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Radiofrequency ablation versus surgical resection of hepatocellular carcinoma: Contemporary treatment trends and outcomes from the US National Cancer Database

from European Radiology

The purpose of this study was to compare utilization and effectiveness of radiofrequency ablation and surgical resection for hepatocellular carcinoma. The 2004–2015 U.S. National Cancer Database was queried for HCC patients treated by RFA and surgical resection. Patients were 1:1 propensity score matched. Duration of hospital stay, unplanned readmission rates and overall survival were compared in the matched cohort via multivariable regression models. RFA for HCC shows substantial variation by geography, socioeconomic factors, liver function and tumor extent. The study concluded that RFA offers superior post-treatment outcomes versus surgical resection and may be an alternative for older patients with cirrhosis and/or small HCC. more


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