The Library
Treatment and follow-up of oral dysplasia - a systematic review and meta-analysis
Tools
Mehanna, Hisham M., Rattay, Tim, Smith, Joel and McConkey, Christopher C. (2009) Treatment and follow-up of oral dysplasia - a systematic review and meta-analysis. Head & Neck, Vol.31 (No.12). pp. 1600-1609. doi:10.1002/hed.21131 ISSN 10433074.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1002/hed.21131
Abstract
Background. The aim of this study was to inform an evidence-based management policy for oral dysplastic lesions.
Methods. Systematic review was performed with meta-analysis. Studies reporting follow-up of patients with histologically confirmed oral dysplasia were included. Outcome measures included malignant transformation rate (MTR) and time to malignant transformation (TMT). Subgroup analysis was performed by histologic grade, clinical risk factors, and treatment modality. Heterogeneity was assessed.
Results. Fourteen nonrandomized studies, reporting on 992 patients, were included. There was considerable heterogeneity between studies: mean overall MTR = 12.1% (confidence interval: 8.1%, 17.9%) and mean TMT = 4.3 years. Histologic grade significantly affected mean MTR (p < .008). Lesions that were not excised demonstrated considerably higher MTR than those that were excised (p = .003).
Conclusions. Oral dysplasia showed a significant rate of transformation to cancer, which was related to grade and was decreased significantly but not eliminated by excision. This suggested the need for excision and continued surveillance. (C) 2009 Wiley Periodicals, Inc. Head Neck 31: 1600-1609, 2009
Item Type: | Journal Article | ||||
---|---|---|---|---|---|
Subjects: | R Medicine > RF Otorhinolaryngology R Medicine > RD Surgery |
||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
Journal or Publication Title: | Head & Neck | ||||
Publisher: | John Wiley & Sons Ltd. | ||||
ISSN: | 10433074 | ||||
Official Date: | December 2009 | ||||
Dates: |
|
||||
Volume: | Vol.31 | ||||
Number: | No.12 | ||||
Number of Pages: | 10 | ||||
Page Range: | pp. 1600-1609 | ||||
DOI: | 10.1002/hed.21131 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
Data sourced from Thomson Reuters' Web of Knowledge
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |