Radiofrequency Microneedling in Treating Primary Hyperhidrosis: A Systematic Review and Meta-Analysis.

IF 2.5 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2025-05-01 Epub Date: 2025-01-03 DOI:10.1097/DSS.0000000000004532

Mayuri H Vaish, Edward Hadeler, Anisha Guda, Heather Goff

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引用次数: 0

Abstract

Background: Radiofrequency microneedling (RFM) is a potential treatment for primary hyperhidrosis. However, its efficacy is unclear, and treatment parameters and outcomes vary across studies.

Objective: To understand the effect of RFM on treating primary hyperhidrosis, as measured by changes in the Hyperhidrosis Disease Severity Score (HDSS) before and after treatment, and to clearly define treatment settings most likely to optimize results.

Materials and methods: A systematic literature search utilizing Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was conducted across PubMed, EMBASE, MEDLINE, Web of Science, and the Cochrane Library. Studies were evaluated for risk of bias via the ROBINS-I tool and Levels of Evidence/GRADE criteria. A random forest model identified RFM settings that predict HDSS score decrease.

Results: Six publications met inclusion criteria. The level of evidence was classified as Grade B, indicating moderate quality. RFM intervention resulted in a mean HDSS score decrease of 1.63 (52% reduction, p < .05). The strongest predictors for HDSS score decrease were dwell time, energy, and depth, with feature importances of 0.43, 0.19, and 0.15 respectively.

Conclusion: Radiofrequency microneedling treatment significantly reduces HDSS scores in patients with primary hyperhidrosis. Moving forward, it would benefit physicians to standardize objective protocols in reporting RFM parameters and measuring outcomes.

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射频微针治疗原发性多汗症：系统回顾和荟萃分析。

背景：射频微针（RFM）是原发性多汗症的一种潜在治疗方法。然而，其疗效尚不清楚，不同研究的治疗参数和结果也各不相同。目的：了解RFM治疗原发性多汗症的效果，通过多汗症疾病严重程度评分（HDSS）在治疗前后的变化来衡量，并明确定义最有可能优化结果的治疗环境。材料和方法：在PubMed、EMBASE、MEDLINE、Web of Science和Cochrane图书馆中进行了系统文献检索，利用系统评价和元分析指南的首选报告项。通过ROBINS-I工具和证据水平/GRADE标准评估研究的偏倚风险。随机森林模型确定了预测HDSS评分下降的RFM设置。结果：6篇文献符合纳入标准。证据等级为B级，表明质量中等。RFM干预导致平均HDSS评分下降1.63分（下降52%，p < 0.05）。HDSS评分下降的最强预测因子是停留时间、能量和深度，特征重要度分别为0.43、0.19和0.15。结论：射频微针治疗可显著降低原发性多汗症患者的HDSS评分。展望未来，将报告RFM参数和测量结果的客观协议标准化将有利于医生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.