More centralisation of services is not needed

doi:10.1136/bmj.312.7039.1156

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Bruce Sizer,
Stephen Karp

Consultant clinical oncologist Department of Clinical Oncology, Essex County Hospital, Colchester CO3 3NB
Director COIN Project, North Middlesex Hospital, London N18 1QX

EDITOR,—Charles R Gillis and David J Hole may have found evidence that survival of patients with breast cancer is improved if they are treated by specialist breast surgeons, but there is little scientific evidence that surgery influences survival from breast cancer to any significant extent and they collected no information on the details of treatment received.1 There is considerable evidence, however, to support the survival …