Author Affiliation: Helen F. Graham Cancer Center, Christiana Care, Newark, Del.
In this issue of THE JOURNAL, Weeks and colleagues for the Clinical
Outcomes of Surgical Therapy (COST) Study Group1
present the results of a multicenter randomized trial comparing quality-of-life
(QOL) outcomes for patients with colon cancer who had open colectomy vs laparoscopic-assisted
colectomy (LAC). While the findings that LAC provided only modest advantages
compared with open colectomy are important for surgeons treating patients
with colon cancer, the study also emphasizes the need for high-quality, rigorous
randomized trials for improving surgical cancer care and underscores the importance
of physicians to increase their efforts to enroll patients in such studies.
Petrelli NJ. Clinical Trials Are Mandatory for Improving Surgical Cancer Care. JAMA. 2002;287(3):377-378. doi:10.1001/jama.287.3.377