Document Detail


Pulmonary metastasectomy for colorectal cancer: weak evidence and no randomised trials.
MedLine Citation:
PMID:  18065234     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The practice of pulmonary metastasectomy is widespread. A web-based survey run as part of the ESTS Working Group on pulmonary metastasectomy has provided some insights into similarities and variations in belief and practice [Internullo E, Cassivi S, Van Raemdonck D, Friedel G, Treasure T. Pulmonary metastasectomy: the state of the practice in Europe. Interact Cardiovasc Thorac Surg 2007;6(Suppl. 2):S182. Ref Type: Abstract.]. What we do know from the work of the group and from a systematic review [Pfannschmidt J, Dienemann H, Hoffmann H. Surgical resection of pulmonary metastases from colorectal cancer: a systematic review of published series. Ann Thorac Surg 2007;84(July(1)):324-38.] is that there are no randomised outcome data to guide us. We rely on presumed benefit based on comparison with poorly characterised survival estimates for other patients with advanced disease. In this review I consider the evidence to date and conclude that a trial is needed.
Authors:
Tom Treasure
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Publication Detail:
Type:  Journal Article; Review     Date:  2007-12-11
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  33     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-01-21     Completed Date:  2008-08-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  300-2     Citation Subset:  IM    
Affiliation:
Clinical Operational Research Unit, Department of Mathematics UCL, Gower Street, London WC1E 6BT, UK. tom.treasure@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Breast Neoplasms / surgery
Carcinoma, Small Cell / classification
Colorectal Neoplasms / pathology*
Evidence-Based Medicine
Humans
Lung Neoplasms / mortality,  secondary*,  surgery
Lymphoma / therapy
Patient Selection
Randomized Controlled Trials as Topic
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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