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Fallacy of the Five-Year Survival in Lung Cancer
Abstract
Patients with lung cancer can be treated by either surgical extirpation or radiation. The former may offer increased five-year survival and prolonged life expectancies as compared to the latter, but subjects patients to the immediate risk of thoracotomy. We interviewed patients with "operable" lung cancer and found that they were quite averse to taking risks involving the possibility of immediate death. When these data about patients' attitudes were combined with data about survival after both radiation therapy and operation, it appeared that radiotherapy would be the preferred therapeutic plan for several of these patients. These results emphasize the importance of choosing therapies not only on the basis of objective measures of survival but also on the basis of patient attitudes.
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Citations
Cited by
Donabedian, A. (1988) · JAMA · doi:10.1001/jama.260.12.1743 · Cited by 5,895
The precaution adoption process.
Weinstein, N. D. (1988) · Health Psychology · doi:10.1037//0278-6133.7.4.355 · Cited by 1,459
Quality-adjusted life years, utility theory, and healthy-years equivalents
Mehrez, A., & Gafni, A. (1989) · Medical Decision Making · doi:10.1177/0272989x8900900209 · Cited by 469
Incorporating Patients' Preferences into Medical Decisions
Kassirer, J. P. (1994) · New England Journal of Medicine · doi:10.1056/nejm199406303302611 · Cited by 415
Framing effects: An analytic–holistic perspective
McElroy, T., & Seta, J. J. (2003) · Journal of Experimental Social Psychology · doi:10.1016/s0022-1031(03)00036-2 · Cited by 221
Metadata
- Authors
- McNeil, B. J., Weichselbaum, R., & Pauker, S. G.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1978-12-21
- Volume
- 299
- Issue
- 25
- Pages
- 1397-1401
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W1994552410
- Cited by
- 473
- References
- 0
- FWCI
- 20.18
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Fallacy of the Five-Year Survival in Lung Cancer. https://app.cochat.ai/papers/10.1056/nejm197812212992506
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- McNeil, B. J., Weichselbaum, R., & Pauker, S. G. (1978). Fallacy of the Five-Year Survival in Lung Cancer. New England Journal of Medicine. https://doi.org/10.1056/nejm197812212992506
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
