Wilson R E, Donegan W L, Mettlin C, Natarajan N, Smart C R, Murphy G P
Surg Gynecol Obstet. 1984 Oct;159(4):309-18.
The 1982 survey documented changes in the management of carcinoma of the breast in this country. If one compares the current survey results with the results of the 1978 survey, an inescapable conclusion is that there is a changing understanding of carcinoma of the breast and a willingness to apply new knowledge to clinical practice. These results also show the potential of the hospital Tumor Registry when records are systematically aggregated and data from different points compared. Future applications of this survey procedure and further analyses of these data may be used to document progress in the control of cancer. While useful for these purposes, it should be noted that these data are not intended, nor suited, for assessing the superiority of given treatments. They may not reflect the outcome that would result from a clinical trial. Comparisons made herein often involve patients who differed in many respects other than that on which the comparison was focused. However, within these constraints, the data may be useful for clinicians and scientists interested in the dynamic state of the treatment of carcinoma of the breast in large numbers of hospitals in the United States.
1982年的调查记录了该国乳腺癌治疗方法的变化。如果将当前的调查结果与1978年的调查结果进行比较，就会得出一个不可避免的结论：人们对乳腺癌的认识在不断变化，并且愿意将新知识应用于临床实践。这些结果还表明，当医院肿瘤登记处的记录被系统汇总并比较不同时间点的数据时，其具有的潜力。该调查程序的未来应用以及对这些数据的进一步分析，可用于记录癌症控制方面的进展。虽然这些数据对于这些目的很有用，但应该注意的是，这些数据并非旨在评估特定治疗方法的优越性，也不适合用于此。它们可能无法反映临床试验的结果。本文所做的比较往往涉及除了比较所关注的方面之外在许多方面都存在差异的患者。然而，在这些限制范围内，这些数据对于关注美国大量医院中乳腺癌治疗动态情况的临床医生和科学家可能是有用的。
