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. |
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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. |