Critical appraisal:Passlick B, Kubuschock B, Sienel W, Thetter O, Pantel K, Izbicki JR 2002

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Critical Appraisal

Article being appraised

Passlick B, Kubuschock B, Sienel W, Thetter O, Pantel K, Izbicki JR. Mediastinal lymphadenectomy in non-small cell lung cancer: effectiveness in patients with or without nodal micrometastases - results of a preliminary study. Eur J Cardiothorac Surg 2002 Mar;21(3):520-6 [Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/11888774].


Applicable clinical question

Does complete mediastinal lymph node dissection improve overall survival compared to mediastinal lymph node staging in stage I NSCLC?

Key Facts

Study Design

randomised controlled trial

Number of Patients:

201

Includes an economic evaluation

no

Evidence ratings

Level of evidence

II

Quality of evidence
High Additional comments: Well designed RCT


Size of effect
2 Reason for decision: The point estimate of effect is clinically important, but the confidence interval includes clinically unimportant effects.
Relevance of evidence
1 Additional comments: Evidence of an effect on patient‐relevant clinical outcomes including benefits and harms, and survival.
Result of appraisal

Jutta's tick icon.png Included




Completed by

Associate Professor Gavin Wright MD FRACS


Jutta's tick icon.png This appraisal has been completed.
Article
Passlick B, Kubuschock B, Sienel W, Thetter O, Pantel K, Izbicki JR. Mediastinal lymphadenectomy in non-small cell lung cancer: effectiveness in patients with or without nodal micrometastases - results of a preliminary study. Eur J Cardiothorac Surg 2002 Mar;21(3):520-6 [Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/11888774].
Assigned to
User:Gavin.wright
Topic area
Guidelines:Lung cancer/Treatment/Non-small-cell stage I operable
Clinical question
Does complete mediastinal lymph node dissection improve overall survival compared to mediastinal lymph node staging in stage I NSCLC?


Section below only relevant for Cancer Council Project Officer

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