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. 2005 Jan 24;2005(1):CD004699. doi: 10.1002/14651858.CD004699.pub2

Johnstone 2002.

Methods Randomised controlled trial (1990 to 1994)
Participants Individuals with stage IIIA (T1‐T3N2MO) NSCLC. Histologically confirmed N2 disease at mediastinoscopy or anterior mediastinotomy
Interventions Intervention group: induction chemotherapy followed by surgical resection; 
 Control group: Induction chemotherapy followed by radiotherapy (64Gy). 
 Patients stratified according bulky N2 disease (visible on plain chest radiography) versus other N2 disease
Outcomes Toxicity, treatment related morbidity and mortality. Overall survival at 4 years.
Notes C‐factor staging : C3 
 Staging classification criteria not described
Trial terminated early.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Information not reported
Allocation concealment? Unclear risk Information not reported
Blinding? 
 All outcomes Unclear risk Information not reported
Incomplete outcome data addressed? 
 All outcomes High risk Description of withdrawals and losses to follow up not complete. 75 patients entered in the study including 12 patients entered but then not randomised after induction. 2 patients ineligible and not included, leaving 29 in surgical group and 32 in the radiotherapy group that were included in the analysis. 2 patients lost to follow up but it was not stated which group or groups they were lost from however all others were followed for at least 48 months.