Letter

Early discharge after surgery for breast cancer

BMJ 1999; 318 doi: 10.1136/bmj.318.7191.1146 (Published 24 April 1999)
Cite this as: BMJ 1999;318:1146.1

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Self selection probably occurred among patients studied

  1. Diana Harcourt, Research psychologist (Diana2.Harcourt@uwe.ac.uk),
  2. Simon Cawthorn, Consultant surgeon,
  3. Nicholas Ambler, Clinical psychologist,
  4. Nichola Rumsey, Reader
  1. Breast Care Centre, Frenchay Healthcare Trust, Bristol BS16 1LE
  2. Department of Psychology, University of the West of England, Bristol BS16 2JP

    EDITOR—We are pleased that psychological implications of early discharge after surgery for breast cancer are being examined1 but think that some important aspects of the policy have been inappropriately or inadequately researched and warrant further investigation.

    There is a drawback to applying randomised controlled trial methodology in situations such as this, where patients are making choices about their care. A self selecting process operates and must be taken into …

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