| Cryoablation vs radiofrequency ablation for the treatment of renal cell carcinoma: a meta-analysis of case series studies. | |
| | |
MedLine Citation:
|
PMID: 22304329 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: • To determine the current status of the literature regarding the clinical efficacy and complication rates of cryoablation vs radiofrequency ablation in the treatment of small renal tumours. METHODS: • A review of the literature was conducted. There was no language restriction. Studies were obtained from the following sources: MEDLINE, EMBASE and LILACS. • Inclusion criteria were (i) case series design with more than one case reported, (ii) use of cryoablation or radiofrequency ablation, (iii) patients with renal cell carcinoma and, (iv) outcome reported as clinical efficacy. • When available, we also quantified the complication rates from each included study. • Proportional meta-analysis was performed on both outcomes with a random-effects model. The 95% confidential intervals were also calculated. RESULTS: • Thirty-one case series (20 cryoablation, 11 radiofrequency ablation) met all inclusion criteria. • The pooled proportion of clinical efficacy was 89% in cryoablation therapy from a total of 457 cases. There was a statistically significant heterogeneity between these studies showing the inconsistency of clinical and methodological aspects. • The pooled proportion of clinical efficacy was 90% in radiofrequency ablation therapy from a total of 426 cases. There was no statistically significant heterogeneity between these studies. • There was no statistically significant difference regarding complications rate between cryoablation and radiofrequency ablation. CONCLUSIONS: • This review shows that both ablation therapies have similar efficacy and complication rates. • There is urgency for performing clinical trials with long-term data to establish which intervention is most suitable for the treatment of small renal masses. |
| | |
Authors:
|
Regina El Dib; Naji J Touma; Anil Kapoor |
Related Documents
:
|
21859339 - Chronic spinal cord abscess in an elderly patient. 15353089 - Should icsi be used in non-male factor infertility? 1234089 - The constitutional indocyanine green excretory defect--report of four cases. 21286429 - Amniotic fluid embolism that took place during an emergent cesarean section -a case rep... 11293169 - Cellular angiofibroma of the vulva with dna ploidy analysis. 3100879 - Case mix of public patients in skilled nursing facilities in connecticut. 22217379 - Intestinal obstruction by giant meckel's diverticulum. case report. 19062109 - Necrotizing epiglottitis and hemophagocytic lymphohistiocytosis. 23521899 - The prevalence and incidence of dementia with lewy bodies: a systematic review of popul... |
Publication Detail:
|
Type: Comparative Study; Journal Article; Meta-Analysis; Review Date: 2012-02-03 |
Journal Detail:
|
Title: BJU international Volume: 110 ISSN: 1464-410X ISO Abbreviation: BJU Int. Publication Date: 2012 Aug |
Date Detail:
|
Created Date: 2012-07-27 Completed Date: 2012-10-09 Revised Date: 2013-01-29 |
Medline Journal Info:
|
Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
|
Languages: eng Pagination: 510-6 Citation Subset: IM |
Copyright Information:
|
© 2012 THE AUTHORS. BJU INTERNATIONAL © 2012 BJU INTERNATIONAL. |
Affiliation:
|
Botucatu School of Medicine, UNESP - Univ Estadual Paulista, Botucatu, Brazil. eldib@fmb.unesp.br |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Analgesics / therapeutic use Carcinoma, Renal Cell / surgery* Catheter Ablation / methods* Cryosurgery / methods* Humans Kidney Neoplasms / surgery* Laparoscopy / statistics & numerical data Length of Stay Middle Aged Pain, Postoperative / prevention & control Recovery of Function Treatment Outcome |
| Chemical | |
Reg. No./Substance:
|
0/Analgesics |
| Comments/Corrections | |
Comment In:
|
J Urol. 2013 Jan;189(1):70
[PMID:
23235207
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Environmental friendly crush-magnetic separation technology for recycling metal-plated plastics from...
Next Document: Potential biomarkers in psychiatry: focus on the cholesterol system.