Intended for healthcare professionals

CCBYNC Open access

Cryotherapy versus salicylic acid for the treatment of plantar warts (verrucae): a randomised controlled trial

BMJ 2011; 342 doi: (Published 07 June 2011) Cite this as: BMJ 2011;342:d3271

Re:Re:'Not Cryotherapy'

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

08 July 2011
Bridget E. Hamilton
Senior Lecturer
University of Melbourne