دورية أكاديمية
Analgesic efficacy and safety of percutaneous thermal ablation plus cementoplasty for painful bone metastases: a systematic review and meta-analysis.
| العنوان: | Analgesic efficacy and safety of percutaneous thermal ablation plus cementoplasty for painful bone metastases: a systematic review and meta-analysis. |
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| المؤلفون: | Matsumoto T; Department of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi University, Oko-cho, Kohasu, Nankoku, Kochi, 783-8505, Japan. t-matsu@kochi-u.ac.jp., Yoshimatsu R; Department of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi University, Oko-cho, Kohasu, Nankoku, Kochi, 783-8505, Japan.; Department of Radiology, Kochi Health Sciences Center, 2125-1 Ike, Kochi, 781-0111, Japan., Osaki M; Department of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi University, Oko-cho, Kohasu, Nankoku, Kochi, 783-8505, Japan.; Department of Radiology, Kochi Health Sciences Center, 2125-1 Ike, Kochi, 781-0111, Japan., Shibata J; Department of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi University, Oko-cho, Kohasu, Nankoku, Kochi, 783-8505, Japan., Maeda H; Department of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi University, Oko-cho, Kohasu, Nankoku, Kochi, 783-8505, Japan., Miyatake K; Department of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi University, Oko-cho, Kohasu, Nankoku, Kochi, 783-8505, Japan., Noda Y; Department of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi University, Oko-cho, Kohasu, Nankoku, Kochi, 783-8505, Japan., Yamanishi T; Department of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi University, Oko-cho, Kohasu, Nankoku, Kochi, 783-8505, Japan., Yamagami T; Department of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi University, Oko-cho, Kohasu, Nankoku, Kochi, 783-8505, Japan. |
| المصدر: | International journal of clinical oncology [Int J Clin Oncol] 2024 Apr; Vol. 29 (4), pp. 372-385. Date of Electronic Publication: 2024 Jan 13. |
| نوع المنشور: | Meta-Analysis; Systematic Review; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer-Verlag Tokyo Country of Publication: Japan NLM ID: 9616295 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1437-7772 (Electronic) Linking ISSN: 13419625 NLM ISO Abbreviation: Int J Clin Oncol |
| أسماء مطبوعة: | Publication: 1998- : Tokyo : Springer-Verlag Tokyo Original Publication: Tokyo : Published for the Japan Society of Clinical Oncology by Churchill Livingstone, c1996- |
| مواضيع طبية MeSH: | Cementoplasty*/methods , Bone Neoplasms*/secondary, Humans ; Pain Management/methods ; Cancer Pain/drug therapy ; Treatment Outcome ; Combined Modality Therapy ; Pain Measurement |
| مستخلص: | Purpose: To conduct a systematic review and meta-analysis of publications to evaluate the analgesic efficacy and safety of percutaneous thermal ablation (PTA) plus percutaneous cementoplasty (PCP) (PTA + PCP) for painful bone metastases. Methods: We searched PubMed, Cochrane Library and Embase for articles published up to October 2022. Outcomes were a 10-point pain scale, morphine equivalents daily dose (MEDD) and complications. A subgroup confined to spinal bone metastases was analyzed. Results: Twenty-one articles were selected for the analysis. The 21 selected articles involved a total of 661 cases. The pooled pain scales at pre-PTA + PCP, 1 day, 1 week and 1-, 3-, and 6 months post-PTA + PCP were 7.60 (95% confidence interval [CI], 7.26-7.95, I 2 = 89%), 3.30 (95% CI, 2.25-4.82, I 2 = 98%), 2.58 (95% CI, 1.99-3.35, I 2 = 94%), 2.02 (95% CI, 1.50-2.71, I 2 = 93%), 1.78 (95% CI, 1.26-2.53, I 2 = 95%), and 1.62 (95% CI, 1.14-2.31, I 2 = 88%), and in the subgroup, 7.97 (95% CI, 7.45-8.52, I 2 = 86%), 3.01 (95% CI, 1.43-6.33, I 2 = 98%), 2.95 (95% CI, 1.93-4.51, I 2 = 95%), 2.34 (95% CI, 1.82-3.01, I 2 = 68%), 2.18 (95% CI, 1.57-3.03, I 2 = 78%), and 2.01 (95% CI, 1.16-3.48, I 2 = 86%). Mean MEDD decreased up to 3 months post-PTA + PCP in 4 articles. The overall pooled major complication rate was 4% (95% CI, 2-6%, I 2 = 2%). Conclusions: The updated systematic review and meta-analysis indicates that PTA + PCP for painful bone metastases is safe, and can lead to rapid and sustained pain reduction. (© 2024. The Author(s) under exclusive licence to Japan Society of Clinical Oncology.) |
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| فهرسة مساهمة: | Keywords: Ablation techniques; Bone neoplasms; Cancer pain; Interventional radiology; Pain management |
| تواريخ الأحداث: | Date Created: 20240113 Date Completed: 20240807 Latest Revision: 20240807 |
| رمز التحديث: | 20240808 |
| DOI: | 10.1007/s10147-023-02458-z |
| PMID: | 38217754 |
| قاعدة البيانات: | MEDLINE |
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