Loading
Surgery cures more cancer than any drug, yet most operations have never been compared in a proper trial. A standing network of hospitals, with core funding, would run those trials continuously.
A surgical oncology trials network with core funding for trial units, research nurses and data managers at fifty to one hundred hospitals, standing ethics and contracting arrangements, surgeon credentialling and quality assurance (video review, specimen audit), and a pipeline of pragmatic randomised trials on extent of resection, lymphadenectomy, minimally invasive versus open approaches, timing relative to systemic therapy and organ preservation. The UK's NIHR surgical trials centres, GlobalSurg, the Dutch DCCG and the JCOG surgical groups show that surgeons will randomise when infrastructure exists; the network makes this permanent and international, with priority to questions where practice varies most.
Shares Prizes for unpatentable surgical and radiotherapy techniques proven in trials, A pragmatic trial network for intraoperative margin tools, paid on margin reduction, A video-based surgical quality registry linking assessed skill to cancer outcomes, Device-agnostic public trials of ablation technologies against surgery.
Shares A translation fund for academic surgical devices and radiotherapy technology, A video-based surgical quality registry linking assessed skill to cancer outcomes, Device-agnostic public trials of ablation technologies against surgery, Surgery and radiotherapy cure most, get least.
Shares Yuko Kitagawa, Japan Clinical Oncology Group (JCOG), Sentinel lymph node biopsy, Robotic & minimally invasive surgery.
Shares A video-based surgical quality registry linking assessed skill to cancer outcomes, Surgery and radiotherapy cure most, get least, Robotic & minimally invasive surgery.
Shares Japan Clinical Oncology Group (JCOG), National Cancer Center Hospital, Robotic & minimally invasive surgery.
Shares Japan Clinical Oncology Group (JCOG), National Cancer Center Hospital.
Shares A funded programme of organ-preservation trials to avoid radical surgery, Sentinel lymph node biopsy, Surgery and radiotherapy cure most, get least.
Shares A video-based surgical quality registry linking assessed skill to cancer outcomes, Surgery and radiotherapy cure most, get least.