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Hiroki Ishihara
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Assistant Professor |
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| Article types | Original article |
| Language | English |
| Peer review | Peer reviewed |
| Title | Association Between Anesthetic Technique and Survival After Radical Nephroureterectomy: A Propensity Score-matching Study. |
| Journal | Formal name：In vivo (Athens, Greece) Abbreviation：In Vivo ISSN code：17917549/0258851X |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 36(1),pp.458-464 |
| Author and coauthor | Ishiyama Yudai, Kondo Tsunenori, Tachibana Hidekazu, Ishihara Hiroki, Nishioki Haruka Ito, Yoshida Kazuhiko, Iizuka Junpei, Tanabe Kazunari, Takagi Toshio |
| Publication date | 2022/01 |
| Summary | 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 |