{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T11:40:21Z","timestamp":1788262821897,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T00:00:00Z","timestamp":1623196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Oral Pathology Medicine"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To discuss the terminology to define and classify actinic cheilitis (AC) and to build a consensus on the diagnostic and therapeutic approaches to AC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two\u2010round 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\u2019 agreement was rated using a Likert scale (1\u20137).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A consensus was reached on 24 out 34 statements (73.5%) and on 5 out of 8 (62.5%) close\u2010ended 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\u20137)) and the lowest dispersion (VC\u00a0=\u00a021.33). \u2018Potentially malignant disorder\u2019 was the preferred classification group for AC (median of 7) and 85.6% of participants showing some level of agreement (CV\u00a0&lt;\u00a050). Experts (66.75%) consider AC a clinical term (median: 7; IQR: 4\u20137) and believe definitive diagnosis can be made clinically (median: 6; IQR: 5\u20137), particularly by inspection and palpation (median: 5; IQR: 4\u20136). Histopathological confirmation is mandatory for the management of AC (median: 5; IQR: 2.5\u20137), even for homogeneous lesions (median: 5; IQR: 3.5\u20136). Consensus was reached on all treatment statements (VC\u00a0&lt;\u00a050).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jop.13200","type":"journal-article","created":{"date-parts":[[2021,5,16]],"date-time":"2021-05-16T22:25:35Z","timestamp":1621203935000},"page":"962-970","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Assembling a consensus on actinic cheilitis: A Delphi study"],"prefix":"10.1111","volume":"50","author":[{"given":"Juan","family":"Seoane","sequence":"first","affiliation":[{"name":"Department of Surgery and Medical\u2010Surgical Specialities University of Santiago de Compostela  Santiago de Compostela Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2103-0746","authenticated-orcid":false,"given":"Saman","family":"Warnakulasuriya","sequence":"additional","affiliation":[{"name":"King's College London WHO Collaborating Centre for Oral Cancer  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0295-2916","authenticated-orcid":false,"given":"Jos\u00e9 Vicente","family":"Bag\u00e1n","sequence":"additional","affiliation":[{"name":"Oral Medicine Valencia University  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Manuel","family":"Aguirre\u2010Urizar","sequence":"additional","affiliation":[{"name":"Department of Stomatology University of Basque Country\/EHU  Leioa Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3314-8613","authenticated-orcid":false,"given":"P\u00eda","family":"L\u00f3pez\u2010Jornet","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine University of Murcia Hospital Morales Meseguer  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gonzalo","family":"Hern\u00e1ndez\u2010Vallejo","sequence":"additional","affiliation":[{"name":"Department of Clinical Dental Specialities Complutense University of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0791-6639","authenticated-orcid":false,"given":"Miguel \u00c1ngel","family":"Gonz\u00e1lez\u2010Moles","sequence":"additional","affiliation":[{"name":"Oral Medicine School of Dentistry University of Granada  Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Pereiro\u2010Ferreiros","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Santiago de Compostela  Santiago de Compostela Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Seoane\u2010Romero","sequence":"additional","affiliation":[{"name":"USC International School of Doctorate Ciudad Real University Hospital  Ciudad Real Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7911-5190","authenticated-orcid":false,"given":"Pablo","family":"Varela\u2010Centelles","sequence":"additional","affiliation":[{"name":"Department of Surgery and Medical\u2010Surgical Specialities University of Santiago de Compostela  Santiago de Compostela Spain"},{"name":"CS Praza do Ferrol. 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