Chapter 1221: : Let go of the inclusion criteria!

On Saturday morning, more than a dozen people headed by Chen Cang gathered in the discussion room.
Xu Ziming, director of cardiac surgery, is reporting on the situation.
"We analyzed the efficacy, safety and other indicators of patients in the first stage of surgery, and the results showed ..."
"The average time consumption of our team's surgery is about 5 minutes less than the current mainstream surgery, but if Mr. Chen's surgery, it may save more time, but ... this cannot be used for the results of our clinical analysis.
"From the perspective of efficacy analysis and safety, the efficacy is still the judgment of the surgical effect. This has reached the level reported by the 2019 World Congress of Great Vessels."
"In terms of safety ... There are two main aspects, the first is mortality, and the second is complications. Because our entry criteria are more stringent, we have not yet started the study of mortality, and the main thing is to investigate the complications . "
"The chance of complications is lower than the 2019 data because of our efforts on the operation time."
After Xu Ziming's data came out, everyone at the scene couldn't help but cheer for it!
After all, their efforts were not wasted.
This data means that they can already perform clinical operations.
They have reached the current national average.
Even Chen Cang was really happy.
He couldn't help but applaud and gave the applause to their team members.
Chen Cang has not been involved in every operation until now.
Instead, he is helping their team members and taking them with them for surgery.
Because one's ability is limited after all.
So far, there are five or six people in the first group of twelve people, including Li Baoshan, Xu Ziming, He Zhiqian, Liu Quan and others.
They are the first backbone!
improve rapidly.
However, the most curious thing about Chen Cang is Xu Aiqing. She is currently the hardest and fastest progressed in the team.
For the children, Xu Aiqing is really desperate.
Everyone is very happy and excited.
Their success means saving more patients.
but……
The completion of the first phase of the patient's surgery immediately means the beginning of a new phase.
Xu Ziming said at this time: "Mr. Chen, how do you plan to develop the next stage of the case?"
The room was quiet now.
In the first phase, they carried out in accordance with strict requirements and inclusion criteria, and achieved remarkable results.
What about the second issue?
How to develop?
After Chen Cang pondered for a while, he said lightly: "In the second phase, let go of the inclusion criteria and do a mortality study!"
As soon as the words came out, all the surroundings became quiet.
Mortality study!
Everyone could not help but shake.
Mortality research has always been an area that no subject wants to touch.
What everyone says about efficiency is not really effective.
And how to incorporate the efficiency of the standard.
This is an inaccurate data.
However, if the sample is truly released, the inclusion criteria will be greatly liberalized, so that the actual data is the case study.
In fact, life is much cruel than data.
Such as the study of mortality.
This is all about letting go of the inclusion criteria and studying mortality.
Thinking of this, everyone couldn't help looking at Chen Cang.
Is this ... a bit too hasty?
After all, such a good foundation laid in the first phase ... Isn't it ... It's a pity to bury it!
Everyone thinks of this, and they feel a little distressed.
Because once the inclusion criteria are liberalized, the efficacy and sequela analysis of 100 cases will obviously be lower than the data of the first phase.
Both safety and efficiency must be reduced!
Is this really a good hand to start, is it really going to be smashed?
Everyone was a little nervous and uneasy.
Xu Ziming couldn't help but say: "Mr. Chen ... Isn't it a pity this way!"
"Our first-phase such a good result, no matter who it is, will definitely carry out follow-up research to further improve efficiency and safety, and reduce complications. In this way, our data ..."
Chen Cang's face did not change color, he asked faintly: "What's the use of the data we want? These data are useless no matter how good-looking!"
"When we set up a project to study, everyone's goal should not be just to get a beautiful clinical data?"
"Our core purpose is still to save people!"
Everyone was silent.
Chen Cang was right, but ... still a little unwilling.
Everyone is doing this, and we can do the same!
After all ... there is a difference between clinical trials and real surgery.
We cannot exclude patients because they do not meet the inclusion criteria, so we will not give him surgery.
In this case, our research does not make sense.
but……
Everyone just feels a pity.
Think of Anzhen and Ruijin.
Their emergency center also wants to have a good special department, a top department that is well-known in the country and famous in the world.
However, this is not a day or two after all.
Now the clinical research on the thoracoabdominal aortic replacement surgery of Ma Fan patients is itself very researched. Once the results are out, this is obviously an award!
but……
Chen Cang's unexpected operation made the whole team feel sorry.
To be honest, if Chen Cang does not change his policy or direction, he will get an award for such an achievement after the original surgery.
Hey……
Everyone couldn't help but sigh.
"Mr. Chen, we ... I still think we should improve the efficiency. After all, we have gone so far, and now the inclusion criteria are suddenly released, and the mortality rate and the chance of complications will come up at once. These factors! "He Zhiqian also wanted to fight for it.
Chen Cang suddenly smiled: "Can't we let go of the inclusion criteria to talk about treatment rates? Or can't we let go of the inclusion criteria to study the probability of complications? And, it can also include mortality!"
"In this case, the proportion of UU reading www.uukanshu.com will be greatly reduced!" Xu Ziming couldn't help saying.
Chen Cang shook his head: "This data will be more real, it will be more applicable to ordinary patients, and the more it will help the medical field."
"And, who said that our proportions will definitely decrease?"
This sentence, said everyone ignorant!
This must be reduced!
When the inclusion criteria are released, the patient's risk factor will be greatly increased. The most dangerous Marfan syndrome is the sudden rupture of large blood vessels and death on the operating table.
But what does Mr. Chen's words just mean?
Is it ...
Does Teacher Chen have a better way?

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