Peridural analgesia does not impact survival in patients after colon cancer resection: a retrospective propensity score-adjusted analysis

Purpose To assess the putative impact of peridural analgesia on oncological outcome in patients undergoing resection of stages I–IV colon cancer. Methods In a single-center study, 876 patients undergoing resection for primary colon cancer (AJCC stages I–IV) between 2001 and 2014 were analyzed. Mean...

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Veröffentlicht in:International journal of colorectal disease 2019-07, Vol.34 (7), p.1283-1293
Hauptverfasser: Wurster, Elena F., Pianka, Frank, Warschkow, Rene, Antony, Pia, Brenner, Thorsten, Weigand, Markus A., Schmied, Bruno M., Büchler, Markus W., Tarantino, Ignazio, Ulrich, Alexis
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Sprache:eng
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Zusammenfassung:Purpose To assess the putative impact of peridural analgesia on oncological outcome in patients undergoing resection of stages I–IV colon cancer. Methods In a single-center study, 876 patients undergoing resection for primary colon cancer (AJCC stages I–IV) between 2001 and 2014 were analyzed. Mean follow-up of the entire cohort was 4.2 ± 3.5 years. Patients who did and did not receive peridural analgesia were compared using Cox regression and propensity score analyses. Results Overall, 208 patients (23.7%) received peridural analgesia. Patients’ characteristics were biased with regard to the use of peridural analgesia (propensity score 0.296 ± 0.129 vs. 0.219 ± 0.108, p  
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-019-03315-0