To the Editor We commend Hutcheson et al1 on their interesting study; however, a few points need to be addressed.
This study, being a retrospective toxic effects analysis, has various problems, chief among which is the lack of a priori decided end points. Although a 6-month period seems to be clinically meaningful, the lack of an a priori decided effect size remains an issue. Furthermore, the general dictum in oncologic care is to expose the patient to only 1 form of definitive treatment modality if it is deemed adequate.
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Sapru S, Nanda SS. Radical Radiotherapy Should Remain the Standard of Care for Carcinoma Oropharynx. JAMA Otolaryngol Head Neck Surg. Published online March 12, 2020. doi:10.1001/jamaoto.2020.0089
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