Radiofrequency in the treatment of primary hyperhidrosis: systematic review and meta-analysis

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Autor(es): dc.contributorUniversidade Estadual Paulista (Unesp)-
Autor(es): dc.creatorHasimoto, Fabio Nishida [UNESP]-
Autor(es): dc.creatorCataneo, Daniele Cristina [UNESP]-
Autor(es): dc.creatorHasimoto, Erica Nishida [UNESP]-
Autor(es): dc.creatorXimenes, Aglaia Moreira Garcia [UNESP]-
Autor(es): dc.creatorCataneo, Antônio José Maria [UNESP]-
Data de aceite: dc.date.accessioned2022-02-22T00:33:05Z-
Data de disponibilização: dc.date.available2022-02-22T00:33:05Z-
Data de envio: dc.date.issued2020-12-11-
Data de envio: dc.date.issued2020-12-11-
Data de envio: dc.date.issued2020-04-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1007/s10286-019-00640-w-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/201266-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/201266-
Descrição: dc.descriptionPurpose: To evaluate, via a systematic review, the effectiveness of radiofrequency (RF) for treatment of primary hyperhidrosis (PH). Methods: Experimental or observational studies were included where RF treatment (ablation or microneedling) was performed, comparing the periods before and after treatment. Results: Nine studies were considered eligible and included for analysis. In seven of nine studies, patients were subjected to RF only, and in two of nine studies RF was compared to video-assisted thoracoscopic sympathectomy (VATS). There was a reduction in the severity of PH in microneedling (three studies, mean difference −1.24, 95% CI −1.44 to −1.03). In a study that performed sympathetic RF ablation there was a greater reduction in PH severity compared to studies that performed microneedling (−2.42, 95% CI −2.55 to −2.29). There was improvement in the quality of life (QoL) after sympathetic RF ablation (two studies, mean difference −15.92, 95% CI −17.61 to −14.24). Regarding the microneedling procedure, there was a lower improvement in QoL, (two studies, −9.0, 95% CI −9.15 to −8.85). One study comparing sympathetic RF ablation with VATS applied the QoL questionnaire, and the VATS showed superior results. One of the two studies comparing compensatory sweating in RF ablation with VATS showed that compensatory hyperhidrosis was higher in VATS; however, the other study did not observe this difference. One study compared the recurrence of symptoms between VATS and RF ablation; symptom recurrence was shown to be higher in RF. Conclusions: RF is effective for PH treatment, with superior results obtained with sympathetic ablation compared to microneedling.-
Descrição: dc.descriptionPost-Graduation Program on General Basis of Surgery School of Medicine São Paulo State University—UNESP-
Descrição: dc.descriptionDivision of Thoracic Surgery Botucatu School of Medicine São Paulo State University—UNESP-
Descrição: dc.descriptionPost-Graduation Program on Medicine Botucatu School of Medicine São Paulo State University—UNESP-
Descrição: dc.descriptionPost-Graduation Program on General Basis of Surgery School of Medicine São Paulo State University—UNESP-
Descrição: dc.descriptionDivision of Thoracic Surgery Botucatu School of Medicine São Paulo State University—UNESP-
Descrição: dc.descriptionPost-Graduation Program on Medicine Botucatu School of Medicine São Paulo State University—UNESP-
Formato: dc.format111-120-
Idioma: dc.languageen-
Relação: dc.relationClinical Autonomic Research-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectHyperhidrosis-
Palavras-chave: dc.subjectMeta-analysis-
Palavras-chave: dc.subjectRadiofrequency-
Palavras-chave: dc.subjectSympathectomy-
Palavras-chave: dc.subjectSystematic review-
Título: dc.titleRadiofrequency in the treatment of primary hyperhidrosis: systematic review and meta-analysis-
Aparece nas coleções:Repositório Institucional - Unesp

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