Join BJS Academy
BJS Academy>Randomized clinical ...>Surgical versus non ...
Normal View Dyslexic View

Surgical versus non-surgical management for patients with malignant bowel obstruction (S1316): a pragmatic comparative effectiveness trial.

6 December 2023
Randomized clinical trials Colorectal
Krouse RS, Anderson GL, Arnold KB, Thomson CA, Nfonsam VN, Al-Kasspooles MF et al.

Lancet Gastrohepatol 2023; 8: 908-919.

This study included 199 patients with end-stage malignancy, only 49 agreed to be randomized. Surgery did not reduce did not improve the number of days alive and out of hospital over the next 91 days: 42 versus 43 days, P=0.5. Respective outcomes in the non-randomized group were 54 and 52 days

Comment: Fascinating study of a complex and difficult problem. But surgery seems to play no part. Possibly a plea for enhanced palliative care?

BJS Foundation Limited
BJS Academy
0000-0000
BJS Foundation Limited
London, UK
rct061
Randomized clinical trials
Randomized clinical trials
Colorectal
Surgical versus non-surgical management for patients with malignant bowel obstruction (S1316): a pragmatic comparative effectiveness trial.
Krouse RS, Anderson GL, Arnold KB, Thomson CA, Nfonsam VN, Al-Kasspooles MF et al.
06122023
Lancet Gastrohepatol 2023; 8: 908-919.
This study included 199 patients with end-stage malignancy, only 49 agreed to be randomized. Surgery did not reduce did not improve the number of days alive and out of hospital over the next 91 days: 42 versus 43 days, P=0.5. Respective outcomes in the non-randomized group were 54 and 52 days
Comment: Fascinating study of a complex and difficult problem. But surgery seems to play no part. Possibly a plea for enhanced palliative care?
Published on: 6 December 2023
Article ID: rct061

Related articles

Morbidity after mechanical bowel preparation and oral antibiotics prior to rectal resection. The MOBILE2 randomized clinical trial.

Koskenvuo L, Lunkka P, Varpe P, Hyoty M, Satokari R, Haapamaki C et al.

25 September 2024

Pyridostigmine to reduce the duration of postoperative Ileus after colorectal surgery (PyRICo-RCT): randomized clinical trial.

Traeger L, Bedrikovetski S, Fitzsimmons T, Nguyen T-M, Moore JW, Lewis M et al.

7 August 2024

Sacral neuromodulation versus conservative treatment for refractory idiopathic slow-transit constipation. The randomized clinical No.2-Trial.

Heemskerk SC, Dirksen CD, van Kuijk SMJ, Benninga MA, Baeten C, Masclee AAM et al.

30 August 2024
Home
  • Normal view
  • Dyslexic view
Info
Copied!