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. 2013 Dec;5(6):E254–E307. doi: 10.3978/j.issn.2072-1439.2013.11.28

Table 3. PICO questions relating to active treatment for MPM.

R × 1 Does radiotherapy improve the survival of people with MPM? (See also RS ×7).
R ×2 Does surgery (EPP or P/D) improve the survival of MPM patients?
R ×3 Does chemotherapy or so-called targeted therapies improve the survival of patients with MPM?
R ×4 Do immunologically based treatments improve the survival of patients with MPM?
R ×5 Does complementary or alternative medicine (CAM) improve the survival of people with MPM?
R ×6 Does combined modality (surgery, radiotherapy and/or chemotherapy in any combination) improve the survival of people with MPM? If so, what is the optimal sequencing of treatments?
R ×7 Does IMRT or other radiotherapy modifications improve survival of MPM patients?
R ×8 Does radiotherapy reduce tumour seeding after biopsy procedures in malignant mesothelioma? Does prophylactic radiotherapy to prevent intervention tract seeding produce any meaningful impact on the natural history of MPM?
R ×9 For chemotherapy, what is the optimal timing for the delivery of chemotherapy, for MPM?
R ×10 For chemotherapy, what are the optimal agents(s) for MPM?
R ×11 For chemotherapy, what is the optimal number of cycles for MPM?
R ×12 For chemotherapy, does maintenance treatment improve survival in MPM?
R ×13 Does second-line chemotherapy improve outcomes (survival, quality of life, symptoms) in MPM?
R × S7 What is the evidence that radiotherapy can provide symptom palliation for patients with malignant mesothelioma, in particular pain, mass effect, dyspnoea?
R × S8 Is there a relationship between radiotherapy dose and/or duration and symptom response?
R × S9 Are there disease and patient factors which predict for likelihood of symptom response to radiotherapy, such as performance status, age, histology?
R × S10 Is palliative radiotherapy for malignant mesothelioma associated with toxicity?