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Old 11-05-2009, 11:17 AM   #8
Lani
Senior Member
 
Join Date: Mar 2006
Posts: 4,778
Re: you are not going to like this--first evidence based guidelines 4 brain met treat

My problem is that if they don't keep trying they won't find out what DOES help

Sometimes it might be the combo of chemo plus something else(but if no chemo is paid for we won't find out)

Sometimes it might turn out that it only helps a subset (like with Iressa against lung cancer) and if it is small percentage (like with Iressa) they won't find out because they will have thrown out the baby with the bathwater

It might also turn out that it the sequence/timing/chronicity that makes the difference--again we won't find out unless they are allowed/paid to try.

A few years ago it was dogma that anthracyclines worked particularly well for her2 positive breast cancer and should always be used.

How can we find out "evidence based" results if we stop gathering ALL the possible evidence?
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