Choice cuts.
Not much sparks a livelier twitter debate than proposing stereotactic body radiation (SBRT) for operable early-stage lung cancer. Here is a retrospective study to add fuel to the fire. It includes 346 patients treated with SBRT at two centers in the Los Angeles area. Multivariate analysis demonstrated surgical candidacy to be the biggest predictor of overall survival. Median survival was roughly 7 years for surgical candidates versus roughly 4.5 years for non-candidates. In other words, a huge separation is seen between the patients surgeons are happy to take to the OR and the ones they’re not—a characteristic that cannot be substituted by any combination of demographics available in retrospective databases. | Liu, Clin Lung Cancer 2021
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