Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

58 questions · 63 findings · 7 reviews

No studies found 8 · 12.7%GRADE not reported 0 · 0%Very low 12 · 19%Low 13 · 20.6%Moderate 22 · 34.9%High 8 · 12.7%

Imiquimod vs vehicle

Short‐term clinical cure (up to 3 months after start of treatment) (completely cleared short term) · molluscum contagiosum

Imiquimod showed no clear difference in short‐term clinical cure (up to 3 months after start of treatment)… compared with vehicle (moderate certainty).

1 finding from 1 review

Imiquimod vs vehicle

Medium‐term clinical cure (after 3 months and up to 6 months after start of treatment) (completely cleared medium term) · molluscum contagiosum

Imiquimod showed no clear difference in medium‐term clinical cure (after 3 months and up to 6 months after… compared with vehicle (moderate certainty).

1 finding from 1 review

Imiquimod vs vehicle

Long‐term clinical cure (beyond 6 months after start of treatment) (completely cleared long term) · molluscum contagiosum

Imiquimod showed no clear difference in long‐term clinical cure (beyond 6 months after start of treatment)… compared with vehicle (moderate certainty).

1 finding from 1 review

Imiquimod vs vehicle

Short‐term clinical improvement (up to 3 months after start of treatment) · molluscum contagiosum

Imiquimod showed no clear difference in short‐term clinical improvement (up to 3 months after start of… compared with vehicle (high certainty).

1 finding from 1 review

Imiquimod vs vehicle

Adverse effects ‐ application site reaction · molluscum contagiosum

Imiquimod probably leads to higher application site reactions compared with vehicle (moderate certainty).

1 finding from 1 review

Imiquimod vs vehicle

Severe application site reactions · molluscum contagiosum

Imiquimod probably leads to higher severe application site reactions compared with vehicle (moderate certainty).

1 finding from 1 review

Imiquimod vs MAL‐PDT

Recurrence · adults with basal cell carcinoma of the skin

Imiquimod cream probably leads to lower recurrence at 3 years compared with MAL‐PDT (moderate certainty).

2 findings from 1 review

Imiquimod vs MAL‐PDT

Cosmesis · adults with basal cell carcinoma of the skin

Imiquimod cream showed no clear difference in cosmetic outcome (excellent/good) compared with MAL‐PDT (moderate certainty).

1 finding from 1 review

Imiquimod vs MAL‐PDT

Number of patients with moderate/severe pain (1 hour postoperatively) · adults with basal cell carcinoma of the skin

Imiquimod cream probably leads to lower pain (moderate/severe) compared with MAL‐PDT (moderate certainty).

1 finding from 1 review

Imiquimod vs MAL‐PDT

Early treatment failure · adults with basal cell carcinoma of the skin

Imiquimod cream showed no clear difference in early treatment failure compared with MAL‐PDT (moderate certainty).

1 finding from 1 review

Imiquimod 5% cream with tazarotene 0.1% gel vs Imiquimod 5% cream alone

Primary outcome: Histological complete response ( available‐case analysis) No residual LM in staged excision 2 months post‐treatment · participants with melanoma in situ, including lentigo maligna

Imiquimod 5% cream with tazarotene 0.1% gel showed no clear difference in primary outcome: Histological complete response (intention‐to‐treat)… compared with imiquimod 5% cream alone (low certainty).

2 findings from 1 review

Imiquimod 5% cream with tazarotene 0.1% gel vs Imiquimod 5% cream alone

Discontinuation of treatment due to side effects ( · participants with melanoma in situ, including lentigo maligna

Imiquimod 5% cream with tazarotene 0.1% gel showed no clear difference in secondary outcome: Discontinuation of treatment because of harms… compared with imiquimod 5% cream alone (low certainty).

1 finding from 1 review

Imiquimod 5% cream with tazarotene 0.1% gel vs Imiquimod 5% cream alone

Secondary outcome: Inflammatory response (number of lesions with grade 2 or 3) Grade 2 or 3 Inflammation² · participants with melanoma in situ, including lentigo maligna

Imiquimod 5% cream with tazarotene 0.1% gel may leads to higher secondary outcome: Inflammatory response (number of lesions with… compared with imiquimod 5% cream alone (low certainty).

1 finding from 1 review

Imiquimod vs placebo

Response to treatment at 5 to 6 months ‐ overall response · women with usual‐type vulval intraepithelial neoplasia

Summary of findings for imiquimod leads to higher response to treatment at 5 to 6 months ‐ overall response compared with placebo (high certainty).

1 finding from 1 review