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Cryoablation is no longer offered at our hospital, and likely won't be offered in the near future.
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The purpose of this study is to verify the oncological efficacy and safety of cryoablation and radiofrequency ablation for the treatment of small renal tumors.
By enrolling all patients treated with CA or RFA, this study will document for the first time the safety and the short and long term efficacy of CA compared to RFA as well as provide urologists and decision makers currently unavailable information on CA in Canada.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cryoablation | Experimental |
| |
| Radiofrequency ablation | Active Comparator | Radiofrequency ablation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cryoablation | Procedure | Cryoneedles and one temperature probe are inserted under endoscopic and sonographic guidance. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Treatment failure rate. | Baseline, Weeks 6, 12, 24, 36, 48 |
| Measure | Description | Time Frame |
|---|---|---|
| Renal function - GFR of less than 60 ml per min per 1.73 m2. Serum creatinine and creatinine clearance. | Baseline, Weeks 6, 12, 24, 36 and 48 | |
| Average percentage decrease in tumor size. | Baseline, Weeks 6, 12, 24, 36 and 48 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anil Kapoor, MD | McMaster Institute of Urology, McMaster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McMaster Institute of Urology - St. Joseph's Healthcare Hamilton | Hamilton | Ontario | L8N 4A6 | Canada |
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| ID | Term |
|---|---|
| D007680 | Kidney Neoplasms |
| ID | Term |
|---|---|
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D003452 | Cryosurgery |
| D000078703 | Radiofrequency Ablation |
| ID | Term |
|---|---|
| D055011 | Ablation Techniques |
| D013514 | Surgical Procedures, Operative |
| D000078702 | Radiofrequency Therapy |
| D013812 | Therapeutics |
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| Radiofrequency ablation | Procedure | Thermal injury is the predominant mechanism of action of RFA. A high-frequency alternating current emitted from the exposed noninsulated portion of the electrode generates frictional heat, agitating ions in the tissue surrounding the tip of the needle. |
|
| Intra and post-operative complications rates. | Weeks 6, 12, 24, 36 and 48 |
| Quality of life data. | Baseline, Weeks 6, 12, 24, 36 and 48 |
| D052776 |
| Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |