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. 2021 Mar 11;3:26–41. doi: 10.1016/j.jdin.2021.01.002

Table IV.

Summary of GRADE findings for corticosteroids

Outcomes Estimated effect Number of participants Certainty of the evidence Comments
Participant complete remission 18%-63% (2 studies) 110 (2 studies) Low Stage IA: 18%, IB: 22% (Kartan 2019)
T1 disease: 63%, T2: 25% (Zackheim 1998)
Participant partial remission 31%-67% (2 studies) 110 (2 studies) Low Stage IA: 32%, IB 67% (Kartan 2019)
T1: 31%, T2: 57% (Zackheim 1998)
Mean reduction in lesion counts/body surface area (BSA) from baseline to assessment Not estimable, lack of data No studies addressed this outcome.
Investigator/physician global assessment Not estimable, lack of data No studies addressed this outcome.
Participants global assessment Not estimable, lack of data No studies addressed this outcome.
Quality of life Not estimable, lack of data No studies addressed this outcome.
Adverse effect estimates See comment 79 (1 study) Very low Temporary minor irritation (2); Atrophy (1); Stretch marks (1); Temporary serum cortisol below lower limit of normal (T1 = 4 patients, T2 = 6 patients) (Zackheim 1998)

BSA, Body surface area; GRADE, Grading Recommendations Assessment, Development and Evaluation.