原来肖氏手术在美国已经被叫停了# WaterWorld - 未名水世界
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Extensive discussion and rigorous debate ensued and closed out the first day
of the postgraduate course. The second day was dedicated to discussions
regarding how best to initiate trials in the U.S. and elsewhere. The
Beaumont, Atlanta and Tampa groups all presented proposed protocols. The
Tampa protocol is unique in that it proposes performing the procedure only
in the context of detethering a tethered spinal cord. Significant debate
about protocols ensued. There was a strong consensus of opinion that the
procedure should only be done in the setting of a cooperative, properly
constructed (good design, sufficient power, etc.), organized multicenter
clinical trial. There was uniformity of opinion across disciplines that
children with spina bifida and society at large are poorly served when
multiple centers undertake small, independent studies, and that such studies
are counterproductive to proper assessment of the technique. The Beaumont,
Atlanta and Tampa groups all agreed to halt further surgery until a unified
neurosurgery/urology research design could be developed.
http://www.neurosurgery.org/xiaoS09.asp
of the postgraduate course. The second day was dedicated to discussions
regarding how best to initiate trials in the U.S. and elsewhere. The
Beaumont, Atlanta and Tampa groups all presented proposed protocols. The
Tampa protocol is unique in that it proposes performing the procedure only
in the context of detethering a tethered spinal cord. Significant debate
about protocols ensued. There was a strong consensus of opinion that the
procedure should only be done in the setting of a cooperative, properly
constructed (good design, sufficient power, etc.), organized multicenter
clinical trial. There was uniformity of opinion across disciplines that
children with spina bifida and society at large are poorly served when
multiple centers undertake small, independent studies, and that such studies
are counterproductive to proper assessment of the technique. The Beaumont,
Atlanta and Tampa groups all agreed to halt further surgery until a unified
neurosurgery/urology research design could be developed.
http://www.neurosurgery.org/xiaoS09.asp
