Review Article

Combined Biologic and Surgical Interventions for Hidradenitis Suppurativa: A Systematic Review

Table 2

Patient demographics.

AuthorsCohortNo. of patientsAverage age (years ± SD)Female (no. of patients, %)Average BMI (kg/m2)Surgical site Hurley stage (no. of patients, %)

Adalimumab
Aarts et al. [9]CTC3140.2 ± 11.717 (55%)29.5 ± 6.6I1 (3%)
II22 (71%)
III8 (26%)
BOC3137.5 ± 12.717 (55%)30.2 ± 6.1I1 (3%)
II22 (71%)
III8 (26%)
Bechara et al. [10]CTC10338.5 ± 11.751 (49.5%)32.6II53 (51%)
III50 (48%)
PSC10336.8 ± 10.855 (53%)31.7II54 (52%)
III49 (47%)

Adalimumab, infliximab
Prens et al. [12]CTC541.0 ± 10.84 (80%)31.3IIBa2 (40%)
IIIa3 (60%)
SOC3439.330 (88%)28.7IA/Ba2 (6%)/2 (6%)
IIA/B/Ca6 (18%)/19 (56%)/4 (12%)
IIIa1 (3%)
Worden et al. [16]CTC24845.0 ± 17186 (75%)26Hurley stage sites affected (no. of sites, %)
I131 (17%)
SOCII442 (56%)
III210 (27%)

Adalimumab, infliximab, ustekinumab
Salvador-Rodriguez et al. [13]CTC2140.6 ± 15.29 (43%)31.5II12 (57%)
III9 (43%)
SOC3835.6 ± 9.927 (71%)30.8II33 (87%)
III5 (13%)
Shanmugam et al. [14]CTC
BOC
SOC
6840.4 ± 1445 (66%)3402 (3%)
I6 (9%)
II13 (19%)
III43 (63%)
Unspecified4 (6%)

Infliximab, ustekinumab
DeFazio et al. [11]CTC11317 (64%)36III11 (100%)
SOC10337 (70%)35.510 (100%)

Infliximab
Van Rappard and Mekkes [15]CTC2444b13 (43%)Not reportedII4 (13%)
BOC6III26 (87%)

aRefined Dutch Hurley Stage Classification 2017. bRange given was age 19 to 63. %, percent; ±, plus or minus; BMI, body mass index (calculated as weight in kilograms divided by height in meters); BOC, biologic-only cohort (patients treated with only biologic therapy); CTC, combined treatment cohort (patients receiving biologic and surgical therapy); kg/m2, kilogram per meter squared; No., number; PSC, placebo and surgical cohort; SD, standard deviation; SOC, surgery-only cohort.