• Profile
Close

Effects of epidural analgesia on cancer recurrence and long-term mortality in patients after non-small-cell lung cancer resection: A propensity score-matched study

BMJ Open Jun 06, 2019

Wu HL, et al. – In this retrospective study, researchers utilized propensity scoring methods to examine the impact of thoracic epidural analgesia on oncological results following resection for lung cancer. The study sample consisted of 2,191 patients with stages I–III non-small-cell lung cancer (NSCLC) who underwent primary tumor resection between January 2005 and December 2015, and had either epidural analgesia, placed preoperatively and used intra- and postoperatively, or intravenous analgesia. In all, 82.1% of participants received epidural analgesia. In the epidural group, the 3-year recurrence-free and overall survival rates were 69.8% and 92.4%; in the non-epidural group, these rates were 67.4% and 89.6%, respectively. In patients receiving surgical resection for stages I–III NSCLC, thoracic epidural analgesia was not related to better recurrence-free or overall survival. Independent risk factors for both recurrence and mortality included male sex, higher pretreatment carcinoembryonic antigen level, advanced cancer stage, poor differentiation, lymphovascular invasion, microscopic necrosis, and postoperative radiotherapy.

Go to Original
Only Doctors with an M3 India account can read this article. Sign up for free or login with your existing account.
4 reasons why Doctors love M3 India
  • Exclusive Write-ups & Webinars by KOLs

  • Nonloggedininfinity icon
    Daily Quiz by specialty
  • Nonloggedinlock icon
    Paid Market Research Surveys
  • Case discussions, News & Journals' summaries
Sign-up / Log In
x
M3 app logo
Choose easy access to M3 India from your mobile!


M3 instruc arrow
Add M3 India to your Home screen
Tap  Chrome menu  and select "Add to Home screen" to pin the M3 India App to your Home screen
Okay