Comparison of volatile/inhalational and IV anesthesia in long-term survival of patients with breast cancer: a retrospective study.

Autor: Karami MY; Breast Diseases Research Center, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran., Dehghanpisheh L; Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran. lalehdehghan@yahoo.com., Karami A; Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran., Sabzloun Z; Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran., Niazkar HR; Breast Diseases Research Center, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran., Mojarad N; Breast Diseases Research Center, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran., Panah A; Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran., Talei A; Breast Diseases Research Center, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran., Tahmasebi S; Breast Diseases Research Center, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
Jazyk: angličtina
Zdroj: European journal of medical research [Eur J Med Res] 2022 Dec 03; Vol. 27 (1), pp. 271. Date of Electronic Publication: 2022 Dec 03.
DOI: 10.1186/s40001-022-00911-9
Abstrakt: Objective: Breast cancer is a worldwide health concern, and surgical removal has remained the preferred therapeutic option in most patients. Furthermore, the current study was designed to investigate the disease-free survival and overall survival in breast cancer patients, who receive either propofol or isoflurane during operation.
Method: This retrospective study was conducted on 994 patients (IV group, n = 530; volatile/inhalational group, n = 464) who underwent breast cancer operation from January 2006 to December 2016 at Faghihi Hospital, Shiraz, Iran. All studied patients were followed up till 2020. Patients are classified into two groups, IV and volatile/inhalational, according to the received anesthesia. For statistical analysis, The Cox regression test was conducted to investigate the association between factors affecting the recurrence of the disease and the Log Rank test was utilized to assess the patients' survival. Finally, to reduce the effect of confounding factors, all patients were matched according to age, tumor size and tumor grade.
Results: Based on results from the log-rank test, the volatile/inhalational group had a better recurrence-free survival (P = 0.039) compared to the total IV group. However, the overall survival was not considerably different (P = 0.520).
Conclusion: The current study showed that although 2-year disease-free survival is higher in the volatile/inhalational group, there is no meaningful association between the 5-year overall survival and anesthesia technique.
(© 2022. The Author(s).)
Databáze: MEDLINE
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