PMID- 34262345 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220424 IS - 1179-1322 (Print) IS - 1179-1322 (Electronic) IS - 1179-1322 (Linking) VI - 13 DP - 2021 TI - A Comparison of Adverse Events Among Radiofrequency Ablation, Conventional Transarterial Chemoembolization (TACE) and Drug-Eluting Bead TACE in Treating Hepatocellular Carcinoma Patients. PG - 5373-5382 LID - 10.2147/CMAR.S308097 [doi] AB - BACKGROUND: There has been very limited investigation regarding the comparison of adverse events (AEs) among radiofrequency ablation (RFA), conventional transarterial chemoembolization (cTACE), and drug-eluting bead TACE (DEB-TACE) in treating HCC patients; therefore, the present study aimed to resolve this issue. METHODS: Two-hundred and forty-six HCC patients (with a total of 267 procedures [treatment times]) treated with RFA (73 patients with 79 procedures), cTACE (86 patients with 94 procedures), or DEB-TACE (87 patients with 94 procedures) were included. Demographic and clinical data were collected. The information on AEs was also retrieved and analyzed. RESULTS: Total AEs incidence was notably different among the RFA group, cTACE group, and DEB-TACE group and was the highest in cTACE group (86.2%), then in DEB-TACE group (76.6%), and the lowest in RFA group (63.3%). Regarding specific AEs incidence, the incidences of fever, fatigue, and nausea were distinctive among the three groups, while no distinctiveness was found in incidence of other AEs. Furthermore, multivariate logistic regression revealed that cTACE (versus RFA) was independently correlated with increased risk of total AEs, fatigue, and nausea/vomiting; however, the interventional therapies were not independently correlated with the risk of pain, fever or constipation. Other independent predictive factors for total AEs risk were male gender, bronchial asthma, and disease duration. CONCLUSION: cTACE resulted in the highest AEs incidence compared with RFA and DEB-TACE in treating HCC patients. CI - (c) 2021 Cao et al. FAU - Cao, Guangshao AU - Cao G AD - Department of Intervention, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, People's Republic of China. FAU - Liu, Yuyan AU - Liu Y AD - Department of Intervention, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, People's Republic of China. FAU - Li, Lupeng AU - Li L AD - Department of Intervention, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, People's Republic of China. FAU - Zhao, Xiaoyang AU - Zhao X AD - Department of Intervention, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, People's Republic of China. FAU - Liu, Ruiqing AU - Liu R AD - Department of Intervention, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, People's Republic of China. FAU - Liu, Jian AU - Liu J AD - Department of Intervention, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, People's Republic of China. FAU - Liu, Jianwen AU - Liu J AD - Department of Intervention, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, People's Republic of China. FAU - Cao, Huicun AU - Cao H AD - Department of Intervention, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, People's Republic of China. LA - eng PT - Journal Article DEP - 20210705 PL - New Zealand TA - Cancer Manag Res JT - Cancer management and research JID - 101512700 PMC - PMC8275035 OTO - NOTNLM OT - adverse events OT - conventional transarterial chemoembolization OT - drug-eluting bead transarterial chemoembolization OT - hepatocellular carcinoma OT - radiofrequency ablation COIS- The authors declare that they have no conflicts of interest. EDAT- 2021/07/16 06:00 MHDA- 2021/07/16 06:01 PMCR- 2021/07/05 CRDT- 2021/07/15 06:17 PHST- 2021/02/23 00:00 [received] PHST- 2021/06/11 00:00 [accepted] PHST- 2021/07/15 06:17 [entrez] PHST- 2021/07/16 06:00 [pubmed] PHST- 2021/07/16 06:01 [medline] PHST- 2021/07/05 00:00 [pmc-release] AID - 308097 [pii] AID - 10.2147/CMAR.S308097 [doi] PST - epublish SO - Cancer Manag Res. 2021 Jul 5;13:5373-5382. doi: 10.2147/CMAR.S308097. eCollection 2021.