Guest guest Posted May 27, 2008 Report Share Posted May 27, 2008 Thank you, Dave! Thank you so much for this source. I can't wait to show it to my onc and hear her response to it. Angel From: " Dave " Angel, it's more like 2.3% or less Report comes from a group of oncologists in Australia who studied the matter for several years, and came to the conclusion that chemo itself is at most 2.3 % (etc) effective. It's available in the medical archives in the US, but you didn't read it in any US newspapers. Here is the summary.. This message contains search results from the National Center for Biotechnology Information (NCBI <http://www.ncbi.nlm.nih.gov>) at the U.S. National Library of Medicine (NLM <http://www.nlm.nih.gov>). Do not reply directly to this message Department of Radiation Oncology, Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, NSW, Australia. gmorgan1@... AIMS: The debate on the funding and availability of cytotoxic drugs raises questions about the contribution of curative or adjuvant cytotoxic chemotherapy to survival in adult cancer patients. MATERIALS AND METHODS: We undertook a literature search for randomised clinical trials reporting a 5-year survival benefit attributable solely to cytotoxic chemotherapy in adult malignancies. The total number of newly diagnosed cancer patients for 22 major adult malignancies was determined from cancer registry data in Australia and from the Surveillance Epidemiology and End Results data in the USA for 1998. For each malignancy, the absolute number to benefit was the product of (a) the total number of persons with that malignancy; ( the proportion or subgroup(s) of that malignancy showing a benefit; and © the percentage increase in 5-year survival due solely to cytotoxic chemotherapy. The overall contribution was the sum total of the absolute numbers showing a 5-year survival benefit expressed as a percentage of the total number for the 22 malignancies. RESULTS: The overall contribution of curative and adjuvant cytotoxic chemotherapy to 5-year survival in adults was estimated to be 2.3% in Australia and 2.1% in the USA. CONCLUSION: As the 5-year relative survival rate for cancer in Australia is now over 60%, it is clear that cytotoxic chemotherapy only makes a minor contribution to cancer survival. To justify the continued funding and availability of drugs used in cytotoxic chemotherapy, a rigorous evaluation of the cost-effectiveness and impact on quality of life is urgently required. PMID: 15630849 [PubMed - indexed for MEDLINE] Entrez PubMed Results Item 1 of 1 *1: *Clin Oncol (R Coll Radiol). 2004 Dec;16(8):549-60.Cited in PMC <http://www.pubmedcentral.gov/tocrender.fcgi?action=cited & tool=pubmed & pubmedid=1\ 5630849 & itool=Email.EmailReport.Pubmed_ReportSelector.Pubmed_HVAbstractPlus & ordi\ nalpos=1>, LinkOut <http://www.ncbi.nlm.nih.gov/sites/entrez?Cmd=ShowLinkOut & Db=PubMed & TermToSearch\ =15630849 & ordinalpos=1 & itool=Email.EmailReport.Pubmed_ReportSelector.Pubmed_HVAb\ stractPlus> Comment in: Clin Oncol (R Coll Radiol). 2005 Jun;17(4):294. <http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed & Cmd=ShowDetailView & TermToSea\ rch=15997929 & ordinalpos=1 & itool=Email.EmailReport.Pubmed_ReportSelector.Pubmed_H\ VAbstractPlus> The contribution of cytotoxic chemotherapy to 5-year survival in adult malignancies. * G* <http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed & Cmd=Search & Term=%22%20\ G%22%5BAuthor%5D & itool=Email.EmailReport.Pubmed_ReportSelector.Pubmed_HVAbstract\ Plus>, *Ward R* <http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed & Cmd=Search & Term=%22Ward%20R%\ 22%5BAuthor%5D & itool=Email.EmailReport.Pubmed_ReportSelector.Pubmed_HVAbstractPl\ us>, *Barton M* <http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed & Cmd=Search & Term=%22Barton%20\ M%22%5BAuthor%5D & itool=Email.EmailReport.Pubmed_ReportSelector.Pubmed_HVAbstract\ Plus>. Quote Link to comment Share on other sites More sharing options...
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