Fisher LD, Kennedy JW. Randomized surgical clinical trials for treatment of coronary artery disease.
CONTROLLED CLINICAL TRIALS 1982;
3:235-58. [PMID:
6759034 DOI:
10.1016/0197-2456(82)90009-5]
[Citation(s) in RCA: 11] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
The impact of randomized clinical trials of surgical therapy for treatment of coronary artery disease is evaluated. Trials are reviewed leading to the following suggestions: 1. Large multicenter trials have a major impact on clinical practice; 2. Small trials have less impact; 3. Findings in agreement with current practice are accepted enthusiastically; 4. Findings disagreeing with current practice are met very critically; and 5. Surgical trials have special problems because of a great variability between clinics, the potential of uneven learning curves, and potential "cross-over" from medical to surgical therapy.
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