Evidence map›Paper›PMID 39314164›Full record

SynthesisOral diseases2025

Malignant transformation of oral leukoplakia: Systematic review and comprehensive meta-analysis.

Liliana Aparecida Pimenta-Barros, Pablo Ramos-García, Miguel Ángel González-Moles, José Manuel Aguirre-Urizar, Saman Warnakulasuriya

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Oral diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Global Prevalence of Oral Potentially Malignant Disorders: An Updated Systematic Review and Meta-Analysis.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2026
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  11. [Preliminary investigation into the mechanisms of thalidomide in inhibiting the malignant transformation of oral leukoplakia].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Liliana Aparecida Pimenta-BarrosDental Sciences Graduate Program, Federal University of Espirito Santo, Vitoria, Brazil.ORCID 0000-0002-1649-3116
Pablo Ramos-GarcíaInstituto de Investigación Biosanitaria, School of Dentistry, University of Granada, Granada, Spain.ORCID 0000-0001-6942-7772
Miguel Ángel González-MolesInstituto de Investigación Biosanitaria, School of Dentistry, University of Granada, Granada, Spain.ORCID 0000-0003-0791-6639
José Manuel Aguirre-UrizarOral and Maxillofacial Medicine & Pathology Unit, Department of Stomatology, Faculty of Medicine and Nursery, University of the Basque Country/EHU, Leioa, Spain.ORCID 0000-0001-7822-0968
Saman WarnakulasuriyaFaculty of Dental, Oral & Craniofacial Sciences, WHO Collaborating Centre for Oral Cancer, King's College London, London, UK.ORCID 0000-0003-2103-0746

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo update the current evidence on the malignant transformation of oral leukoplakia (OL), including all studies published worldwide on the subject, selected with the maximum rigor regarding eligibility. MATERIALS AND

methodsMEDLINE, Embase, Web of Science and Scopus were searched for studies published before June-2024, with no lower date limit. The risk of bias was analyzed using the Joanna Briggs Institute tool for meta-analyses of proportions. We carried out meta-analyses, explored heterogeneity across subgroups and identified risk factors with potential prognostic value.

resultsFifty-five studies (41,231 with OL) were included. The pooled malignant transformation proportion for OL was 6.64% (95% CI = 5.21-8.21). The malignant transformation did not significantly vary by time periods (p = 0.75), 5.35% prior to 1978, 7.06% from 1979 to 2007 and 6.97% during more recent times. The risk factors that significantly had a higher impact on malignant transformation were the non-homogeneous leukoplakias (RR = 4.23, 95% CI = 3.31-5.39, p < 0.001), the larger size (RR = 2.08, 1.45-2.96, p < 0.001), leukoplakia located on the lateral border of tongue (malignant transformation = 12.71%; RR = 2.09, 95% CI = 1.48-2.95, p < 0.001), smoking (RR = 1.64, 95% CI = 1.25-2.15, p < 0.001), and the presence of epithelial dysplasia (RR = 2.75, 95% CI = 2.26-3.35, p < 0.001).

conclusionsOL presents a considerable malignant transformation probability that is especially increased in large non-homogeneous lesions in smokers, located on the lateral border of the tongue, with epithelial dysplasia.

Indexed as

Cell Transformation, NeoplasticLeukoplakia, OralMouth NeoplasmsHumansRisk Factorsmalignant transformationmeta‐analysisoral canceroral leukoplakiaoral potentially malignant disordersystematic review

Identifiers

PMID39314164
PMCPMC11808172

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.