Further to comments by Matt Dexter, I am surprised by the overall
poor treatment effect of Cockayne et al, and also by the way patient
satisfaction was overlooked, in discussion and conclusion.
The only significant results were for better patient satisfaction with
cryotherapy, across all timeframes. Why measure and report this and then
ignore it in recommedations? When treatment effects were equal, patients
preferred cryotherapy, perhaps because it demanded less of them on a daily
basis. Cost is an important factor in recommendations, but satisfaction
matters, and it is linked to acceptability and adherence.
Competing interests: No competing interests