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Introduction 2

Evidence-base is small enough

Balancing unequal considerations

Early RT in LGG: Seizures:

PFS; OS; Cognition; Fatigue

Good example of both strengths and weaknesses of EBM

Meta-analysis showed benefit of chemo in HGG pre-Stupp – not used

Much decision-making is non-evidence based

Trials are partial, and address only some of the questions

Sometimes with long lead times and ignoring other evidence

E.g. RTOG 98-02