Oral Cancer: Elective or therapeutic neck dissection?


This review of neck dissection (END) in patients with squamous cell carcinoma (SCC) of the oral cavity and clinically N0 neck included 6 studies suggesting fewer recurrences with END, but the evidence of very low quality.

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Value based clinical commissioning of elective surgical care: from low to high value?


This report on Phase 1 of work by the QIPP Right Care Team looks at emerging views of commissioners and surgeons on the issue of commissioning policies on “low value” procedures. The studies were commissioned by Professor Sir Bruce Keogh, NHS medical director. Background Recent years have seen the emergence of several listings of procedures [read the full story…]