Table 3.
Multivariate analysis of locoregional recurrence for propensity score-matched patients with breast cancer receiving total mastectomy under PB-RA with propofol or INHA-GA without propofol.
| LRR | ||||
|---|---|---|---|---|
| aHR* | (95% CI) | p-value | ||
| Anesthesia | INHA-GA | ref | 0.0365 | |
| Propofol | 0.52 | (0.28–0.96) | ||
| Age (years) | 20–49 | ref | 0.9111 | |
| 50+ | 0.97 | (0.55–1.72) | ||
| Diagnosis year | 2009–2013 | ref | 0.2513 | |
| 2014–2018 | 1.13 | (0.90–3.75) | ||
| Menopausal status | Premenopausal | Ref | 0.7081 | |
| Postmenopausal | 0.81 | (0.71–1.30) | ||
| CCI scores | 0 | ref | 0.1309 | |
| 1 | 1.04 | (0.80–1.06) | ||
| 2+ | 1.07 | (0.76–2.49) | ||
| Differentiation | I | ref | 0.0099 | |
| II | 1.16 | (1.04–2.08) | ||
| III | 1.28 | (1.07–2.12) | ||
| AJCC clinical stage | I | ref | 0.0012 | |
| II | 3.71 | (1.82–7.59) | ||
| III | 4.67 | (1.65–13.18) | ||
| pT | pT1 | ref | 0.0260 | |
| pT2 | 1.09 | (1.02–1.21) | ||
| pT3–4 | 1.17 | (1.03–2.16) | ||
| pN | pN0 | ref | 0.0022 | |
| pN1 | 1.10 | (1.03–1.33) | ||
| pN2–3 | 1.22 | (1.06–2.41) | ||
| Nodal surgery | ALND | ref | 0.3066 | |
| SLNB | 1.55 | (0.72–3.36) | ||
| ASA | I | ref | 0.2221 | |
| II | 1.16 | (0.57–2.38) | ||
| III-IV | 1.89 | (0.90–3.96) | ||
| Adjuvant chemotherapy | Yes | 1.26 | (0.71–2.25) | 0.4343 |
| Adjuvant RT | Yes | 0.88 | (0.64–0.94) | 0.0413 |
| HR | Positive | 0.88 | (0.68–3.28) | 0.2252 |
| HER2 | Positive | 1.64 | (0.89–3.02) | 0.1103 |
| Hospital level | Academic centers | ref | 0.1078 | |
| Nonacademic | 0.56 | (0.28–1.13) | ||
PB-RA, paravertebral block-regional anesthesia; GA, general anesthesia; INHA, inhalational; aHR, adjusted hazard ratios; CIs, confidence intervals; AJCC, American Joint Committee on Cancer; HR, Hormone Receptor; HER2, Human Epidermal Growth Factor Receptor-2; RT, radiotherapy; ASA, American Society of Anesthesiology; CCI, Charlson comorbidity index; T, tumor; N, nodal; pT, pathological tumor stage; pN, pathological nodal stage; ALND, axillary lymph node dissection; SNLB, sentinel lymph node biopsy; ref, reference group.
*All covariates mentioned in Table 2 were adjusted.