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Nobody can patent a better way of operating or a shorter radiotherapy schedule, so nobody is rewarded for proving one. Prizes for technique improvements shown to work in trials would fill that gap.
An endowed prize programme paying substantial awards (for example $5 to $20 million shared among the trial team and institutions) for randomised trials that demonstrate a surgical or radiotherapy technique change improving survival, recurrence or major toxicity by a pre-specified margin, with the requirement that the technique is freely described and teachable. Technique innovations such as total mesorectal excision, sentinel node biopsy and hypofractionation have saved more lives and money than most drugs and earned their originators nothing comparable; a prize corrects the reward asymmetry at the margin and attracts talent to technique research.
Shares Global cancer surgery: delivering safe, affordable, and timely cancer surgery, Incentives reward me-too drugs and marginal gains, Surgery and radiotherapy cure most, get least, SBRT / SABR (stereotactic radiotherapy).
Shares Global cancer surgery: delivering safe, affordable, and timely cancer surgery, A permanently funded international network for randomised cancer surgery trials, Surgery and radiotherapy cure most, get least, Robotic & minimally invasive surgery.
Shares Global cancer surgery: delivering safe, affordable, and timely cancer surgery, A permanently funded international network for randomised cancer surgery trials, Surgery and radiotherapy cure most, get least.
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 Global cancer surgery: delivering safe, affordable, and timely cancer surgery, Surgery and radiotherapy cure most, get least, Robotic & minimally invasive surgery.
Shares Global cancer surgery: delivering safe, affordable, and timely cancer surgery, A permanently funded international network for randomised cancer surgery trials, Surgery and radiotherapy cure most, get least.
Shares Global cancer surgery: delivering safe, affordable, and timely cancer surgery, Sentinel lymph node biopsy, Surgery and radiotherapy cure most, get least.
Shares A permanently funded international network for randomised cancer surgery trials, Robotic & minimally invasive surgery.