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Publication Detail
The history of adoption of hepatic resection for metastatic colorectal cancer: 1984-95
  • Publication Type:
    Journal article
  • Publication Sub Type:
  • Authors:
    Grünhagen D, Jones RP, Treasure T, Vasilakis C, Poston GJ
  • Publication date:
  • Pagination:
    222, 231
  • Journal:
    Critical Reviews in Oncology/Hematology
  • Volume:
  • Issue:
  • Status:
  • Print ISSN:
Background: Liver resection for metastatic colorectal cancer became established without randomized trials. Proponents of surgical resection point out 5-year survival approaching 50% whilst critics question how much of the apparent effect is due to patient selection. Method: A 2006 systematic review of reported outcomes provided the starting point for citation analysis followed by thematic analysis of the texts of the most cited papers. Results: 54 reports from 1988 to 2002 cited 709 unique publications a total of 1714 times. The 15 most cited papers were explored in detail, and showed clear examples of duplicate reporting and overlapping data sets. Textual analysis revealed proposals for a randomized controlled trial, but this was argued to be unethical by others, and no trial was undertaken. Conclusions: This critical review reveals how the case for this surgery was made, and examines the arguments that influenced acceptance and adoption of this surgery. © 2012 Elsevier Ireland Ltd.
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