Results
Title

A systematic review evaluating the efficacy and safety of a combination of ablative treatment and self administered treatment versus ablative treatment alone for external anogenital warts.

Authors

Feng, Cheng; Li, Wei; Wang, Xiaojun; Zhang, Hailin; Si, Loubin; Chen, Zhixiong; Bai, Ming

Abstract

Background: External anogenital warts are proliferative lesions. Till now, there is no consensus on the standard treatment of external anogenital warts. The combination of ablative therapy and self‐administered treatment has been reported to achieve sustained complete clearance than ablative therapy. The aim of this review was to compare the efficacy on achieving complete clearance of warts between the combination of ablative therapy with self‐administered therapy and ablative therapy alone. Methods: We conducted a systematic review to evaluate the efficacy and safety of the combination of ablative therapy and self‐administered treatment for external anogenital warts. The Cochrane Central Register of Controlled Trials, Medline, Embase and Science Citation Index Expanded, China National Knowledge Infrastructure and Wanfang were searched. Results: Of 1138 initially identified publications, 37 studies in English and Chinese were included. The combination of ablative therapy and self‐administered treatment therapy showed significantly high complete clearance rates at 4, 8, 12, or 24 weeks after treatment compared to ablative therapy alone. In a subgroup analysis based on the treatment duration of imiquimod cream therapy, 4 and 8 weeks of imiquimod 5% cream plus CO2 laser produced similar efficacy on clearance. The combination therapy is tolerable for patients. Conclusions: In conclusion, this review provided evidence to support the use of the combination of ablative therapy and self‐administered treatment for external anogenital warts to maintain sustained clearance.

Subjects

CHINA; WARTS; META-analysis; CITATION indexes; STANDARDS; TREATMENT duration

Publication

International Journal of Dermatology, 2020, Vol 59, Issue 10, p1210

ISSN

0011-9059

Publication type

Academic Journal

DOI

10.1111/ijd.14863