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- W2930735514 abstract "We applaud Yolande Lievens and colleagues 1 Lievens Y Audisio R Banks I et al. Towards an evidence-informed value scale for surgical and radiation oncology: a multi-stakeholder perspective. Lancet Oncol. 2019; 20: e112-e123 Summary Full Text Full Text PDF PubMed Scopus (31) Google Scholar for promoting the development of value scales for surgical and radiotherapy interventions. However, regarding the European Society for Medical Oncology Magnitude of Clinical Benefit Scale (ESMO-MCBS), their evaluation of the current scale has two flaws: multiple mischaracterisations of the ESMO-MCBS, and misappraisal of their own experience. These factors have contributed to an underappreciation of the utility of the ESMO-MCBS in the grading of benefit demonstrated in studies evaluating radiotherapeutic and surgical interventions. Towards an evidence-informed value scale for surgical and radiation oncology: a multi-stakeholder perspectiveSurgery and radiotherapy, two locoregional cancer treatments, are essential to help improve cancer outcomes, control, and palliation. The continued evolution in treatment processes, techniques, and technologies—often at substantially increased costs—demands for direction on outcomes that are most valued by patients, and the evidence that is required before clinical adoption of these practices. Three recently introduced frameworks—the European Society for Medical Oncology Magnitude of Clinical Benefit Scale, the American Society of Clinical Oncology Value Framework, and the National Comprehensive Cancer Network Blocks—which all help define the value of oncology treatments, were appraised with a focus on their methods and definition of patient benefit. Full-Text PDF ESMO-MCBS: setting the record straight – Authors' replyWe thank Cherny and colleagues1 for their critical appraisal of our Policy Review2 and congratulate them on developing an evidence-based and transparent scale for appraising systemic cancer therapies.3,4 Transparency in methodology, however, does not guarantee ease in interpretation and use. Inter-observer variation in using the scale was found to be a potential issue.5 This issue highlights the subjective component to appraising evidence, and that a rule-based approach will always be open to interpretation, as the ESMO-MCBS authors identify. Full-Text PDF" @default.
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- W2930735514 date "2019-04-01" @default.
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- W2930735514 title "ESMO-MCBS: setting the record straight" @default.
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- W2930735514 doi "https://doi.org/10.1016/s1470-2045(19)30174-3" @default.
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