教師資料查詢 | 類別: 期刊論文 | 教師: 張玉坤 Yue-cune Chang (瀏覽個人網頁)

標題:Propofol-based total intravenous anesthesia is associated with better survival than desflurane anesthesia in colon cancer surgery
學年107
學期1
出版(發表)日期2018/11/15
作品名稱Propofol-based total intravenous anesthesia is associated with better survival than desflurane anesthesia in colon cancer surgery
作品名稱(其他語言)
著者Zhi-Fu Wu; Meei-Shyuan Lee; Chih-Shung Wong; Chueng-He Lu; Yuan-Shiou Huang; Kuen-Tze Lin; Yu-Sheng Lou; Chin Lin; Yue-Cune Chang; Hou-Chuan Lai
單位
出版者
著錄名稱、卷期、頁數Anesthesiology 129(5), p.932-941
摘要WHAT WE ALREADY KNOW ABOUT THIS TOPIC:
WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Previous research has shown different effects of anesthetics on cancer cell growth. Here, the authors investigated the association between type of anesthetic and patient survival after elective colon cancer surgery.
METHODS:
A retrospective cohort study included patients who received elective colon cancer surgery between January 2005 and December 2014. Patients were grouped according to anesthesia received: propofol or desflurane. After exclusion of those who received combined propofol anesthesia with inhalation anesthesia or epidural anesthesia, survival curves were constructed from the date of surgery to death. After propensity matching, univariable and multivariable Cox regression models were used to compare hazard ratios for death. Subgroup analyses were performed for tumor-node-metastasis staging and postoperative metastasis.
RESULTS:
A total of 706 patients (307 deaths, 43.5%) with desflurane anesthesia and 657 (88 deaths, 13.4%) with propofol anesthesia were eligible for analysis. After propensity matching, 579 patients remained in each group (189 deaths, 32.6%, in the desflurane group vs. 87, 15.0%, in the propofol group). In the matched analyses, the propofol-treated group had a better survival, irrespective of lower tumor-node-metastasis stage (hazard ratio, 0.22; 95% CI, 0.11 to 0.42; P < 0.001) or higher tumor-node-metastasis stage (hazard ratio, 0.42; 95% CI, 0.32 to 0.55; P < 0.001) and presence of metastases (hazard ratio, 0.67; 95% CI, 0.51 to 0.86; P = 0.002) or absence of metastases (hazard ratio, 0.08; 95% CI, 0.01 to 0.62; P = 0.016). Simple propensity score adjustment produced similar findings.
CONCLUSIONS:
Propofol anesthesia for colon cancer surgery is associated with better survival irrespective of tumor-node-metastasis stage.
關鍵字
語言英文(美國)
ISSN
期刊性質國外
收錄於SCI;
產學合作
通訊作者
審稿制度
國別美國
公開徵稿
出版型式,電子版
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