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A novel nomogram based on a retrospective study of 346 patients to predict the recurrence risk of condyloma acuminatum after 5‐aminolevulinic acid photodynamic therapy

The Journal of Dermatology Nov 11, 2021

Zhou S, Gu L, Shi Z, et al. - A nomogram model containing three clinical parameters was constructed that could aid in predicting the recurrence risk of condyloma acuminatum (CA), a sexually transmitted disease caused by HPV, following 5-aminolevulinic acid photodynamic therapy (ALA-PDT).

  • The training cohort comprised 346 CA patients treated with ALA-PDT and the validation cohort comprised 123 CA patients.

  • In the training cohort, recurrences were reported in 55 (15.89%) patients after ALA-PDT.

  • LASSO regression revealed the following as predictors of recurrence: concomitant HIV infection, skin and mucosa as affected area, and more than one time of CO2 laser therapy.

  • In the training cohort and the validation cohort, the C-indexes were 0.843 and 0.831 respectively indicating a good performance of the nomogram in predicting recurrence.

  • The nomogram was identified as clinically useful in decision curve analysis when the intervention was determined at the non-adherence possibility threshold of 5%.

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