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The choice of analgesia after cancer surgery may play a role in the onset of recurrence, particularly opioids seem to play a role in the immune system by promoting cancer cell proliferation and migration. Based on this consideration, our aim was to assess the impact of perioperative analgesia's choice on cancer recurrence after curative surgery for Stage I Non-Small Cell Lung Cancer. The investigators retrospectively reviewed the records of patients who underwent lung resection for Stage I NSCLC between January 2005 and December 2012. Patients received analgesia either by peridural (PERI group) or, in case of patient refusal or failure in catheter positioning, intravenous analgesia with opioids (EV group). Follow-up was concluded in August 2019. The five-year cumulative incidence of recurrence and the overall survival were evaluated and adjusted with a propensity score matching methodology.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PERI group |
| ||
| EV group |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Peridural analgesia | Procedure | We attempted to evaluate the effectiveness of peridural analgesia through cancer survival and recurrence outcomes. |
|
| Measure | Description | Time Frame |
|---|---|---|
| cumulative incidence of recurrence and the overall survival | 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who underwent lung resection for Stage I NSCLC between January 2005 and December 2012
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| Name | Affiliation | Role |
|---|---|---|
| Luca Brazzi, Professor | University of Torino | Study Chair |
| Giulio L Rosboch, MD | A.O.U. Città della Salute e della Scienza | Principal Investigator |
| Ilaria De Domenici, MD | University of Torino | Study Director |
| Edoardo Ceraolo, MD | A.O.U. Città della Salute e della Scienza | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AOU Città della Salute e della Scienza di Torino | Torino | 10100 | Italy |
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| ID | Term |
|---|---|
| D012008 | Recurrence |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010468 | Perceptual Disorders |
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| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |