Response to: What is the optimal management of dysphagia in metastatic esophageal cancer?

Letter to the Editor

Response to: What is the optimal management of dysphagia in metastatic esophageal cancer?


Wael C. Hanna , MD MBA , Lorenzo E. Ferri , MD PhD *
Division of Thoracic Surgery, McGill University and The Montreal General Hospital, Montreal, Quebec.


Response by Hanna and Ferri

The Editor

Current Oncology

June 26, 2012

We appreciate the comments and elegant statistical analysis by Dr. Cavallin and others, but we believe that they miss the forest for the trees. Our manuscript—being a retrospective review of our experience managing this complex patient population, captured in a prospective database—clearly has several statistical limitations common to studies of this type and is by no means a definitive comment on the treatment of patients with metastatic esophageal cancer. Rather, as we mentioned in the Discussion, it is to be used as hypothesis-generating fodder for a prospective randomized trial examining stenting with or without brachytherapy—an investigation that we are currently undertaking (search for NCT01366833 at http://clinicaltrials.gov/).


* lorenzo.ferri@mcgill.ca

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Current Oncology , VOLUME 19 , NUMBER 6 , 2012








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