Table 1 Basic information and characteristics of studies for meta-analysis.

From: Cryosurgery would be An Effective Option for Clinically Localized Prostate Cancer: A Meta-analysis and Systematic Review

Author

Year

Design

Level of evidence

Patients

Freeze-thaw cycle(s)

Mean follow up (Months)

Radiation dose/ Surgical mode

Duration of ADT *

Matching

Definition of recurrence

Primary or salvage

CS

RT/RP

CS vs RT

 Ball et al.5

2006

P

2a

39

118

Double

6

45 Gy EBRT + 100 Gy BT or 125 Gy BT (Pd -103)

NA

1, 4, 5, 6, 8

NA

Both

 Hubosky et al.6

2007

R

3b

63

63

Double

12.7

125 Gy BT (Pd -103) or EBRT + BT

NA

1, 2, 3, 4, 5, 6, 7, 8

PSA > 0.4 ng/ml or 3 consecutive rises in PSA

Primary

 Chin et al.7

2008

RCT

1b

33

31

Double

37

66 Gy EBRT

3 months pre- and 3 months post- treatment

1, 2, 4, 5, 6, , 8, 9

Nadir +2 ng/ml

Primary

 Chin et al.8

2012

31

31

105.2

 Robinson et al.9

2009

RCT

1b

117

114

Double

100

<70/70/73.5 Gy EBRT

3/6 months pretreatment

1, 2, 4, 5, 6, 7, 8, 9

PSA > 0.1 ng/ml or nadir +2 ng/ml

Primary

 Donnelly et al.10

 Peters et al.11

2013

R

3a

54

31

Double

36 vs 108

145 Gy BT (I-125)

3 months pretreatment

1, 2, 3, 4, 5, 6, 8, 9

PSA > 0.1 ng/ml or nadir +2 ng/ml

Salvage

CS vs RP

 Gould12

1999

R

3b

76

83

NA

25

Open

NA

1, 3, 4

PSA > 0.2 ng/ml

Primary

 Pisters et al.13

2009

R

3b

56

42

Single and double

66 vs 93.6

NA

NA

1, 2, 4, 5, 6

PSA > 0.4 ng/ml or nadir +2 ng/ml

Salvage

 Peters et al.11

2013

R

3a

54

44

Double

36 vs 60

Open

≥3 months. pretreatment

1, 2, 3, 4, 5, 6, 8, 9

PSA > 0.1 ng/ml or nadir +2 ng/ml

Salvage

 Elkjær et al.14

2014

P

3b

40

350

Double

29.5 vs 37

Open and robot

NA

1, 2, 3, 4, 5, 6, 7

PSA > 0.2 ng/ml or nadir +2 ng/ml

Primary

  1. Matching: 1 = age; 2 = inclusion and exclusion criteria; 3 = stratification; 4 = PSA level; 5 = biopsy Gleason score; 6 = clinical stage; 7 = D’Amico risk group; 8 = adjuvant deprivation therapy (ADT) before treatment; 9 =ADT after treatment.
  2. *Not all patients had experienced adjuvant deprivation treatment (ADT) for studies have reported ADT. NA: not available; CS: cryosurgery; RT: radiotherapy; RP: radical prostatectomy; R: retrospective; P: prospective; RCT: randomized controlled trial; EBRT: external beam radiation therapy; BT: brachytherapy; PSA: prostate specific antigen; Pd: palladium; I: iodine.