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Treasure T, Macbeth F, Fallowfield L. A prospective multicentre cohort study of colorectal lung metastasectomy with a nested randomized controlled trial: the key points from the pulmonary metastasectomy in colorectal cancer study. Eur J Cardiothorac Surg 2024; 65:ezae216. [PMID: 38873790 DOI: 10.1093/ejcts/ezae216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Accepted: 05/24/2024] [Indexed: 06/15/2024] Open
Affiliation(s)
- Tom Treasure
- Clinical Operational Research Unit, Department of Mathematics, University College London, London WC1H 0BT, UK
| | - Fergus Macbeth
- Centre for Trails Research, Cardiff University, Cardiff CF14 4YS, UK
| | - Lesley Fallowfield
- Sussex Health Outcomes Research and Education in Cancer, University of Sussex, Sussex BN1 9RX, UK
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Macbeth F, Fallowfield L, Treasure E, Ahmad I, Zheng Y, Treasure T. Removal or ablation of asymptomatic lung metastases should be reconsidered. BMJ 2023; 383:e073042. [PMID: 37945005 DOI: 10.1136/bmj-2022-073042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2023]
Affiliation(s)
- Fergus Macbeth
- Centre for Trials Research, Cardiff University, Cardiff, UK
| | - Lesley Fallowfield
- Sussex Health Outcomes Research and Education in Cancer, University of Sussex, Sussex, UK
| | - Elizabeth Treasure
- Patient author, Oxford University Counselling Service, University of Oxford, Oxford, UK
| | - Irfan Ahmad
- Radiation Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - Yan Zheng
- Department of Thoracic Surgery, Affiliated Cancer Hospital of ZhengZhou University/Henan Cancer Hospital, People's Republic of China
| | - Tom Treasure
- Clinical Operational Research Unit, University College London, London, UK
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Migliore M, Fiore M, Filippini T, Tumino R, Sabbioni M, Spatola C, Polosa R, Vigneri P, Nardini M, Castorina S, Basile F, Ferrante M. Comparison of video-assisted pleurectomy/decortication surgery plus hyperthermic intrathoracic chemotherapy with VATS talc pleurodesis for the treatment of malignant pleural mesothelioma: A pilot study. Heliyon 2023; 9:e16685. [PMID: 37292347 PMCID: PMC10245266 DOI: 10.1016/j.heliyon.2023.e16685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 05/19/2023] [Accepted: 05/24/2023] [Indexed: 06/10/2023] Open
Abstract
Hyperthermic intrathoracic chemotherapy (HITHOC) adjunct to surgery for Malignant Pleural Mesothelioma (MPM) has no definite role. The primary objective of this pilot-trial was to evaluate the feasibility for future large studies. The study design was a prospective randomized three-centric pilot trial. We recruited patients diagnosed with MPM and prospectively assigned them to two groups: Group A: Video Assisted Thoracic Surgery (VATS) talc pleurodesis or Group B: Video-assisted P/D plus HITHOC. From November-2011 to July-2017 24 males and 3 females, with a median age of 68-years were enrolled (recruitment rate 5 patients/year). Preoperative stage was I-II, and 18 had epithelioid type. 14 patients were in the Group A. Operative mortality was 0. Follow-up ranged 6-80 months. The median overall survival time started to diverge at 20 months, being 19 months (95% CI 12-25) in Group A and 28 months (95% CI 0-56) in Group B. Survival rate for the epithelioid type was 15 months (95% CI 0-34) in Group A and 45 months (95% CI 0-107) in the Group B. These findings suggest that video-assisted P/D plus HITHOC may improve survival time in MPM patients undergoing surgical treatment and support the need for a larger multicenter randomized clinical trial.
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Affiliation(s)
- Marcello Migliore
- Minimally Invasive Thoracic Surgery and New Technologies University Hospital of Catania, Department of General Surgery and Medical Specialties, University of Catania, Catania, Italy
- Thoracic Surgery and Lung Transplant, Lung Health Centre, Organ Transplant Center of Excellence (OTCoE), King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Maria Fiore
- Department of Medical, Surgical and Advanced Technologies “G.F. Ingrassia”, University of Catania, Catania, Italy
| | - Tommaso Filippini
- Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN), Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
- School of Public Health, University of California Berkeley, Berkeley, CA, USA
| | - Rosario Tumino
- Cancer Registry and Histopathology Department, Provincial Health Authority (ASP 7), Ragusa, Italy
| | | | | | - Riccardo Polosa
- General Medicine, Department of Clinical & Experimental Medicine, University of Catania, Catania, Italy
| | - Paolo Vigneri
- Center of Oncology and Hematology, Department of Clinical & Experimental Medicine University of Catania, Catania, Italy
| | - Marco Nardini
- Department of Thoracic Surgery, St. James University Hospital, London, UK
| | - Sergio Castorina
- General and Thoracic Surgery, Morgagni Policlinic Hospital, Catania, Italy
| | - Francesco Basile
- General Surgery, University Hospital of Catania, Department of General Surgery and Medical Specialties, University of Catania, Catania, Italy
| | - Margherita Ferrante
- Department of Medical, Surgical and Advanced Technologies “G.F. Ingrassia”, University of Catania, Catania, Italy
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Comment on Moran's "Light at the End of the Tunnel": The Pulmonary Metastasectomy in Colorectal Cancer Study Sheds Some Light on the Question. Dis Colon Rectum 2022; 65:e1031. [PMID: 36007162 DOI: 10.1097/dcr.0000000000002587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Treasure T, Macbeth F, Younes R. The Pulmonary Metastasectomy in Colorectal Cancer study calls for reconsideration of the clinical effectiveness of this widespread practice. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2022; 68:296-298. [PMID: 35442350 DOI: 10.1590/1806-9282.20211094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Accepted: 12/24/2021] [Indexed: 11/22/2022]
Affiliation(s)
- Tom Treasure
- University College London, Clinical Operational Research Unit - London, United Kingdom
| | - Fergus Macbeth
- Cardiff University, Centre for Trials Research - Cardiff, United Kingdom
| | - Riad Younes
- Hospital Alemão Oswaldo Cruz, Cancer Center - São Paulo (SP), Brazil
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Milošević M, Treasure T, Fiorentino F. A well-balanced randomized controlled trial in 93 patients is more trustworthy than attempted propensity matching in 38 patients: comments on Schlachtenberger et al. Eur J Cardiothorac Surg 2022; 62:6566324. [PMID: 35403670 DOI: 10.1093/ejcts/ezac234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 04/01/2022] [Indexed: 11/12/2022] Open
Affiliation(s)
- Mišel Milošević
- Thoracic Surgery Clinic, Institute for Lung Diseases of Vojvodina, Sremska, Kamenica, Serbia
| | - Tom Treasure
- Clinical Operational Research Unit, University College London, London, UK
| | - Francesca Fiorentino
- Nightingale-Saunders Clinical Trials & Epidemiology Unit, King's Clinical Trials Unit, King's College London, London, UK
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