Please use this identifier to cite or link to this item:
https://open.uns.ac.rs/handle/123456789/7929
Title: | History and present status of pulmonary metastasectomy in colorectal cancer | Authors: | Treasure T. Milošević, Mijodrag Fiorentino F. Pfannschmidt J. |
Issue Date: | 1-Jan-2014 | Journal: | World Journal of Gastroenterology | Abstract: | © 2014 Baishideng Publishing Group Inc. All rights reserved. Clinical practice with respect to metastatic colorectal cancer differs from the other two most common cancers, breast and lung, in that routine surveillance is recommended with the specific intent of detecting liver and lung metastases and undertaking liver and lung resections for their removal. We trace the history of this approach to colorectal cancer by reviewing evidence for effectiveness from the 1950s to the present day. Our sources included published citation network analyses, the documented proposal for randomised trials, large systematic reviews, and meta-analysis of observational studies. The present consensus position has been adopted on the basis of a large number of observational studies but the randomised trials proposed in the 1980s and 1990s were either not done, or having been done, were not reported. Clinical opinion is the mainstay of current practice but in the absence of randomised trials there remains a possibility of selection bias. Randomised controlled trials (RCTs) are now routine before adoption of a new practice but RCTs are harder to run in evaluation of already established practice. One such trial is recruiting and shows that controlled trial are possible. | URI: | https://open.uns.ac.rs/handle/123456789/7929 | ISSN: | 10079327 | DOI: | 10.3748/wjg.v20.i40.14517 |
Appears in Collections: | Naučne i umetničke publikacije |
Show full item record
SCOPUSTM
Citations
16
checked on May 10, 2024
Page view(s)
10
Last Week
5
5
Last month
0
0
checked on May 10, 2024
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.