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Surgery and radiotherapy cure more people than drugs but get a fraction of trial funding because there is no company sponsor. A rule would guarantee them a fixed share of public trial money.
Public trial funders (NCI's NCTN, NIHR, EU programmes) would set a floor, for example 25%, for trials whose primary intervention is surgical, radiotherapeutic, interventional or a care-pathway change. The floor is justified because private sponsors fund almost all drug phase 3s but essentially no non-drug ones, so public money should preferentially cover the market failure. The quota would be paired with core funding for surgical and radiotherapy trials units and quality assurance.
Shares Core-funded radiotherapy trials infrastructure with central quality assurance, The Christie NHS Foundation Trust, IMRT / IGRT (modern external beam).
Shares Core-funded radiotherapy trials infrastructure with central quality assurance, Surgery and radiotherapy cure most, get least, SBRT / SABR (stereotactic radiotherapy), IMRT / IGRT (modern external beam).
Shares A permanently funded international network for randomised cancer surgery trials, Surgery and radiotherapy cure most, get least, Robotic & minimally invasive surgery, SBRT / SABR (stereotactic radiotherapy).
Shares Core-funded radiotherapy trials infrastructure with central quality assurance, The Royal Marsden, IMRT / IGRT (modern external beam).
Shares The Christie NHS Foundation Trust, The Royal Marsden.
Shares Benefits of hyperthermic intraperitoneal chemotherapy for patients with serosal invasion in gastric cancer: a meta-analysis of the randomized controlled trials, Funding follows fashion, not burden.
Shares Benefits of hyperthermic intraperitoneal chemotherapy for patients with serosal invasion in gastric cancer: a meta-analysis of the randomized controlled trials, Funding follows fashion, not burden.
Shares Core-funded radiotherapy trials infrastructure with central quality assurance, Surgery and radiotherapy cure most, get least, SBRT / SABR (stereotactic radiotherapy), IMRT / IGRT (modern external beam).