Evidence map›Paper›PMID 29143901›Full record

ReviewCurrent treatment options in oncology2017

Combined Vertebral Augmentation and Radiofrequency Ablation in the Management of Spinal Metastases: an Update.

Ning Mao Kam, Julian Maingard, Hong Kuan Kok, Dinesh Ranatunga, Duncan Brooks, William C Torreggiani, Peter L Munk, Michael J Lee, Ronil V Chandra, Hamed Asadi

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current treatment options in oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
7.4field-weighted citation impact, top 2% 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.

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

30 citing papers in PubMed, 66 citations in OpenAlex.

  1. Review
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  6. Article
  7. The use of interventional procedures for cancer pain. A brief review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Radiofrequency ablation and balloon kyphoplasty for palliation of painful spinal metastases.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Posterior Decompression Surgery and Radiofrequency Ablation Followed by Vertebroplasty in Spinal Metastases from Lung Cancer.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  19. Article
  20. Article
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

10 authors at 6 institutions in 4 countries.

Ning Mao KamInterventional Radiology Service-Department of Radiology, Austin Hospital, Austin Hospital, 145 Studley Road, Heidelberg, Melbourne, VIC, 3084, Australia. kamningmao@gmail.com.
Julian MaingardInterventional Radiology Service-Department of Radiology, Austin Hospital, Austin Hospital, 145 Studley Road, Heidelberg, Melbourne, VIC, 3084, Australia.
Hong Kuan KokDepartment of Interventional Radiology-Guy's and St Thomas' NHS Foundation Trust, London, UK.
Dinesh RanatungaInterventional Radiology Service-Department of Radiology, Austin Hospital, Austin Hospital, 145 Studley Road, Heidelberg, Melbourne, VIC, 3084, Australia.
Duncan BrooksInterventional Radiology Service-Department of Radiology, Austin Hospital, Austin Hospital, 145 Studley Road, Heidelberg, Melbourne, VIC, 3084, Australia.
William C TorreggianiDepartment of Radiology, Tallaght Hospital, Dublin, Ireland.
Peter L MunkMusculoskeletal Division, Department of Radiology, Vancouver General Hospital, Vancouver, British Columbia, Canada.
Michael J LeeInterventional Radiology Service-Department of Radiology, Beaumont Hospital, Dublin, Ireland.
Ronil V ChandraInterventional Neuroradiology Unit-Monash Imaging, Monash Health, Melbourne, Australia.
Hamed AsadiInterventional Neuroradiology Service-Radiology Department, Austin Hospital, Melbourne, Australia.
Austin Hospital · AUBeaumont Hospital · IEGuy's and St Thomas' NHS Foundation Trust · GBMonash Health · AUTallaght University Hospital · IEVancouver General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

opinion statementSpinal metastases are the most commonly encountered tumour of the spine, occurring in up to 40% of patients with cancer. Each year, approximately 5% of cancer patients will develop spinal metastases. This number is expected to increase as the life expectancy of cancer patients increases. Patients with spinal metastases experience severe and frequently debilitating pain, which often decreases their remaining quality of life. With a median survival of less than 1 year, the goals of treatment in spinal metastases are reducing pain, improving or maintaining level of function and providing mechanical stability. Currently, conventional treatment strategies involve a combination of analgesics, bisphosphonates, radiotherapy and/or relatively extensive surgery. Despite these measures, pain management in patients with spinal metastases is often suboptimal. In the last two decades, minimally invasive percutaneous interventional radiology techniques such as vertebral augmentation and radiofrequency ablation (RFA) have shown progressive success in reducing pain and improving function in many patients with symptomatic spinal metastases. Both vertebral augmentation and RFA are increasingly being recognised as excellent alternative to medical and surgical management in carefully selected patients with spinal metastases, namely those with severe refractory pain limiting daily activities and stable pathological vertebral compression fractures. In addition, for more complicated lesions such as spinal metastasis with soft tissue extension, combined treatments such as vertebral augmentation in conjunction with RFA may be helpful. While combined RFA and vertebral augmentation have theoretical benefits, comparative trials have not been performed to establish superiority of combined therapy. We believe that a multidisciplinary approach as well as careful pre-procedure evaluation and imaging will be necessary for effective and safe management of spinal metastases. RFA and vertebral augmentation should be considered during early stages of the disease so as to maintain the remaining quality of life in this patient population group.

Indexed as

Catheter AblationCombined Modality TherapyHumansMinimally Invasive Surgical ProceduresNeoplasmsQuality of LifeSpinal FracturesSpinal NeoplasmsTreatment OutcomeVertebroplastyKyphoplastyMetastasisPalliative medicineRadiofrequency ablationSpineVertebroplasty

Identifiers

PMID29143901
OpenAlexW2769777633

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.