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. 2020 May 1;2020(5):CD011368. doi: 10.1002/14651858.CD011368.pub2

Bae 2013.

Study characteristics
Methods Aim of study: to compare the effectiveness and side effects of SA peels and Jessner's solution peels in the treatment of acne using a split‐face model
Design: within subjects, split‐face design
Unit of allocation: split‐face
Allocation: randomised; no details of random sequence generation methods
Blinding: evaluator blinded only
Duration of trial (from recruitment to last follow‐up): not described
Dropouts: none
Participants Population description: mild to moderate acne according to the Cunliffe grading system
Setting: university setting in Korea
Randomised number: 13
Age: mean: 22.6; range: 20 to 28
Sex (M/F): 13/0
Severity of illness: mild to moderate
Non‐inflammatory lesion counts: 18.6 ± 20.9 in one side of face versus 22.7 ± 26.2 in other side;
Inflammatory lesion counts: 14.2 ± 6.0 versus 12.5 ± 7.8
Interventions Name of treatment group: 30% SA n = 13 faces
Description: 30% SA
Treatment period: 4 weeks
Timing: three times every 2 weeks
Name of treatment group: Jessner's solution n = 13 faces
Description: 14 g of resorcinol, 14 g of SA, 14 mL of lactic acid, and ethanol quantum satis 100 mL
Treatment period: 4 weeks
Timing: three times every 2 weeks
Outcomes Primary outcomes (see notes)
  • Participants' global self‐assessment of acne improvement (e.g. measured by a 4‐point scale: excellent, good, fair, and poor; week 6; 4‐point scale: 3 = good improvement, 2 = moderate improvement, 1 = mild improvement, 0 = no improvement or worsening)

  • Withdrawal for any reason (no withdrawals)


Secondary outcomes
  • Change in lesion counts (total or inflamed and non‐inflamed separately). Mean lesion counts at baseline, week 2, 4, and 6

  • Physicians' global evaluation of acne improvement. Authors did not report this outcome

  • Minor adverse events (assessed as total number of participants who experienced at least one minor adverse event). Only mentioned but data not usable

  • Quality of life. Authors did not report this outcome.

Notes Funding: not described
This was a 'split‐face'. According to the protocol of this review, only summary statistics were used to conduct analysis using the generic inverse variance method and it was separate from parallel trials.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Split‐face, within‐subjects design study. No randomisation method was described
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias)
All outcomes High risk Quote: "Double blinding was impossible because the two chemical peels showed different acute responses"
Comment: blinding probably insufficient
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Quote: "the evaluator blinding method was used"
Comment: insufficient information about method to ensure blinding of outcome assessor
Incomplete outcome data (attrition bias)
All outcomes Low risk All the 13 participants completed the study, no missing outcome data
Selective reporting (reporting bias) Unclear risk Insufficient data regarding subject global assessment
Other bias Low risk No other potential bias identified