamacona
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Pulmonary Medicine Department, Clinica, Pamplona, Spain
| | - A Tomás-Velázquez
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Dermatology Department, Clinica Universidad de Navarra, Pamplona, Spain
| | - A Campo
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Pulmonary Medicine Department, Clinica, Pamplona, Spain
| | | | - M Fernández-Alonso
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Microbiology and Infectious Diseases Division, Clinica, Pamplona, Spain
| | - M Iñigo
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Microbiology and Infectious Diseases Division, Clinica, Pamplona, Spain
| | - M Rodríguez-Mateos
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Microbiology and Infectious Diseases Division, Clinica, Pamplona, Spain
| | - M Di Frisco
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Pulmonary Medicine Department, Clinica, Pamplona, Spain
| | - C Felgueroso
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Pulmonary Medicine Department, Clinica, Pamplona, Spain
| | - J Bertó
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Pulmonary Medicine Department, Clinica, Pamplona, Spain
| | - M Marín-Oto
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Pulmonary Medicine Department, Clinica, Pamplona, Spain
| | - A B Alcaide
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Pulmonary Medicine Department, Clinica, Pamplona, Spain
| | - J J Zulueta
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Pulmonary Medicine Department, Clinica, Pamplona, Spain
| | - L Seijo
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Pulmonary Medicine Department, Clinica, Pamplona, Spain
| | - M F Landecho
- From the, Covid19 Department, Clinica, Pamplona, Spain.,Internal Medicine department, Clinica Universidad de Navarra, Pamplona, Spain
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Tomás-Velázquez A, Quan López P, Calvo Imirizaldu M, España Alonso A. Superior Vena Cava Syndrome. Actas Dermo-Sifiliográficas (English Edition) 2021. [DOI: 10.1016/j.adengl.2021.02.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Tomás-Velázquez A, Quan López PL, Calvo Imirizaldu M, España Alonso A. Superior Vena Cava Syndrome. Actas Dermosifiliogr (Engl Ed) 2020; 112:471-473. [PMID: 33220310 DOI: 10.1016/j.ad.2019.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2019] [Revised: 09/05/2019] [Accepted: 09/15/2019] [Indexed: 11/28/2022] Open
Affiliation(s)
- A Tomás-Velázquez
- Departamento de Dermatología, Clínica Universidad de Navarra, Pamplona, Navarra, España.
| | - P L Quan López
- Departamento de Alergología, Clínica Universidad de Navarra, Pamplona, Navarra, España
| | - M Calvo Imirizaldu
- Departamento de Radiología, Clínica Universidad de Navarra, Pamplona, Navarra, España
| | - A España Alonso
- Departamento de Dermatología, Clínica Universidad de Navarra, Pamplona, Navarra, España
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Tomás-Velázquez A, Redondo P. Island Flap for Upper-Lip Reconstruction: Analysis of Key Aspects and a Case Series. Actas Dermosifiliogr (Engl Ed) 2020; 112:171-175. [PMID: 32931753 DOI: 10.1016/j.ad.2020.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Revised: 03/29/2020] [Accepted: 04/21/2020] [Indexed: 11/17/2022] Open
Abstract
Upper-lip reconstruction after Mohs micrographic surgery is challenging for dermatologic surgeons. We describe a series of 15 patients (7 men and 8 women; mean age, 65.6 years) with skin cancer on the upper lip treated with Mohs surgery: 10 were basal cell carcinomas, 2 were melanomas, and 3 were squamous cell carcinomas. The resulting defects measured between 3 and 7.6cm. We used island flaps to reconstruct the defects in all cases, hiding the incisions in the nasolabial fold, at the line where the skin meets the vermillion border of the lip, and in the relaxed skin tension lines. We explain key aspects of the surgeries and design of the reconstructions, with emphasis on the importance of occasionally sacrificing small areas of healthy skin. Cosmetic and functional outcomes were satisfactory in all patients, and there were no postsurgical complications.
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Affiliation(s)
- A Tomás-Velázquez
- Departamento de Dermatología, Clínica Universidad de Navarra, Pamplona y Madrid, España.
| | - P Redondo
- Departamento de Dermatología, Clínica Universidad de Navarra, Pamplona y Madrid, España
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Tomás-Velázquez A, Moreno-Artero E, Abengózar M, Palacios-Álvarez I. Pruritic Primary Nonessential Cutis Verticis Gyrata. Actas Dermosifiliogr (Engl Ed) 2019; 110:702-704. [PMID: 30871719 DOI: 10.1016/j.ad.2018.03.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2017] [Revised: 03/19/2018] [Accepted: 03/24/2018] [Indexed: 11/26/2022] Open
Affiliation(s)
- A Tomás-Velázquez
- Departamento de Dermatología Médico-Quirúrgica y Venereología, Clínica Universidad de Navarra, Pamplona, Navarra, España.
