The efficacy of ablation-based combination therapy for vitiligo: A systematic review and meta-analysis

Yih An King, Tsung Yu Tsai, Hsiou Hsin Tsai, Yu-Chen Huang

Research output: Contribution to journalArticle

Abstract

Background and objectives: This study aimed to compare the efficacy of vitiligo treatments with and without ablation therapy. Patients and methods: We conducted a systematic review and meta-analysis of literature published before September 15, 2017. Comparative studies of vitiligo patients treated with and without ablation therapy were included. The primary outcome was ≥ 50 % repigmentation. Secondary outcomes were ≥ 75 % repigmentation and patient scores on a subjective visual analogue scale. Results: Fifteen studies with a total of 401 participants were included. The ablation-based combination therapy group had significantly superior results to the control group (odds ratio [OR] for ≥ 50 % repigmentation: 10.490, 95 % confidence interval [CI]: 4.632–23.757; OR for ≥ 75 % repigmentation: 5.812, 95 % CI: 2.194–15.393). Patients receiving ablation-based combination therapy were significantly more satisfied with the efficacy than the control group (standardized mean difference: 1.073, 95 % CI: 0.528–1.619). Subgroup analysis showed that the erbium laser group, CO2 laser group and fractional CO2 laser group achieved significantly better repigmentation than the control groups. Conclusions: According to objective and subjective evaluations, treatments for vitiligo are more effective when combined with ablation therapy than when used alone.

Original languageEnglish
Pages (from-to)1197-1208
Number of pages12
JournalJDDG - Journal of the German Society of Dermatology
Volume16
Issue number10
DOIs
Publication statusPublished - Oct 1 2018

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Vitiligo
Meta-Analysis
Gas Lasers
Confidence Intervals
Control Groups
Odds Ratio
Erbium
Therapeutics
Group Psychotherapy
Visual Analog Scale
Lasers

ASJC Scopus subject areas

  • Dermatology

Cite this

The efficacy of ablation-based combination therapy for vitiligo : A systematic review and meta-analysis. / King, Yih An; Tsai, Tsung Yu; Tsai, Hsiou Hsin; Huang, Yu-Chen.

In: JDDG - Journal of the German Society of Dermatology, Vol. 16, No. 10, 01.10.2018, p. 1197-1208.

Research output: Contribution to journalArticle

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abstract = "Background and objectives: This study aimed to compare the efficacy of vitiligo treatments with and without ablation therapy. Patients and methods: We conducted a systematic review and meta-analysis of literature published before September 15, 2017. Comparative studies of vitiligo patients treated with and without ablation therapy were included. The primary outcome was ≥ 50 {\%} repigmentation. Secondary outcomes were ≥ 75 {\%} repigmentation and patient scores on a subjective visual analogue scale. Results: Fifteen studies with a total of 401 participants were included. The ablation-based combination therapy group had significantly superior results to the control group (odds ratio [OR] for ≥ 50 {\%} repigmentation: 10.490, 95 {\%} confidence interval [CI]: 4.632–23.757; OR for ≥ 75 {\%} repigmentation: 5.812, 95 {\%} CI: 2.194–15.393). Patients receiving ablation-based combination therapy were significantly more satisfied with the efficacy than the control group (standardized mean difference: 1.073, 95 {\%} CI: 0.528–1.619). Subgroup analysis showed that the erbium laser group, CO2 laser group and fractional CO2 laser group achieved significantly better repigmentation than the control groups. Conclusions: According to objective and subjective evaluations, treatments for vitiligo are more effective when combined with ablation therapy than when used alone.",
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