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Research and the American Society of Head and Neck Surgeons Clinical Studies in Head and Neck Oncologic Surgery

Research and the American Society of Head and Neck Surgeons Clinical Studies in Head and Neck... Abstract Have most head and neck surgeons become complacent or at least tolerant of a clinical practice that is based, to a great extent, not on scientific evidence but, as Goldman et al1 recently said, on statements that begin with "In my experience...." Our likely firsthand reaction to this question is "Absolutely not!" However, if we reflect on our treatment recommendations for any given patient with cancer of the head and neck region, as I invite you to do, we will quickly realize that we simply lack conclusive evidence to support many of our most common clinical practices. Take, for example, the treatment of a young patient with a T2N0 squamous cell carcinoma of the tongue and ponder, "Can we solidly stand behind our recommendations for treatment?" Most of us would recommend elective treatment of the neck with either surgery or radiation, even though we will be treating, unnecessarily, 70% References 1. Goldman L, Cook EK, Orav J. Research training in clinical effectiveness: replacing "in my experience ..." with rigorous clinical investigation . Clin Res. 1990;38:686-693. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Research and the American Society of Head and Neck Surgeons Clinical Studies in Head and Neck Oncologic Surgery

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References (1)

Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1993.01880210154024
Publisher site
See Article on Publisher Site

Abstract

Abstract Have most head and neck surgeons become complacent or at least tolerant of a clinical practice that is based, to a great extent, not on scientific evidence but, as Goldman et al1 recently said, on statements that begin with "In my experience...." Our likely firsthand reaction to this question is "Absolutely not!" However, if we reflect on our treatment recommendations for any given patient with cancer of the head and neck region, as I invite you to do, we will quickly realize that we simply lack conclusive evidence to support many of our most common clinical practices. Take, for example, the treatment of a young patient with a T2N0 squamous cell carcinoma of the tongue and ponder, "Can we solidly stand behind our recommendations for treatment?" Most of us would recommend elective treatment of the neck with either surgery or radiation, even though we will be treating, unnecessarily, 70% References 1. Goldman L, Cook EK, Orav J. Research training in clinical effectiveness: replacing "in my experience ..." with rigorous clinical investigation . Clin Res. 1990;38:686-693.

Journal

Archives of Otolaryngology - Head & Neck Surgery – American Medical Association

Published: Sep 1, 1993

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