© The Author 2006. Published by Oxford University Press.
EDITORIAL |
Completion Rates of Adjuvant Chemotherapy for Colon Cancer: A Historical Perspective
Affiliations of authors: Herbert Irving Comprehensive Cancer Center, College of Physicians and Surgeons, Departments of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (VRG); New York University School of Medicine and the Cancer Institute, New York, NY (FMM)
Correspondence to: Franco M. Muggia, MD, New York University School of Medicine, Kaplan Comprehensive Cancer Center, 550 First Ave., New York, NY 10016 (e-mail: franco.muggia@med.nyu.edu).
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The impact of adjuvant therapy on cancer survival is one of our most important recent achievements in medical oncology. This milestone has been accomplished through the use of clinical trials especially among patients with breast and colon cancer. The annual odds of death from breast cancer alone among patients in these trials has decreased by up to 28%, depending on the criteria used for patient enrollment, the types of treatment given, and the characteristics of the tumors themselves (1). Similar, but less well-defined, results have been reported for colon cancer (25).
Randomized clinical trials provide us with the strongest evidence of efficacy