Interventions for Basal Cell Carcinoma: Summary of Main Comparisons From a Cochrane Review and a Practical Interpretation of Findings

ABSTRACT: Numerous surgical and nonsurgical modalities are available to treat basal cell carcinoma (BCC), but their true effectiveness and safety is unknown. This article summarizes the evidence presented in a recent Cochrane review and aims to facilitate the interpretation of the review's find...

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Autores:
Aguirre Acevedo, Daniel Camilo
Sanclemente Mesa, Gloria
Thomson, Jason
Tipo de recurso:
Review article
Fecha de publicación:
2023
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/43352
Acceso en línea:
https://hdl.handle.net/10495/43352
Palabra clave:
Carcinoma Basocelular
Carcinoma, Basal Cell
Dolor
Pain
Reproducibilidad de los Resultados
Reproducibility of Results
Neoplasias Cutáneas
Skin Neoplasms
https://id.nlm.nih.gov/mesh/D002280
https://id.nlm.nih.gov/mesh/D010146
https://id.nlm.nih.gov/mesh/D015203
https://id.nlm.nih.gov/mesh/D012878
Rights
openAccess
License
https://creativecommons.org/licenses/by-nc-nd/4.0/
Description
Summary:ABSTRACT: Numerous surgical and nonsurgical modalities are available to treat basal cell carcinoma (BCC), but their true effectiveness and safety is unknown. This article summarizes the evidence presented in a recent Cochrane review and aims to facilitate the interpretation of the review's findings for the Spanish and Latin American scientific communities. Much of the evidence the reviewers found came from single studies, preventing meta-analysis. Conventional surgical excision continues to be the most effective treatment for low-risk BCC. Most studies had small sample sizes, and some had problems with blinding, limitations which will have affected the assessment of subjective outcomes, such as pain and cosmetic results. The authors identified a lack of standardization in relation to recurrences and cosmetic outcomes that threatens not only the internal validity of the studies but also their external validity and reproducibility.