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Diagnosis and Management of Infantile Hemangioma

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Table 15. Key outcomes in studies comparing propranolol <strong>and</strong> no propranolol<br />

Author, Year<br />

Age, Months<br />

Comparison Groups<br />

Location<br />

Key Outcomes, n<br />

(n)<br />

Type<br />

Quality<br />

Perkins et al. 2014 149<br />

G1: Propranolol era<br />

2mg/kg/day, received<br />

(25)<br />

G2: Propranolol era, did<br />

not receive (13)<br />

G3: Pre-propranolol era<br />

(20)<br />

Quality: Fair<br />

Hermans et al. 2011 145<br />

G1: Propranolol 2.0 to<br />

2.5/mg/kg/d in three<br />

daily doses (20)<br />

G2: Historical controls<br />

(varied treatments) (20)<br />

Quality: Fair<br />

Age, Mean (range)<br />

G1: 4.9 (2.0- 13.5)<br />

G2: 4.9 (2.2-14.7)<br />

G3: 4.8 (2.0-14.3)<br />

Type, %<br />

Superficial <strong>and</strong><br />

subcutaneous<br />

G1+G2+G3: 100<br />

Age, mean at start <strong>of</strong><br />

ulceration<br />

G1: 2.3<br />

G2: 2.7<br />

Type, n:<br />

Superficial nodular<br />

G1: 14<br />

Superficial macular<br />

G1: 4<br />

G1+G2:<br />

nasal<br />

G1+G2:<br />

multiple<br />

• 56% <strong>of</strong> G2 less likely to have any type <strong>of</strong><br />

invasive treatment when compared to G1<br />

(HR: 0.44, 95% CI: 0.27 to 0.73)<br />

• G2 <strong>and</strong> G3 were 35% less likely to have<br />

any type <strong>of</strong> invasive treatment (HR: 0.65,<br />

95% CI: 0.42 to 1.00) when compared to<br />

G1<br />

• 55% <strong>of</strong> G2 (HR: 0.45) less likely to have<br />

surgical excision <strong>and</strong> 56% (HR: 0.44, 95%<br />

CI: 0.27 to 0.78) less likely to have laser<br />

treatment when compared to G1<br />

• G2 <strong>and</strong> G3 61% (HR:0.39) less likely to<br />

have surgical excision <strong>and</strong> 25% (HR: 0.75;<br />

95% CI: 0.46 to 1.25) less likely to have<br />

laser treatment when compared to G1<br />

• Grade change assessed by two authors not<br />

involved in treatment planning or medical<br />

<strong>and</strong> surgical therapy<br />

• Complete healing from ulceration<br />

G1: 8.7 weeks<br />

G2: 22.4 weeks<br />

G1 vs.G2: p

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