Cochrane Db Syst Rev
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Cochrane Db Syst Rev · Apr 2005
Review Meta AnalysisGroup behaviour therapy programmes for smoking cessation.
Group therapy offers individuals the opportunity to learn behavioural techniques for smoking cessation, and to provide each other with mutual support. ⋯ Group therapy is better for helping people stop smoking than self help, and other less intensive interventions. There is not enough evidence to evaluate whether groups are more effective, or cost-effective, than intensive individual counselling. There is not enough evidence to support the use of particular psychological components in a programme beyond the support and skills training normally included.
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Cochrane Db Syst Rev · Apr 2005
Review Meta AnalysisNeoadjuvant chemotherapy for invasive bladder cancer.
Controversy exists as to whether neoadjuvant chemotherapy improves survival in patients with invasive bladder cancer, despite randomised controlled trials (RCTs) involving over 3000 patients. ⋯ This improvement in survival encourages the use of platinum based combination chemotherapy for patients with invasive bladder cancer.
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Cochrane Db Syst Rev · Apr 2005
Review Meta AnalysisIndividual behavioural counselling for smoking cessation.
Individual counselling from a smoking cessation specialist may help smokers to make a successful attempt to stop smoking. ⋯ Smoking cessation counselling can assist smokers to quit.
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Cochrane Db Syst Rev · Apr 2005
ReviewProphylactic cranial irradiation for preventing brain metastases in patients undergoing radical treatment for non-small cell lung cancer.
In non-small cell lung cancer (NSCLC), there is a relatively high incidence of brain metastases following radical treatment. At present, the role of prophylactic cranial irradiation (PCI) in this group of patients is not clear. ⋯ There is insufficient evidence to support the use of PCI in clinical practice. Where possible, patients should be offered entry into a clinical trial.
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Psychosocial and emotional factors are important in childhood asthma. Nevertheless, drug therapy alone continues to be the main treatment. Treatment programmes that include behavioural or psychological interventions have been developed to improve disturbed family relations in the families of children with severe asthma. These approaches have been extended to examine the efficacy of family therapy to treat childhood asthma in a wider group of patients. This review systematically examines these studies. ⋯ There is some indication that family therapy may be a useful adjunct to medication for children with asthma. This conclusion is limited by small study sizes and lack of standardisation in the choice of outcome measures.