Objective: Efficacy studies using randomized controlled trials (RCTs), on which empirically supported treatments are based, are often rejected as having little if any relevance to clinical practice. RCTs are faulted for allegedly excluding poor prognosis patients and therapists and treatments that a
Esophageal cancer surgery: The value of controlled clinical trials
β Scribed by Simon Y. Law; John Wong
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 42 KB
- Volume
- 13
- Category
- Article
- ISSN
- 8756-0437
No coin nor oath required. For personal study only.
β¦ Synopsis
Prospective randomized controlled trials (RCT) in esophageal cancer were reviewed. Their value and significance in the areas of multimodality therapy, lymphadenectomy, surgical techniques, palliative treatments, and perioperative management were evaluated. Much has been gained through RCT in the management of esophageal cancer, and RCT is the most reliable scientific method in clinical investigations. Problems in the conduct of such trials include lack of expertise by surgeons, lack of patients, lack of funding, and methodologic and ethical problems. These obstacles could be overcome and more well-conducted RCTs encouraged.
π SIMILAR VOLUMES
## Background: Controlled-release (cr) morphine tablets have become routine therapy in the management of cancer pain. compared with immediate-release (ir) morphine, this formulation provides the benefit of dosing every 12 hours. ## Methods: This study reviewed the 10 published, well controlled, r
## Background: Surgery is considered the standard treatment for operable esophageal carcinoma, although there is no compelling evidence that surgery can achieve better results than radiotherapy. there has previously been no direct randomized comparison of these two modalities with survival or disea
the National Cancer Advisory Board of the National Cancer Institute (NCI), made a statement regarding randomized clinical trials (RCTs) that, although helpful in some circumstances, they were not always possible and that clinical judgment coupled with descriptive and other types of studies were also