Assembling a consensus on actinic cheilitis: A Delphi study.
J Oral Pathol Med
; 50(10): 962-970, 2021 Nov.
Article
en En
| MEDLINE
| ID: mdl-33998055
ABSTRACT
AIMS:
To discuss the terminology to define and classify actinic cheilitis (AC) and to build a consensus on the diagnostic and therapeutic approaches to AC.METHODS:
Two-round Delphi study using a questionnaire including 34 closed sentences (9 on terminology and taxonomy, 5 on potential for malignant transformation, 12 on diagnostic aspects, 8 on treatment) and 8 open questions. Experts' agreement was rated using a Likert scale (1-7).RESULTS:
A consensus was reached on 24 out 34 statements (73.5%) and on 5 out of 8 (62.5%) close-ended questions. The response rate was identical in both rounds (attrition of 0%). AC is the term with the highest agreement (median of 7 (strongly agree; IQR 6-7)) and the lowest dispersion (VC = 21.33). 'Potentially malignant disorder' was the preferred classification group for AC (median of 7) and 85.6% of participants showing some level of agreement (CV < 50). Experts (66.75%) consider AC a clinical term (median 7; IQR 4-7) and believe definitive diagnosis can be made clinically (median 6; IQR 5-7), particularly by inspection and palpation (median 5; IQR 4-6). Histopathological confirmation is mandatory for the management of AC (median 5; IQR 2.5-7), even for homogeneous lesions (median 5; IQR 3.5-6). Consensus was reached on all treatment statements (VC < 50).CONCLUSIONS:
AC is a potentially malignant disorder with a significant lack of agreement on diagnostic criteria, procedures, biopsy indications and the importance of techniques to assist in biopsy. A consensus was reached on nomenclature and management of this disorder.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Queilitis
Tipo de estudio:
Diagnostic_studies
/
Guideline
Límite:
Humans
Idioma:
En
Revista:
J Oral Pathol Med
Asunto de la revista:
ODONTOLOGIA
/
PATOLOGIA
Año:
2021
Tipo del documento:
Article
País de afiliación:
España