RT Journal Article
T1 Assembling a consensus on actinic cheilitis: A Delphi study
A1 Seoane Lestón, Juan Manuel
A1 Warnakulasuriya, Saman
A1 Bagan, Jose
A1 Aguirre Urizar, José Manuel
A1 López Jornet, Pía
A1 Hernández Vallejo, Gonzalo
A1 González Moles, Miguel Ángel
A1 Pereiro Ferreiros, Manuel
A1 Seoane Romero, Javier
A1 Varela Centelles, Pablo Ignacio
K1 Actinic cheilitis
K1 Consensus
K1 Delphi study
K1 Potentially malignant oral disorder
AB Aims: To discuss the terminology to define and classify actinic cheilitis (AC) and to build a consensus on the diagnostic and therapeutic approaches to AC.Methods: Two-round Delphi study using a questionnaire including 34 closed sentences (9 on terminology and taxonomy, 5 on potential for malignant transformation, 12 on diagnostic aspects, 8 on treatment) and 8 open questions. Experts’ agreement was rated using a Likert scale (1–7).Results: A consensus was reached on 24 out 34 statements (73.5%) and on 5 out of 8 (62.5%) close-ended questions. The response rate was identical in both rounds (attrition of 0%). AC is the term with the highest agreement (median of 7 (strongly agree; IQR: 6–7)) and the lowest dispersion (VC = 21.33). ‘Potentially malignant disorder’ was the preferred classification group for AC (median of 7) and 85.6% of participants showing some level of agreement (CV < 50). Experts (66.75%) consider AC a clinical term (median: 7; IQR: 4–7) and believe definitive diagnosis can be made clinically (median: 6; IQR: 5–7), particularly by inspection and palpation (median: 5; IQR: 4–6). Histopathological confirmation is mandatory for the management of AC (median: 5; IQR: 2.5–7), even for homogeneous lesions (median: 5; IQR: 3.5–6). Consensus was reached on all treatment statements (VC < 50).Conclusions: AC is a potentially malignant disorder with a significant lack of agreement on diagnostic criteria, procedures, biopsy indications and the importance of techniques to assist in biopsy. A consensus was reached on nomenclature and management of this disorder
PB Wiley
YR 2021
FD 2021
LK http://hdl.handle.net/10347/26451
UL http://hdl.handle.net/10347/26451
LA eng
NO Seoane, J, Warnakulasuriya, S, Bagán, JV, et al. Assembling a consensus on actinic cheilitis: A Delphi study. J Oral Pathol Med. 2021; 00: 1– 9. https://doi.org/10.1111/jop.13200
DS Minerva
RD 25 abr 2026