Critical appraisal:Porter LS, Keefe FJ, Garst J, Baucom DH, McBride CM, McKee DC, et al 2010

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Critical Appraisal

Article being appraised

Porter LS, Keefe FJ, Garst J, Baucom DH, McBride CM, McKee DC, et al. Caregiver-Assisted Coping Skills Training for Lung Cancer: Results of a Randomized Clinical Trial. J Pain Symptom Manage 2010 Sep 9 Available from: http://www.ncbi.nlm.nih.gov/pubmed/20832982.


Applicable clinical question

Key Facts

Study Design

case series

Number of Patients:

Not applicable


Includes an economic evaluation

no

Evidence ratings

Level of evidence

III-3

Risk of bias
Moderate risk of bias Comments: I think this is an intriguing and well conducted study that should lead to a more definitive controlled study


Size of effect
2 Reason for decision: This is a very interesting study that is in essence two interrupted case series in the one population. The finding that the outcomes of intervention varied between the nature of the patient understudy is perhaps not surprising but nonetheless useful. A formal randomised controlled study in each of the groups with the more effective intervention is now needed.

THis study does broadly confirm that interventions can have an effect

Relevance of evidence
2 Additional comments: Most comments are below. The potential for an effect that is clinically meaningful is clearly seen
Result of appraisal

Jutta's tick icon.png Included




Completed by

Prof Matthew Peters MD FRACP


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


Article
Porter LS, Keefe FJ, Garst J, Baucom DH, McBride CM, McKee DC, et al. Caregiver-Assisted Coping Skills Training for Lung Cancer: Results of a Randomized Clinical Trial. J Pain Symptom Manage 2010 Sep 9 Available from: http://www.ncbi.nlm.nih.gov/pubmed/20832982.
Assigned to
User:Matthew.peters
Topic area
Guidelines:Lung cancer/Treatment/Non-small-cell stage IV inoperable
Clinical question
Form
Form:Critical appraisal


Section below only relevant for Cancer Council Project Officer

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