{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:18:17Z","timestamp":1788967097994,"version":"build-2803163510"},"reference-count":45,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T00:00:00Z","timestamp":1594684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Whether infantile hemangiomas (IHs) need to be treated and which treatment should be preferred are still controversial. We aimed to compare and rank the treatments and identify the optimal treatment for IHs. We searched PubMed, EMBASE, the Cochrane Library, Web of Science, and other sources for randomized controlled trials up to August 2019. We included trials comparingdifferent treatments and reported response or adverse events rate in IH patients. Two reviewers independently evaluated studies by specific criteria and extracted data. We assessed the risk of bias with the Cochrane risk of bias tool. Random\u2010effects were performed for pair\u2010to\u2010pair and Bayesian framework network meta\u2010analyses. The primary outcomes were efficacy and safety. We deemed 20 studies eligible, including 1149 participants and eight interventions. For efficacy, oral propranolol and topical propranolol\/timolol were better than observation\/placebo (OR, 95% CrI: 17.05, 4.02\u201394.94; 9.72, 1.91\u201359.08). For safety, topical propranolol\/timolol was significantly better tolerated than oral propranolol (0.05, 0.001\u20130.66). Cluster analysis demonstrated oral propranolol was the most effective treatment for IHs, while topical propranolol\/timolol showed high efficacy and the highest safety. Laser, intralesional propranolol or glucocorticoid, oral glucocorticoid, or captopril had significantly lower priority than oral propranolol or topical propranolol\/timolol considering both efficacy and safety. The quality of evidence was rated as moderate or low in most comparisons. This network meta\u2010analysis found topical beta\u2010blockers had the potential to be the most preferable and beneficial option for IHs in consideration of both efficacy and safety.<\/jats:p>","DOI":"10.1111\/ijd.15015","type":"journal-article","created":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T16:26:40Z","timestamp":1594744000000},"page":"1320-1331","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The efficacy and safety of treatments for infantile hemangiomas: a Bayesian network meta\u2010analysis"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0240-2279","authenticated-orcid":false,"given":"Hao","family":"Yang","sequence":"first","affiliation":[{"name":"Zhejiang University School of Medicine Hangzhou China"},{"name":"Department of Pediatric Surgery Zhejiang University Jinhua Hospital Jinhua China"},{"name":"Children's Hospital, Zhejiang University School of Medicine Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong\u2010Lai","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Zhejiang University Jinhua Hospital Jinhua China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010Xiao","family":"Xuan","sequence":"additional","affiliation":[{"name":"Zhejiang University School of Medicine Hangzhou China"},{"name":"Children's Hospital, Zhejiang University School of Medicine Hangzhou China"},{"name":"National Clinical Research Center for Child Health Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun\u2010Jie","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Zhejiang University Jinhua Hospital Jinhua China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Zhejiang University Jinhua Hospital Jinhua China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang\u2010Jie","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Zhejiang University Jinhua Hospital Jinhua China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Zhejiang University School of Medicine Hangzhou China"},{"name":"Department of Pediatric Surgery Zhejiang University Jinhua Hospital Jinhua China"},{"name":"Children's Hospital, Zhejiang University School of Medicine Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Shu","sequence":"additional","affiliation":[{"name":"Children's Hospital, Zhejiang University School of Medicine Hangzhou China"},{"name":"National Clinical Research Center for Child Health Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010Dong","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Zhejiang University Jinhua Hospital Jinhua China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.12804"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00645-0"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-3475"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.12436"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2016.2905"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc0708819"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1404710"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-3828"},{"key":"e_1_2_7_10_1","first-page":"Cd006545","article-title":"Interventions for infantile haemangiomas of the skin","volume":"4","author":"Novoa M","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.7326\/M14-2385"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_7_13_1","unstructured":"HigginsJPT GreenS(editors).Cochrane handbook for systematic reviews of interventions (Version 5.1.0).http:\/\/handbook.cochrane.org. 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