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Bone metastases are a cause of significant morbidity in cancer patients. In patients who die from breast, prostate, and lung cancer, autopsy studies have shown that up to 85% have evidence of bone metastases at the time of death (1). These metastases frequently give rise to complications that reduce patients' quality of life. These include: pain, fractures, and decreased mobility, ultimately reducing performance status.
Radiofrequency ablation therapy with cementoplasty/vertebroplasty for painful bone metastases has been shown to be feasible, efficacious, and safe. However, patient reported outcomes have yet to be determined.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RFA Vertebroplasty | Procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Pain response | To determine the complete and partial pain response rates in patients who undergo radiofrequency ablation (RFA) and/or cementoplasty/vertebroplasty for spinal/pelvic metastases. | Baseline to 6 weeks post treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Functional Interference | To investigate how functional interference of pain changes | Baseline - 6 weeks post treatment |
| Quality of Life | To investigate quality of life changes |
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Inclusion Criteria:
Exclusion Criteria:
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The study population will be derived from patients with advanced cancers with spinal/pelvic metastases who have been referred to interventional radiology and have consented to receiving RFA and/or cementoplasty for their disease. Such patients will be followed with a daily diary for 10 days after treatment. The Brief Pain Inventory will be used to assess pain and functional interference on these days.
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| Name | Affiliation | Role |
|---|---|---|
| Elizabeth David, MD | Sunnybrook Health Sciences Centre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sunnybrook Health Sciences Centre | Toronto | Ontario | M4N 3M5 | Canada |
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| Baseline - 6 weeks post treatment |
| Side-effects | To investigate acute side effects of treatment | Baseline-6 weeks post treatment |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
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