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イシハラ ヒロキ
ISHIHARA Hiroki
石原 弘喜 所属 医学部 医学科（東京女子医科大学病院） 職種 助教 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Association Between Anesthetic Technique and Survival After Radical Nephroureterectomy: A Propensity Score-matching Study. |
| 掲載誌名 | 正式名：In vivo (Athens, Greece) 略 称：In Vivo ISSNコード：17917549/0258851X |
| 掲載区分 | 国外 |
| 巻・号・頁 | 36(1),pp.458-464 |
| 著者・共著者 | Ishiyama Yudai, Kondo Tsunenori, Tachibana Hidekazu, Ishihara Hiroki, Nishioki Haruka Ito, Yoshida Kazuhiko, Iizuka Junpei, Tanabe Kazunari, Takagi Toshio |
| 発行年月 | 2022/01 |
| 概要 | BACKGROUND/AIM:Whether anesthesia can affect oncological outcomes in urothelial carcinoma of the upper urinary tract undergoing radical nephroureterectomy (RNU) is not clear.PATIENTS AND METHODS:One-hundred an ninety-seven patients who underwent RNU were retrospectively recruited and divided into total intravenous (TIVA, n=90) and volatile inhalation anesthesia (VIA, n=107) groups. A 1:1 propensity score-matching method was employed to minimize selection bias (n=70 each). Cancer-specific (CSS), overall (OS) and metastasis-free (MFS) survival were compared between groups before and after matching.RESULTS:For all survival endpoints, no significant differences were observed between the two study groups, both before (hazard ratio for TIVA: CSS: 0.70, OS: 0.75, MFS: 0.78) and after (hazard ratios for TIV: CSS: 1.21, OS: 0.82, MFS: 0.84) matching.CONCLUSION:With no survival difference observed according to anesthetic technique for RNU, the choice should be based on factors such as accessibility, prevention of side-effects, or costs. |
| DOI | 10.21873/invivo.12725 |
| PMID | 34972749 |