| | - E Moreno-Artero
- Departamento de Dermatología Médico-Quirúrgica y Venereología, Clínica Universidad de Navarra, Pamplona, Navarra, España
| | - M Abengózar
- Departamento de Anatomía Patológica, Clínica Universidad de Navarra, Pamplona, Navarra, España
| | - I Palacios-Álvarez
- Departamento de Dermatología Médico-Quirúrgica y Venereología, Clínica Universidad de Navarra, Pamplona, Navarra, España
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Moreno-Artero E, Querol-Cisneros E, Rodríguez-Garijo N, Tomás-Velázquez A, Antoñanzas J, Secundino F, Pilar Gil-Sánchez M, España A. Mucocutaneous manifestations of cocaine abuse: a review. J Eur Acad Dermatol Venereol 2018; 32:1420-1426. [DOI: 10.1111/jdv.14912] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2017] [Accepted: 01/29/2018] [Indexed: 11/30/2022]
Affiliation(s)
- E. Moreno-Artero
- Department of Dermatology; University Clinic of Navarra; University of Navarra, IdiSNA; Navarra Institute for Health Research; Navarra Spain
| | - E. Querol-Cisneros
- Department of Dermatology; University Clinic of Navarra; University of Navarra, IdiSNA; Navarra Institute for Health Research; Navarra Spain
| | - N. Rodríguez-Garijo
- Department of Dermatology; University Clinic of Navarra; University of Navarra, IdiSNA; Navarra Institute for Health Research; Navarra Spain
| | - A. Tomás-Velázquez
- Department of Dermatology; University Clinic of Navarra; University of Navarra, IdiSNA; Navarra Institute for Health Research; Navarra Spain
| | | | - F. Secundino
- Department of Otorhinolaryngology; University Clinic of Navarra; University of Navarra, IdiSNA; Navarra Institute for Health Research; Navarra Spain
| | - M. Pilar Gil-Sánchez
- Department of Dermatology; University Clinic of Navarra; University of Navarra, IdiSNA; Navarra Institute for Health Research; Navarra Spain
| | - A. España
- Department of Dermatology; University Clinic of Navarra; University of Navarra, IdiSNA; Navarra Institute for Health Research; Navarra Spain
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Moreno-Artero E, Querol-Cisneros E, Rodríguez-Garijo N, Tomás-Velázquez A, Idoate MA, Ishii N, Hashimoto T, España A. Paraneoplastic pemphigus without detectable anti-plakin antibodies in a patient with non-Hodgkin lymphoma. Ann Hematol 2017; 97:543-544. [PMID: 29143865 DOI: 10.1007/s00277-017-3171-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2017] [Accepted: 11/03/2017] [Indexed: 11/25/2022]
Affiliation(s)
- E Moreno-Artero
- Department of Dermatology, School of Medicine, University Clinic of Navarra, University of Navarra, PO Box 4209, Pamplona, Navarre, Spain
| | - E Querol-Cisneros
- Department of Dermatology, School of Medicine, University Clinic of Navarra, University of Navarra, PO Box 4209, Pamplona, Navarre, Spain
| | - N Rodríguez-Garijo
- Department of Dermatology, School of Medicine, University Clinic of Navarra, University of Navarra, PO Box 4209, Pamplona, Navarre, Spain
| | - A Tomás-Velázquez
- Department of Dermatology, School of Medicine, University Clinic of Navarra, University of Navarra, PO Box 4209, Pamplona, Navarre, Spain
| | - M A Idoate
- Department of Pathology, University Clinic of Navarra, University of Navarra, Pamplona, Navarre, Spain
- IdiSNA, Navarra Institute for Health Research, Pamplona, Navarre, Spain
| | - N Ishii
- Department of Dermatology, Kurume University School of Medicine, Kurume, Japan
| | - T Hashimoto
- Department of Dermatology, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - Agustín España
- Department of Dermatology, School of Medicine, University Clinic of Navarra, University of Navarra, PO Box 4209, Pamplona, Navarre, Spain.
- IdiSNA, Navarra Institute for Health Research, Pamplona, Navarre, Spain.
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Tomás-Velázquez A, Redondo P. Switching From Conventional Photodynamic Therapy to Daylight Photodynamic Therapy For Actinic Keratoses: Systematic Review and Meta-analysis. Actas Dermosifiliogr 2017; 108:282-292. [PMID: 28063524 DOI: 10.1016/j.ad.2016.09.020] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2016] [Revised: 09/02/2016] [Accepted: 09/17/2016] [Indexed: 01/08/2023] Open
Abstract
Actinic keratosis is a precursor lesion to the most common nonmelanoma skin cancer. Conventional photodynamic therapy (PDT) has been shown to be effective, but the procedure is time-consuming, can be very painful, and requires infrastructure. These shortcomings led to the emergence of daylight PDT. To obtain a global estimate of efficacy, we undertook a systematic literature review and performed a meta-analysis of the available evidence on the efficacy and safety of daylight PDT as compared to conventional PDT in the treatment of actinic keratosis and/or field cancerization. The conclusion is that the difference in efficacy is clinically negligible (global estimate of the mean response rate difference, -3.69%; 95% CI, -6.54% to -0.84%). The adverse effects of daylight PDT are mild and localized (79% of patients report no discomfort), and patients report less pain (P<.001). Daylight PDT gives good to excellent cosmetic results in more than 90% of patients, and patient satisfaction is greater (P<.001).
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Affiliation(s)
- A Tomás-Velázquez
- Departamento de Dermatología, Clínica Universidad de Navarra, Pamplona, España.
| | - P Redondo
- Departamento de Dermatología, Clínica Universidad de Navarra, Pamplona, España
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