In a 1991 report, the National Institutes of Health concluded that surgery was a reasonable solution for some people and said, "a major drawback to the nonsurgical approach is failure to maintain reduced body weight in most patients".
Mr Justice MacDonald concluded that surgery would be in the woman's best interests after bosses at an NHS hospitals trust with responsibility for any cancer treatment asked him for rulings.
The trial was stopped early after a data safety board concluded the surgery was making a substantial difference.
Only one RCT, published 13 years ago, has compared these two treatments and concluded that surgery was more effective (95% success rate at 5 years vs. 51% with dilatation, p < 0.01).
The authors concluded that surgery performed later in the natural history of functional decline results in worse postoperative functional status.
8 9 10 A recent systematic review concluded that surgery and exercises are equally effective for rotator cuff disease.
There is a good rationale to operate on these patients, but De Waele and colleagues observed poor postoperative outcomes [ 36] and concluded that surgery would not be indicated to treat abdominal hypertension alone.
Guerrero concluded that surgery has played an essential role in reducing the mortality of Salmonella endocarditis, and surgical intervention, including valve replacement, increases survival in Salmonella endocarditis and is the treatment of choice for patients with cardiac failure, persisting sepsis and for those who relapse after discontinuation of antimicrobial therapy.
9 Another study on the treatment of LRR after mastectomy concluded that surgery combined with radiotherapy was the best treatment option, with a 5-year disease-free survival (DFS) of 27%. 10 In patients who initially underwent breast-conserving therapy (BCT) for BC, radiotherapy cannot be included in the multimodal treatment for LRR.
A systematic review comparing surgery plus endocrine therapy with endocrine alone in women aged ⩾70 years concludes that surgery should only be omitted in women who are 'unfit for, or refuse, surgery' (Hind et al, 2007, p 1029).
