Obrecht J P
Z Gesamte Inn Med. 1987 Jan 1;42(1):2-7.
The treatment and care of the patient suffering from cancer which often extends over months, even years and in which participate numerous specialists of the fields is, in order to be optimally effective, bound to organisational prerequisites. This particularly concerns the therapeutic research. This forms the framework in the centre of which shall stand the physician to which the patient has confidence. In Switzerland this is the family doctor. The participating specialists assume their specific tasks in every case for a limited period. Hereby the interdisciplinary talk often plays a decisive role. Not infrequently the only unilateral care overlooks important aspects, which are precarious for the course of the disease. The internal therapy of cancer has to a large extent the character of empiricism, to which the standards of the strongly controlled experiment are to be applied. During the last decenniums the methodology of the clinically controlled study was permanently extended and improved. Many studies, particularly the randomized ones, may be performed only multicentrically. Such a cooperation is realized in the Swiss working group for clinical cancer research. With the help of such an instrument relevant clinical questions can be investigated and answered, which further the treatment of the cancer diseases step by step.
癌症患者的治疗和护理通常会持续数月甚至数年，涉及众多该领域的专家。为了达到最佳效果，这必然需要组织方面的前提条件。这一点在治疗研究中尤为重要。治疗研究构成了一个框架，其核心应该是患者信任的医生。在瑞士，这个医生就是家庭医生。参与治疗的专家在每种情况下都会在有限的时间内承担各自特定的任务。因此，跨学科交流往往起着决定性作用。很多时候，单方面的治疗常常会忽略一些对疾病进程至关重要的方面。癌症的内部治疗在很大程度上具有经验主义的特征，需要应用严格对照实验的标准。在过去几十年里，临床对照研究的方法不断扩展和完善。许多研究，尤其是随机研究，只能多中心进行。瑞士临床癌症研究工作组就实现了这样的合作。借助这样一种手段，可以研究并回答相关的临床问题，从而逐步推动癌症疾病的治疗。
