The real effects of new treatments compared with standard treatments
in terms of patient outcomes such as survival is best measured by
quantitative pooling of data". There is a slight superiority for
experimental over standard treatments, with a 5 percent relative
reduction in the death rate, they say.
This benefit was not, however, uniform. For example, trial
investigators judged that 15 percent of the trials resulted in the
discovery of breakthrough interventions and 2 percent of the trials
identified experimental interventions that reduced death rates by at
least 50 percent.
The fact that a substantial number of trials were inconclusive is a
concern. "There were a tremendous proportion of inconclusive
studies,"Dr. Djulbegovic said. "I think it is expectation bias -- the
studies accrued more patients than planned, but the investigators
anticipated an unrealistically optimistic treatment effect."
The investigators conclude, based on their research, that "society has
received a good return on its investment in the cooperative oncology
group system," which funds the trials.
In any type and case of cancer there must be a good relationship and
by this I mean confidence, trust, and professionalism between the
physician and the patient.
It is important to say that there are many choices to make about
cancer treatment. One choice is alternative medicine. Standard care is
what medical doctors, doctors of osteopathy, and allied health
professionals, such as registered nurses and physical therapists,
practice. Alternative medicine means treatments that you use instead
of standard ones. Complementary medicine means nonstandard treatments
that you use along with standard ones.
I just wrote a blog about it:
http://remediescancer.blogspot.com/
Paul T Holland - 09 Jul 2009 01:33 GMT
nothing worth following - he's just another click thru spammer