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The study results found that immediate dissection had the best 5 year survival: 61.7% vs 51.3% for observation: the hazard ratio was 0.72.

However this was not statistically significant

This is reflected by the 95% confidence intervals, which cross 1.

The authors concluded that immediate dissection had no impact on survival, and that it was ineffective and should not be used.

They have misinterpreted their own results!