MRI and Good Prognosis in Rectal Cancer

Overview
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Featured Article


Taylor FGM, Quirke P, Heald RJ, et al. Preoperative high–resolution magnetic resonance imaging can identify good prognosis stage I, II and III rectal cancer best managed by surgery alone. Ann Surg 2011;253:711-719

Expert Reviews


Methodological Review: https://ebrs.online/topic/arden-morris-md-mph/Arden Morris MD, MPH, Department of Surgery, University of Michigan
Clinical Review: Erin Kennedy MD, PhD, FRCSC, Department of Surgery, University of Toronto
Clinical Review: Blair MacDonald MD, FRCPC, Department of Radiology, University of Ottawa
Clinical Review: Heidi Nelson MD, Department of Surgery, Mayo Clinic

Supplementary Article


Hansebout RR, Cornacchi SD, Haines T, et al; for the Evidence-Based Surgery Working Group. Users’ guide to the surgical literature. How to use an article about prognosis. Can J Surg 2009;52(4):328-36


Questions

  1. What is the clinical question being addressed?
  2. Was there a representative and well-defined sample of patients at a similar point in the course of the disease?
  3. Was follow-up sufficiently long and complete?
  4. Were objective and unbiased outcome criteria used?
  5. Was there adjustment for important prognostic factors?
  6. How large is the likelihood of the outcome event(s) in a specified period of time? How precise are the estimates of likelihood?
  7. Will the results help me in caring for my patients?
  8. Will the results lead directly to selecting or avoiding therapy?
  9. Are the results useful for reassuring or counseling patients?
  10. State the conclusion. Have the authors addressed the clinical question posed?
  11. Does the evidence support the conclusion?

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