Evidence map›Paper›PMID 40255430›Full record

SynthesisFrontiers in oncology2025

Radiofrequency ablation versus surgical resection in colorectal liver metastasis: insight from an umbrella review.

Letizia Todeschini, Miriam Caimano, Amelia Mattia, Luca Cristin, Alessandro Martinino, Giuseppe Bianco, Gabriele Spoletini, Francesco Giovinazzo

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

8 authors.

Letizia Todeschini *Faculty of Medicine and Surgery, University of Verona, Verona, Italy.
Miriam Caimano *Department of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Amelia MattiaDepartment of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Luca CristinFaculty of Medicine and Surgery, University of Verona, Verona, Italy.
Alessandro MartininoDepartment of Surgery, Duke University, Durham, NC, United States.
Giuseppe BiancoDepartment of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Gabriele SpoletiniDepartment of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Francesco GiovinazzoDepartment of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Radiofrequency ablation (RFA) has emerged as a less invasive alternative to surgical liver resection (LR) for the treatment of colorectal liver metastasis (CRLM) in patients who are not candidates for surgery. This umbrella review aimed to compare the effectiveness of RFA and LR in managing CRLM by synthesizing evidence from multiple meta-analyses. Methods: We conducted a comprehensive search across Medline, Epistemonikos, Scopus, and the Cochrane Library, focusing on survival outcomes, disease-free survival, perioperative complications, and recurrence rates. Results: Eleven meta-analyses met the inclusion criteria. The results show that LR is superior to RFA in terms of overall survival and disease-free survival for resectable CRLM, although RFA demonstrated lower perioperative complications and mortality. In matched cohorts, the overall survival rates between RFA and LR were comparable. However, RFA was associated with higher intrahepatic recurrence. Discussion: This review highlights the continued importance of LR for resectable CRLM, while RFA remains a valuable option for non-resectable cases, particularly in patients with higher morbidity. Future studies should focus on more balanced cohort comparisons to better assess the efficacy of these treatments. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42024497886, identifier (CRD42024497886).

Indexed as

colorectal liver metastasisradiofrequency ablationsurgical resectionsurvival outcomesumbrella review

Identifiers

PMID40255430
PMCPMC12006127

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.