Critical appraisal:Kirby TJ, Mack MJ, Landreneau RJ, Rice TW 1995

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Critical Appraisal

Article being appraised

Kirby TJ, Mack MJ, Landreneau RJ, Rice TW. Lobectomy--video-assisted thoracic surgery versus muscle-sparing thoracotomy. A randomized trial. J Thorac Cardiovasc Surg 1995 May;109(5):997-1001; discussion 1001-2 Available from: http://www.ncbi.nlm.nih.gov/pubmed/7739262.


Applicable clinical question

Key Facts

Study Design

randomised controlled trial

Number of Patients:

61


Includes an economic evaluation

no

Evidence ratings

Level of evidence

II

Risk of bias
Moderate risk of bias Comments: Small numbers. RCT, 6 exclusions breached intention-to-treat rules. Otherwise good quality.


Size of effect
1 Reason for decision: Significantly more postoperative complications oc- curred in the MST group than in the VATS group: sixteen versus six (p < 0.05).
Relevance of evidence
1 Additional comments: Evidence of an effect on patient‐relevant clinical outcomes including benefits and harms.
Result of appraisal

Jutta's tick icon.png Included




Completed by

Associate Professor Gavin Wright MD FRACS PhD


Jutta's tick icon.png This appraisal has been completed.


Article
Kirby TJ, Mack MJ, Landreneau RJ, Rice TW. Lobectomy--video-assisted thoracic surgery versus muscle-sparing thoracotomy. A randomized trial. J Thorac Cardiovasc Surg 1995 May;109(5):997-1001; discussion 1001-2 Available from: http://www.ncbi.nlm.nih.gov/pubmed/7739262.
Assigned to
User:Gavin.wright
Topic area
Guidelines:Lung cancer/Treatment/Non-small-cell stage I operable
Clinical question
Form
Form:Critical appraisal


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