Question · asked by 1 review

Topical bleomycin vs placebo or no treatment: Malignant transformation (oral cancer development)

It is very uncertain whether topical bleomycin changes oral cancer development compared with placebo or no treatment (very low certainty).

What each review found

Current versions only
FindingEffectStudiesGRADE certainty
Topical bleomycin vs Placebo or no treatment
Oral cancer development · People with a diagnosis of oral leukoplakia · up to 7 years
It is very uncertain whether topical bleomycin changes oral cancer development compared with placebo or no treatment (very low certainty).
Interventions for treating oral leukoplakia to prevent oral cancer (2016) · Cochrane All outcomes
RR 3.00 [0.32, 27.83]1 study · 20 participantsVery low
Topical bleomycin vs Placebo or no treatment
Malignant transformation (oral cancer development) · People with a diagnosis of oral leukoplakia
Interventions for treating oral leukoplakia to prevent oral cancer (2006) · Cochrane All outcomesearlier version CD001829.PUB3, superseded
Malignant transformation (Comparison 1, Outcome 1.1), topical bleomycin (Epstein 1994): not estimable; no benefit vs placebo.1 studyGRADE not reported
Topical bleomycin vs Placebo or no treatment
Malignant transformation (oral cancer development) · People with a diagnosis of oral leukoplakia
Interventions for treating oral leukoplakia to prevent oral cancer (2004) · Cochrane All outcomesearlier version CD001829.PUB2, superseded
Malignant transformation (Comparison 01, Outcome 01), topical bleomycin (Epstein 1994): not estimable; no benefit vs placebo.1 studyGRADE not reported
Topical bleomycin vs Placebo or no treatment
Malignant transformation (oral cancer development) · People with a diagnosis of oral leukoplakia
Interventions for treating oral leukoplakia to prevent oral cancer (1999) · Cochrane All outcomesearlier version CD001829, superseded
Malignant transformation (Comparison 1, Outcome 1.1), topical bleomycin subgroup (Epstein 1994): not estimable (RevMan RR 0.0 [0.0, 0.0], totals not selected); no benefit vs placebo.1 studyGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Interventions for treating oral leukoplakia to prevent oral cancer
2016 · Cochrane All outcomes
2016-05list not extracted yetNot assessed

Studies behind the findings

None of these reviews ties its included studies to this outcome in the data here. Cochrane reviews and reviews with headline outcomes only do not list their studies yet.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.