[Attitudes of medical students to randomization or free choice in breast cancer surgery and a suggestion for a new study design].
Six research models for breast cancer surgery were presented and debated in a two hour lecture to second year medical students. Half of the students (38/68) preferred a model which offered the woman the opportunity of choosing between tumorectomy and mastectomy after preceding randomization; one fourth preferred free choice without randomization. Descriptive ethical studies in the population after previous detailed information seem necessary to elucidate which research models the population are willing to accept as potential patients. In trials of therapies where the patients may be assumed to have individual preferences, a design is proposed with free choice between alternatives and secondary randomization among those who are unable to decide.
Gøtzsche
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D001291:Attitude of Health Personnel; D001943:Breast Neoplasms / Q000601:surgery*; D004503:Education, Medical, Graduate; D005260:Female; D006801:Humans; D008408:Mastectomy / Q000379:methods*; D011897:Random Allocation
Medicinske studenters holdning til lodtraekning og selvvalg ved brystkraeftkirurgi og forslag om et nyt forsøgsdesign.