Letters

Large differences in survival are not explained

BMJ 1996; 312 doi: http://dx.doi.org/10.1136/bmj.312.7039.1155a (Published 04 May 1996) Cite this as: BMJ 1996;312:1155
  1. Michael Baum
  1. Consultant surgeon Royal Marsden NHS Trust, London SW3 6JJ

    EDITOR,—As a specialist breast cancer surgeon it is in my enlightened self interest to accept the findings of Charles R Gillis and David J Hole1; at the same time, as a clinical scientist I cannot allow their conclusions to go unchallenged. From the world overview of trials we now know with statistical confidence that variations in local treatment cannot be associated with any of the differences in survival described in this …

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