Alternative methodological approach to randomized trial for surgical procedures routinely used

Alternative methodological approach to randomized trial for surgical procedures routinely used BackgroundIn medical oncology, changes in practices are almost always based on randomized trials but medical history shows that it is different in surgical oncology. In the past, many surgical procedures were routinely performed without a rigorous evaluation of the risk-benefit. To highlight the complexity of developing randomized surgical trials, disquisitions on methodology presented in the medical literature. This is particularly true when we consider breast reconstruction after surgical treatment for breast cancer. It is illusory to perform and conduct a randomized clinical trial (RCT) when a surgical procedure is routinely used by most surgeons. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Contemporary Clinical Trials Elsevier

Alternative methodological approach to randomized trial for surgical procedures routinely used

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Publisher
Elsevier
Copyright
Copyright © 2018 Elsevier Inc.
ISSN
1551-7144
eISSN
1559-2030
D.O.I.
10.1016/j.cct.2018.03.016
Publisher site
See Article on Publisher Site

Abstract

BackgroundIn medical oncology, changes in practices are almost always based on randomized trials but medical history shows that it is different in surgical oncology. In the past, many surgical procedures were routinely performed without a rigorous evaluation of the risk-benefit. To highlight the complexity of developing randomized surgical trials, disquisitions on methodology presented in the medical literature. This is particularly true when we consider breast reconstruction after surgical treatment for breast cancer. It is illusory to perform and conduct a randomized clinical trial (RCT) when a surgical procedure is routinely used by most surgeons.

Journal

Contemporary Clinical TrialsElsevier

Published: May 1, 2018

References

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