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Journal of Cancer Research and Therapeutics, Vol. 4, No. 3, July-September, 2008, pp. 146 Letter To Editor Dilemmas of Plenty Agrawal Amit Department of Surgery, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha Code Number: cr08044 Related Article: cr08015 Sir, In the article "Dilemmas of Plenty" [1] our esteemed author has addressed unique practical aspects of technical advancement in relation to the field of radiotherapy. A "Dilemma of Plenty" is a unique philosophy, a concept with wider implications where the fact is "Practice of medicine is increasingly ensnared in structured, guideline-based therapeutics". All of us would agree that the global explosion of technology has changed the approach as well as the outcome in all fields including medicine. Most of these technologies have been developed in western countries according to the needs of their population. We adopt or adapt these advances to treat our patient population based on the available literature. As has been emphasized by the author, many of these innovations are accepted without randomized trials and guidelines are implemented that may not truly reflect the needs of our patients. Keeping these facts in mind there is increased responsibility on all of us to rigorously assess new technologies before recommending them as standards of care. [1] References
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