Evidence map›Paper›PMID 23065947›Full record

Trial reportCancer2013

Percutaneous image-guided cryoablation of painful metastases involving bone: multicenter trial.

Matthew R Callstrom, Damian E Dupuy, Stephen B Solomon, Robert A Beres, Peter J Littrup, Kirkland W Davis, Ricardo Paz-Fumagalli, Cheryl Hoffman, Thomas D Atwell, J William Charboneau and 6 more

2 registry-linked trialsOpen access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 101 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 6 pooled it
16.2field-weighted citation impact, top 1% of its field
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.

NCT02511678 nacompletednot on this mapstarted 2016, after this paper: background citation

Multicenter Study of Cryoablation for Palliation of Painful Bone Metastases

TypeinterventionalSponsorBoston Scientific CorporationRan2016 to 2018Enrolled73ConditionsPain, Neoplasm Metastasis, Bone Metastasis of Diverse OriginsArmsCryoablation
NCT03986593 naterminatednot on this mapstarted 2019, after this paper: background citation

Cone-beam Computed Tomography Guided Percutaneous Cryoablation of Bone Metastases From Endocrine Tumors

TypeinterventionalSponsorInstituto do Cancer do Estado de São PauloRan2019 to 2023Enrolled17ConditionsNeoplasm Metastasis, Thyroid Neoplasm, Pheochromocytoma, Adrenal NeoplasmArmscryoablation
3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 6 syntheses or guidelines pooled it, 292 citations in OpenAlex.

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  19. Interventional Therapies to Treat Cancer Associated Pain.Current treatment options in oncology · 2025
    Review
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41 more citing papers are in PubMed but not listed here.

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

16 authors at 8 institutions in 1 country.

Matthew R CallstromDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA. callstrom.matthew@mayo.edu
Damian E Dupuy
Stephen B Solomon
Robert A Beres
Peter J Littrup
Kirkland W Davis
Ricardo Paz-Fumagalli
Cheryl Hoffman
Thomas D Atwell
J William Charboneau
Grant D Schmit
Matthew P Goetz
Joseph Rubin
Kathy J Brown
Paul J Novotny
Jeff A Sloan
Mayo Clinic · USAurora St. Luke's Medical Center · USBrown University · USCornell University · USHarper University Hospital · USJacksonville College · USUniversity of California, Los Angeles · USUniversity of Wisconsin–Madison · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundThis study sought to describe the results of a single-arm multicenter clinical trial using image-guided percutaneous cryoablation for the palliation of painful metastatic tumors involving bone.

methodsOver a 44-month period, 61 adult patients with 1 or 2 painful bone metastases with a score of 4 or more on a scale of 0 to 10 (≥4/10) worst pain in a 24-hour period who had failed or refused conventional treatment were treated with percutaneous image-guided cryoablation. Patient pain and quality of life was measured using the Brief Pain Inventory prior to treatment, 1 and 4 days after the procedure, weekly for 4 weeks, and every 2 weeks thereafter for a total of 6 months. Patient analgesic use was also recorded at these same follow-up intervals. Complications were monitored. Analysis of the primary endpoint was undertaken via paired comparison procedures.

resultsA total of 69 treated tumors ranged in size from 1 to 11 cm. Prior to cryoablation, the mean score for worst pain in a 24-hour period was 7.1/10 with a range of 4/10 to 10/10. At 1, 4, 8, and 24 weeks after treatment, the mean score for worst pain in a 24-hour period decreased to 5.1/10 (P < .0001), 4.0/10 (P < .0001), 3.6/10 (P < .0001), and 1.4/10 (P < .0001), respectively. One of 61 (2%) patients had a major complication with osteomyelitis at the site of ablation.

conclusionsPercutaneous cryoablation is a safe, effective, and durable method for palliation of pain due to metastatic disease involving bone.

Indexed as

Surgery, Computer-AssistedAdultAgedAged, 80 and overBone NeoplasmsCryosurgeryFemaleHumansMaleMiddle AgedPainPalliative Care

Identifiers

PMID23065947
PMCPMC5757505
OpenAlexW1576244230

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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 OpenQuestion graph.