© 2003 by Oxford University Press
Journal of the National Cancer Institute, Vol. 95, No. 9, 685-686,
May 7, 2003
© 2003 Oxford University Press
CORRESPONDENCE |
Re: Is Less More? Lessons in Radiation Schedules in Breast Cancer
Affiliations of authors: T. Whelan, Cancer Care Ontario Hamilton Regional Cancer Centre, Hamilton, Ontario, Canada; M. Levine, J. Julian, Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton.
Correspondence to: Timothy Whelan, B.M., B.Ch., Hamilton Regional Cancer Centre, Supportive Cancer Care Research Unit, 699 Concession St., Rm. 362, Hamilton, ON L8V 5C2, Canada (e-mail: Tim.Whelan@hrcc.on.ca).
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We thank Drs. Sartor and Tepper for their editorial on our randomized trial of breast irradiation schedules after lumpectomy for women with lymph node-negative breast cancer. They conclude that the use of the shorter approach can produce excellent local control with acceptable cosmesis in carefully selected patients (1). This conclusion is based on questions about the generalizability of the trial results and the possibility of physician bias in the selection of patients for the study. We feel that
GENERALIZABILITY
PHYSICIAN BIAS