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维生素C与癌症:运用广泛归纳推理对利文谷试验结果的审视

Vitamin C and cancer: examination of the Vale of Leven trial results using broad inductive reasoning.

作者信息

Jaffey M

出版信息

Med Hypotheses. 1982 Jan;8(1):49-84. doi: 10.1016/0306-9877(82)90089-5.

DOI:10.1016/0306-9877(82)90089-5
PMID:7038410
Abstract

Cameron and Pauling have reported large survival increases in terminal cancer patients treated with Vitamin C. Their trials, which have been criticised because not based on random, double-blind principles, are reviewed here using a broad inductive method that relies on diverse data of varying quality. Conclusions are offered both on the value of Vitamin C and on this broad method, as follows: There is a strong possibility that Vitamin C very approximately doubled survival time as measured from the start of Vitamin C treatment, regardless of whether this was after termination of conventional treatment or much earlier. A recent Mayo Clinic trial which concluded that Vitamin C is valueless in the terminal stage may be given an alternative interpretation which supports this view. Despite a speculative element because based only on the condensed, published data, these conclusions have sufficient possibility of validity as to call for full further investigation. The conclusions on method are that the broad, inductive approach may have potential value when the randomized method cannot be used; that it also may facilitate, to the public's benefit, the release of probably valuable, inexpensive, non-toxic treatments pending decisive proof; and a greater return on the research dollar might result from a formal acceptance of the probabilistic element in scientific proof.

摘要

卡梅隆和鲍林报告称,接受维生素C治疗的晚期癌症患者生存率大幅提高。他们的试验受到了批评,因为其并非基于随机、双盲原则,本文采用一种广泛的归纳方法对这些试验进行了审视,该方法依赖于不同质量的多样数据。以下是关于维生素C的价值以及这种广泛方法得出的结论:很有可能维生素C使从开始使用维生素C治疗起计算的生存时间大致翻倍,无论这是在常规治疗结束后还是更早的时候。最近梅奥诊所的一项试验得出结论称维生素C在晚期毫无价值,但对此可能有另一种支持上述观点的解释。尽管由于仅基于精简的已发表数据存在推测性因素,但这些结论有足够的有效性可能性,因而需要进行全面的进一步研究。关于方法的结论是,当无法使用随机方法时,广泛的归纳方法可能具有潜在价值;它还可能有利于公众,促使在有决定性证据之前就推出可能有价值、廉价且无毒的治疗方法;正式接受科学证据中的概率因素可能会使研究资金获得更大回报。

相似文献

1
Vitamin C and cancer: examination of the Vale of Leven trial results using broad inductive reasoning.维生素C与癌症:运用广泛归纳推理对利文谷试验结果的审视
Med Hypotheses. 1982 Jan;8(1):49-84. doi: 10.1016/0306-9877(82)90089-5.
2
Vitamin C and cancer: what can we conclude--1,609 patients and 33 years later?维生素C与癌症:33年后,1609名患者能让我们得出什么结论?
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Criteria for the validity of clinical trials of treatments of cohorts of cancer patients based on the Hardin Jones principle.基于哈丁·琼斯原则的癌症患者队列治疗临床试验有效性标准。
Proc Natl Acad Sci U S A. 1989 Sep;86(18):6835-7. doi: 10.1073/pnas.86.18.6835.
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Failure of high-dose vitamin C (ascorbic acid) therapy to benefit patients with advanced cancer. A controlled trial.大剂量维生素C(抗坏血酸)治疗对晚期癌症患者无益处:一项对照试验。
N Engl J Med. 1979 Sep 27;301(13):687-90. doi: 10.1056/NEJM197909273011303.
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Protocol for the use of vitamin C in the treatment of cancer.维生素C用于癌症治疗的方案。
Med Hypotheses. 1991 Nov;36(3):190-4. doi: 10.1016/0306-9877(91)90128-l.
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Clinical effects of vitamin C in elderly inpatients with low blood-vitamin-C levels.维生素C对老年住院患者血维生素C水平低下的临床疗效。
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High-dose vitamin C versus placebo in the treatment of patients with advanced cancer who have had no prior chemotherapy. A randomized double-blind comparison.
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Cancer. 1982 Oct 1;50(7):1434-9. doi: 10.1002/1097-0142(19821001)50:7<1434::aid-cncr2820500733>3.0.co;2-f.
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A randomized controlled trial of vitamin C in the prevention and amelioration of the common cold.一项关于维生素C预防和改善普通感冒的随机对照试验。
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Vitamin C and cancer. How convincing a connection?维生素C与癌症。这种关联有多令人信服?
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引用本文的文献

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Bias against Vitamin C in Mainstream Medicine: Examples from Trials of Vitamin C for Infections.主流医学对维生素C的偏见:维生素C治疗感染试验的实例
Life (Basel). 2022 Jan 3;12(1):62. doi: 10.3390/life12010062.
2
Unconventional therapies for cancer: 5. Vitamins A, C and E. The Task Force on Alternative Therapies of the Canadian Breast Cancer Research Initiative.癌症的非常规疗法:5. 维生素A、C和E。加拿大乳腺癌研究倡议替代疗法特别工作组。
CMAJ. 1998 Jun 2;158(11):1483-8.