| Japanese Journal of Clinical Oncology | Pages |
Editorial
Introduction
Standardization
Quality Control
Trial Participation
Conclusions
References
Editorial: Importance of Organizing Surgical Trials in Oncology
INTRODUCTION
The first randomized clinical trial was carried out fifty years ago, when the
efficacy of streptomycin in the treatment of tuberculosis was demonstrated
(1). Since then, many, mainly medical, randomized trials have been conducted.
The contribution of surgical randomized trials has been relatively low, although
results from randomized trials are the only results used for `evidence based
medicine'. In 1996, Richard Horton, editor of the Lancet, wrote a commentary
entitled `surgical research or comic opera: questions, but few answers' (2).
He reported that only 7% of papers published in nine general surgery journals
were randomized trials and almost half of the publications were case studies
and he therefore concluded