The authors propose strict criteria for evaluating surgical treatments for systemic diseases and aim to present evidence that surgical treatment of hypertension meets these criteria.
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Proposed criteria for surgical hypertension treatment remain untested; leaves open validation in prospective trials before any clinical consideration.
The evaluation of any surgical procedure in the treatment of a systemic disease can be reached only after an adequate period of carefully controlled and unbiased trial. This trial demands that certain fundamental conditions be strictly adhered to: 1. The surgical procedure must be utilized in a large number of cases and must remain identical in all cases. 2. The selection of cases must be based on constant criteria, fully investigated in each case before operation. 3. Postoperative results must be judged by the same criteria in an identical manner and on as many occasions as possible. 4. All cases in which operation is performed must be included in the results. 5. The trial must extend over a sufficiently long period of time to eliminate mere temporary effect of the operative, procedure. It is our purpose in this paper to present evidence that the surgical treatment of hypertension has fulfilled
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PEET et al. (1940) studied this question.
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