Table 3.
Subject Modality | No. of cohorts | No. of cases | Effect size % (95% CI) | RFA vs. ablative RT (p value) | Heterogeneity p | I2(%) |
---|---|---|---|---|---|---|
One-year LC rate (HCC and CRC mets) | ||||||
All | 32 | 3,687 | 87.2 (84.2–89.7) | <0.001 | 83.3 | |
RFA | 16 | 2,172 | 82.3 (77.2–86.4) | <0.001 | 80.0 | |
RT | 16 | 1,515 | 92.4 (89.2–94.7) | <0.001 | <0.001 | 63.9 |
Two-year LC rate | ||||||
All | 28 | 2,549 | 84 (80.0–87.3) | <0.001 | 84.8 | |
RFA | 14 | 1,464 | 80.1 (72.7–85.8) | <0.001 | 88.2 | |
RT | 14 | 1,084 | 86.5 (81.7–90.2) | 0.094 | <0.001 | 66.4 |
Three-year LC rate | ||||||
All | 26 | 2,809 | 79.6 (74.9–83.6) | <0.001 | 87.4 | |
RFA | 13 | 1,649 | 75.7 (68.6–81.7) | <0.001 | 88.7 | |
RT |
13 |
1,160 |
83.9 (77.7–88.7) |
0.062 |
<0.001 |
80.4 |
One-year OS (HCC) | ||||||
All | 24 | 2,875 | 90.3 (87.0–92.9) | <0.001 | 81.8 | |
RFA | 12 | 1,686 | 91.8 (87.2–94.9) | <0.001 | 85.6 | |
RT | 12 | 1,189 | 89.0 (83.6–92.7) | 0.333 | <0.001 | 79.7 |
Two-year OS (HCC) | ||||||
All | 22 | 2,802 | 77.2 (71.4–82.2) | <0.001 | 90.6 | |
RFA | 11 | 1,648 | 77.7 (70.7–83.4) | <0.001 | 88.2 | |
RT | 11 | 1,154 | 76.0 (64.4–84.7) | 0.775 | <0.001 | 92.7 |
Three-year OS (HCC) | ||||||
All | 18 | 2,518 | 67.5 (60.3–74.0) | <0.001 | 91.1 | |
RFA | 9 | 1,449 | 68.5 (59.3–76.5) | <0.001 | 90.7 | |
RT |
9 |
1,069 |
65.9 (53.7–76.3) |
0.718 |
<0.001 |
92.4 |
One-year OS (CRC mets) | ||||||
All | 8 | 629 | 86.6 (77.7–92.3) | <0.001 | 86.0 | |
RFA | 4 | 433 | 88.2 (77.9–94.0) | 0.001 | 81.8 | |
RT | 4 | 196 | 82.7 (61.6–93.4) | 0.507 | 0.001 | 81.1 |
Two-year OS (CRC mets) | ||||||
All | 8 | 629 | 62.2 (54.0–69.8) | <0.001 | 80.8 | |
RFA | 4 | 433 | 66.4 (50.9–79.0) | <0.001 | 88.2 | |
RT | 4 | 196 | 60.6 (50.7–69.6) | 0.517 | 0.195 | 36.3 |
Three-year OS (CRC mets) | ||||||
All | 8 | 629 | 49.9 (40.5–59.3) | <0.001 | 83.7 | |
RFA | 4 | 433 | 52.1 (41.1–62.8) | 0.003 | 78.5 | |
RT |
4 |
196 |
43.6 (26.6–62.1) |
0.444 |
0.002 |
79.5 |
Grade ≥3 complication | ||||||
All | 26 | 4,698 | 2.9 (1.9–4.4) | <0.001 | 72.5 | |
RFA | 13 | 3,415 | 2.9 (1.4–6.1) | <0.001 | 73.0 | |
RT | 13 | 1,283 | 2.8 (1.6–4.9) | 0.952 | <0.001 | 73.2 |
CRC, colorectal cancer; HCC, hepatocellular carcinoma; LC, local control; OS, overall survival; RFA, radiofrequency ablation; RT, radiotherapy.