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Diagnosis and Management of Infantile Hemangioma

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Table 3. Characteristics <strong>of</strong> included studies addressing effectiveness <strong>and</strong> harms<br />

Characteristic<br />

RCTs<br />

Prospective<br />

Cohort Studies†<br />

Retrospective<br />

Cohort Studies<br />

Diagnostic<br />

Studies<br />

Case<br />

Series*<br />

Total Literature<br />

Intervention Corticosteroid 3 0 1 0 20 24<br />

Beta-Blocker ** 9 5 11 0 56 81<br />

Laser 3 0 6 0 17 26<br />

Surgery 0 1 1 0 13 15<br />

MRI or ultrasound 0 0 0 2 0 2<br />

Population<br />

Characteristics<br />

Outcomes<br />

Reported<br />

Anatomic location <strong>of</strong> IH<br />

Multiple 15 5 15 1 93 129<br />

Periocular 0 1 1 0 7 9<br />

Airway 0 0 1 0 1 2<br />

Oral/Maxillary 0 0 1 0 3 4<br />

Parotid 0 0 0 0 1 1<br />

Lumbosacral 0 0 0 1 0 1<br />

Nasal 0 0 1 0 1 2<br />

Study population<br />

U.S./Canada 2 1 7 2 29 41<br />

Europe 4 1 9 0 37 51<br />

Asia 4 3 3 0 33 43<br />

Other 5 1 0 0 7 13<br />

Resolution/Clearance-related 15 6 15 0 0 36<br />

Vision 1 2 1 0 0 4<br />

Quality <strong>of</strong> life 2 0 1 0 0 3<br />

Number treatments/invasive<br />

1 0 6 0 0 7<br />

treatments needed<br />

Diagnostic accuracy 0 0 0 2 0 2<br />

Rebound growth 4 1 6 0 0 11<br />

Harms 15 6 17 0 106 144<br />

Total N participants 1117 243 1447 96 10972 13875<br />

MRI = magnetic resonance imaging; n = number; RCT = r<strong>and</strong>omized, controlled trial<br />

*Case series reported other outcomes; however, we only extracted harms data from case series for this review.<br />

**Studies (n=13) that compared a beta-blocker to another beta-blocker or placebo/observation or to another active comparator such as steroids, other agents, or laser are reported<br />

only in this row.<br />

† One study included in the prospective cohort column compared an IH treated with cryotherapy to an untreated IH.<br />

20

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