Table 1.
Study | Study design | No. of patients |
Outcome | Median time (95% CI, mo) |
HR (95% CI) for RFA | Adverse events | ||
---|---|---|---|---|---|---|---|---|
RFA+S | Stent | RFA+S | Stent | |||||
Sharaiha et al. (2014) [12] | Retrospective | 26 | 40 | Overall survival | 5.9 for both groups (not reported for each group) | 0.29 (0.11–0.76) | Abdominal pain 3; Pancreatitis 1; Cholecystitis 1 | |
Kallis et al. (2015) [13] | Retrospective | 23 | 46 | Overall survival | 7.5 | 4.1 | 0.66 (0.410–1.063) | Hyperamylasemia 1; Cholangitis 1 |
Stent patency | 15.7 | 10.8 | 1.186 (0.536–2.656) | |||||
Hu et al. (2016) [8] | RCT | 32 | 31 | Overall survival | 10.4 (8.0–12.7) | 57.3 (4.8–6.6) | 0.48 (0.27–0.85)a) | Bleeding 1; Cholangitis 20; Cholecystitis 7 |
5 (3.0–7.1) | 3.9 (2.6–5.2) | 0.90 (0.52–1.55)a) | ||||||
Wang et al. (2016) [14] | Retrospective | 18 | 18 | Overall survival | 6.1 (4.8–15.2) | 5.8 (4.2–16.5) | 0.598 (0.324– | Cholangitis 3 |
Stent patency | 5.8 (2.8–11.5) | 4.5 (2.4–8.0) | 0.49 (0.25–0.93)a) | |||||
Dutta et al. (2017) [15] | Retrospective | 15 | 16 | Overall survival | 7.3 | 4.9 | 0.39 (0.17–0.92) | Pancreatitis 1; Cholangitis 1 |
Yang et al. (2018) [7] | RCT | 32 | 33 | Overall survival | 13.2±0.6b) | 8.2±0.5b) | 0.182 (0.08–0.322) | Cholangitis 2 |
Stent patency | 6.8 (3.6–8.2) | 3.4 (2.4–6.5) | N/Ac) | |||||
Bokemeyer et al. (2019) [16] | Retrospective | 20 | 22 | Overall survival | 11.4 | 7.4 | 0.54 (0.29–0.99)a) | Cholangitis 6; panceratitis 2; Intestinal perforation 1d) |
Kang et al. (2021) [11] | RCT | 24 | 24 | Overall survival | 8.3 (3.9–12.3) | 6.0 (0.9–11.1) | 0.71 (0.38–1.33) | Cholangitis 1 |
Stent patency | 4.4 (3.3–5.5) | 3.9 (1.1–5.9) | 0.80 (0.45–1.42) |
CI, confidence interval; HR, hazard ratio; N/A, not available; RCT, randomized controlled study; RFA, radiofrequency ablation; RFA+S, radiofrequency ablation plus stent.
HR calculated from a log-rank p-value and number of event.
Mean survival time±standard error.
Information not available for estimation of HR.
One intestinal perforation with pneumothorax occurred in one study, however, authors commented that it was not related with RFA procedure, rather than by the scope device.