PMID- 33129427 OWN - NLM STAT- MEDLINE DCOM- 20201123 LR - 20201123 IS - 1535-7732 (Electronic) IS - 1051-0443 (Linking) VI - 31 IP - 11 DP - 2020 Nov TI - Radiofrequency Ablation for the Palliative Treatment of Bone Metastases: Outcomes from the Multicenter OsteoCool Tumor Ablation Post-Market Study (OPuS One Study) in 100 Patients. PG - 1745-1752 LID - S1051-0443(20)30591-1 [pii] LID - 10.1016/j.jvir.2020.07.014 [doi] AB - PURPOSE: To evaluate the effectiveness of radiofrequency (RF) ablation as measured by change in worst pain score from baseline to 3 mo after RF ablation for the palliative treatment of painful bone metastases. MATERIALS AND METHODS: One hundred patients (mean age, 64.6 y) underwent RF ablation for metastatic bone disease and were followed up to 6 mo. Subjects' pain and quality of life were measured before RF ablation and postoperatively by using the Brief Pain Index and European Quality of Life questionnaires. Opioid agent use and device-, procedure-, and/or therapy-related adverse events (AEs) were collected. RESULTS: Eighty-seven patients were treated for tumors involving the thoracolumbar spine and 13 for tumors located in the pelvis and/or sacrum. All ablations were technically successful, and 97% were followed by cementoplasty. Mean worst pain score decreased from 8.2 +/- 1.7 at baseline to 3.5 +/- 3.2 at 6 mo (n = 22; P < 0.0001 for all visits). Subjects experienced significant improvement for all visits in average pain (P < .0001), pain interference (P < .0001), and quality of life (P < .003). Four AEs were reported, of which 2 resulted in hospitalization for pneumonia and respiratory failure. All 30 deaths reported during the study were attributed to the underlying malignancy and not related to the study procedure. CONCLUSIONS: Results from this study show rapid (within 3 d) and statistically significant pain improvement with sustained long-term relief through 6 mo in patients treated with RF ablation for metastatic bone disease. CI - Copyright (c) 2020 SIR. Published by Elsevier Inc. All rights reserved. FAU - Levy, Jason AU - Levy J AD - Department of Interventional Radiology, Northside Hospital, Atlanta, Georgia. FAU - Hopkins, Thomas AU - Hopkins T AD - Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina. FAU - Morris, Jonathan AU - Morris J AD - Department of Radiology, Mayo Clinic, Rochester, Minnesota. FAU - Tran, Nam D AU - Tran ND AD - Department of Neurosurgery, Moffitt Cancer Center, Tampa, Florida. FAU - David, Elizabeth AU - David E AD - Department of Interventional Radiology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Massari, Francesco AU - Massari F AD - Department of Neurointerventional Radiology, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts. FAU - Farid, Hamed AU - Farid H AD - Department of Neurointerventional Radiology, St. Jude Medical Center, Fullerton, California. FAU - Vogel, Alexander AU - Vogel A AD - Department of Interventional Radiology, Renown Regional Medical Center, Reno, Nevada. FAU - O'Connell, William G AU - O'Connell WG AD - Department of Interventional Radiology, Emory University School of Medicine, Atlanta, Georgia. FAU - Sunenshine, Peter AU - Sunenshine P AD - Department of Radiology, Banner-University Medical Center, Phoenix, Arizona. FAU - Dixon, Robert AU - Dixon R AD - Department of Interventional Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. FAU - Gangi, Afshin AU - Gangi A AD - Department of Interventional Radiology, Hopitaux Universitaires de Strasbourg-Nouvel Hopital Civil, Strasbourg, France. FAU - von der Hoh, Nicolas AU - von der Hoh N AD - Department of Orthopedic, Trauma and Plastic Surgery, Universitatsklinikum Leipzig AoR, Leipzig, Germany. FAU - Bagla, Sandeep AU - Bagla S AD - Department of Interventional Radiology, Prostate Centers USA, LLC, Vascular Interventional Partners NOVA, 2755 Hartland Road, Falls Church, VA 22043. Electronic address: Sandeep.bagla@gmail.com. LA - eng PT - Journal Article PT - Multicenter Study PL - United States TA - J Vasc Interv Radiol JT - Journal of vascular and interventional radiology : JVIR JID - 9203369 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Bone Neoplasms/complications/mortality/secondary/*surgery MH - Cementoplasty MH - Female MH - Humans MH - Male MH - Middle Aged MH - Pain/diagnosis/etiology/mortality/*prevention & control MH - Pain Measurement MH - *Palliative Care MH - Prospective Studies MH - Quality of Life MH - *Radiofrequency Ablation/adverse effects/mortality MH - Time Factors MH - Treatment Outcome EDAT- 2020/11/02 06:00 MHDA- 2020/11/24 06:00 CRDT- 2020/11/01 20:24 PHST- 2020/02/07 00:00 [received] PHST- 2020/06/16 00:00 [revised] PHST- 2020/07/14 00:00 [accepted] PHST- 2020/11/01 20:24 [entrez] PHST- 2020/11/02 06:00 [pubmed] PHST- 2020/11/24 06:00 [medline] AID - S1051-0443(20)30591-1 [pii] AID - 10.1016/j.jvir.2020.07.014 [doi] PST - ppublish SO - J Vasc Interv Radiol. 2020 Nov;31(11):1745-1752. doi: 10.1016/j.jvir.2020.07.014.