Sentinel-Lymph-Node Multicenter Trials
Well executed multicenter clinical trials often provide significant evidence and support for, or against, foundational aspects of clinical procedures perceived to improve clinical management of a medical condition. In this review, discussed are reports of multicenter clinical trials designed to inve...
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| Published in | Seminars in nuclear medicine Vol. 50; no. 1; pp. 56 - 74 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
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United States
Elsevier Inc
01.01.2020
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| Abstract | Well executed multicenter clinical trials often provide significant evidence and support for, or against, foundational aspects of clinical procedures perceived to improve clinical management of a medical condition. In this review, discussed are reports of multicenter clinical trials designed to investigate sentinel lymph node biopsy procedures in seven types of cancer: breast, melanoma, head and neck, gastric, colon, uterine, and vulvar—with focus on the most recent reports of the hypotheses, objectives, parameters, data, results, implications, and impacts of the included trials.
Such trials generally enroll more subjects, in shorter time periods, than do single-center studies. Such studies generally also have greater diversities among investigator practitioners and investigative environments than do single-center studies. The greater number of subjects provides more power to statistical analyses performed in such studies. The more rapid accrual usually results in data being more consistently acquired. The diversities of practitioners and environments may produce results that are more conservative than might be obtained from more “focused” studies; however, diversities in a study often identify implicitly results that are more robust—that is results applicable by more practitioners and applicable in more environments. |
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| AbstractList | Well executed multicenter clinical trials often provide significant evidence and support for, or against, foundational aspects of clinical procedures perceived to improve clinical management of a medical condition. In this review, discussed are reports of multicenter clinical trials designed to investigate sentinel lymph node biopsy procedures in seven types of cancer: breast, melanoma, head and neck, gastric, colon, uterine, and vulvar-with focus on the most recent reports of the hypotheses, objectives, parameters, data, results, implications, and impacts of the included trials. Such trials generally enroll more subjects, in shorter time periods, than do single-center studies. Such studies generally also have greater diversities among investigator practitioners and investigative environments than do single-center studies. The greater number of subjects provides more power to statistical analyses performed in such studies. The more rapid accrual usually results in data being more consistently acquired. The diversities of practitioners and environments may produce results that are more conservative than might be obtained from more "focused" studies; however, diversities in a study often identify implicitly results that are more robust-that is results applicable by more practitioners and applicable in more environments.Well executed multicenter clinical trials often provide significant evidence and support for, or against, foundational aspects of clinical procedures perceived to improve clinical management of a medical condition. In this review, discussed are reports of multicenter clinical trials designed to investigate sentinel lymph node biopsy procedures in seven types of cancer: breast, melanoma, head and neck, gastric, colon, uterine, and vulvar-with focus on the most recent reports of the hypotheses, objectives, parameters, data, results, implications, and impacts of the included trials. Such trials generally enroll more subjects, in shorter time periods, than do single-center studies. Such studies generally also have greater diversities among investigator practitioners and investigative environments than do single-center studies. The greater number of subjects provides more power to statistical analyses performed in such studies. The more rapid accrual usually results in data being more consistently acquired. The diversities of practitioners and environments may produce results that are more conservative than might be obtained from more "focused" studies; however, diversities in a study often identify implicitly results that are more robust-that is results applicable by more practitioners and applicable in more environments. Well executed multicenter clinical trials often provide significant evidence and support for, or against, foundational aspects of clinical procedures perceived to improve clinical management of a medical condition. In this review, discussed are reports of multicenter clinical trials designed to investigate sentinel lymph node biopsy procedures in seven types of cancer: breast, melanoma, head and neck, gastric, colon, uterine, and vulvar-with focus on the most recent reports of the hypotheses, objectives, parameters, data, results, implications, and impacts of the included trials. Such trials generally enroll more subjects, in shorter time periods, than do single-center studies. Such studies generally also have greater diversities among investigator practitioners and investigative environments than do single-center studies. The greater number of subjects provides more power to statistical analyses performed in such studies. The more rapid accrual usually results in data being more consistently acquired. The diversities of practitioners and environments may produce results that are more conservative than might be obtained from more "focused" studies; however, diversities in a study often identify implicitly results that are more robust-that is results applicable by more practitioners and applicable in more environments. Well executed multicenter clinical trials often provide significant evidence and support for, or against, foundational aspects of clinical procedures perceived to improve clinical management of a medical condition. In this review, discussed are reports of multicenter clinical trials designed to investigate sentinel lymph node biopsy procedures in seven types of cancer: breast, melanoma, head and neck, gastric, colon, uterine, and vulvar—with focus on the most recent reports of the hypotheses, objectives, parameters, data, results, implications, and impacts of the included trials. Such trials generally enroll more subjects, in shorter time periods, than do single-center studies. Such studies generally also have greater diversities among investigator practitioners and investigative environments than do single-center studies. The greater number of subjects provides more power to statistical analyses performed in such studies. The more rapid accrual usually results in data being more consistently acquired. The diversities of practitioners and environments may produce results that are more conservative than might be obtained from more “focused” studies; however, diversities in a study often identify implicitly results that are more robust—that is results applicable by more practitioners and applicable in more environments. |
| Author | Moncayo, Valeria M. Grady, Erin E. Alazraki, Naomi P. Aarsvold, John N. |
| Author_xml | – sequence: 1 givenname: Valeria M. surname: Moncayo fullname: Moncayo, Valeria M. organization: Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA – sequence: 2 givenname: Erin E. surname: Grady fullname: Grady, Erin E. organization: Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA – sequence: 3 givenname: Naomi P. surname: Alazraki fullname: Alazraki, Naomi P. organization: Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA – sequence: 4 givenname: John N. surname: Aarsvold fullname: Aarsvold, John N. email: jaarsvo@emory.edu organization: Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31843062$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1007_s40336_023_00553_9 crossref_primary_10_1053_j_semnuclmed_2019_10_004 crossref_primary_10_1016_j_euf_2023_07_001 crossref_primary_10_1007_s00259_023_06496_7 crossref_primary_10_1111_jocn_17014 crossref_primary_10_23736_S1824_4785_21_03345_8 crossref_primary_10_23736_S0026_4784_20_04628_6 crossref_primary_10_1097_MD_0000000000025183 crossref_primary_10_2217_nnm_2023_0271 |
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