Breast Cancer Surgery Under General Anesthesia: Is it Really Worth it?

2017 ◽  
Vol 23 (4) ◽  
pp. 492-494
Author(s):  
Antonello Accurso ◽  
Nicola Rocco ◽  
Gianni Antonio Della Corte ◽  
Giuseppe Accardo ◽  
Paola Reale ◽  
...  
Keyword(s):  
Breast Cancer ◽  
General Anesthesia ◽  
Cancer Surgery ◽  
Breast Cancer Surgery

scholarly journals Prediction of total hospital expenses of patients undergoing breast cancer surgery in Shanghai, China by comparing three models

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Minjie Chen ◽  
Xiaopin Wu ◽  
Jidong Zhang ◽  
Enhong Dong
Keyword(s):  
Breast Cancer ◽  
Minimally Invasive ◽  
General Anesthesia ◽  
Medical Insurance ◽  
Cancer Surgery ◽  
Classification And Regression Tree ◽  
Breast Cancer Surgery ◽  
Total Hospital ◽  
Hospital Managers ◽  
Hospital Expenses

Abstract Background Breast cancer imposes a considerable burden on both the health care system and society, and becomes increasingly severe among women in China. To reduce the economic burden of this disease is crucial for patients undergoing the breast cancer surgery, hospital managers, and medical insurance providers. However, few studies have evidenced the prediction of the total hospital expenses (THE) for breast cancer surgery. The aim of the study is to predict THE for breast cancer surgery and identify the main influencing factors. Methods Data were retrieved from the first page of medical records of 3699 patients undergoing breast cancer surgery in one tertiary hospital from 2017 to 2018. Multiple liner regression (MLR), artificial neural networks (ANNs), and classification and regression tree (CART) were constructed and compared. Results The dataset from 3699 patients were randomly divided into training and test sets at a 70:30 ratio (2599 and 1100 records, respectively). The average total hospital expenses were 12520.54 ± 7844.88 ¥ (US$ 1929.20 ± 1208.11). MLR results revealed six factors to be significantly associated with THE: age, LOS, type of disease, having medical insurance, minimally invasive surgery, and receiving general anesthesia. After comparing three models, ANNs was the best model to predict THEs in patients undergoing breast cancer surgery, and its strong predictive performance was also validated. Conclusions To reduce the THEs, more attention should be paid to related factors of LOS, major and minimally invasive surgeries, and general anesthesia for these patient groups undergoing breast cancer surgery. This may reduce the information asymmetry between doctors and patients and provide more reliable cost, practical inpatient medical consumption standards and reimbursement standards reference for patients, hospital managers, and medical insurance providers ,respectively.

scholarly journals Serum IL-6 Level in Breast Cancer Surgery: Evaluating the Addition of Hydrocortisone to Two Anesthetic Regimens

2015 ◽  
Vol 9 (1) ◽  
pp. 29-35
Author(s):  
Sherif Abdelhamid ◽  
Ahmed Talha ◽  
Salwa Hamdy ◽  
Ashraf Arafat Abdelhalim ◽  
Mohamed Elakany
Keyword(s):  
Breast Cancer ◽  
General Anesthesia ◽  
Controlled Trial ◽  
Cancer Surgery ◽  
Paravertebral Block ◽  
Breast Cancer Surgery ◽  
Serum Cortisol Level ◽  
Control Group ◽  
Thoracic Paravertebral Block

Background: This study was purposed to compare in vitro the volumetric accuracy of a newly introduced automatic infusion controller, AutoClamp with that of other commonly used infusion devices. Methods: In this prospective, randomized, controlled trial, 124 ASA I-II, female patients, aged 30-50 years, undergoing conservative breast cancer surgery were randomly assigned to one of four equal groups receiving either standard general anesthesia and two doses of hydrocortisone (Group GH, n=31), thoracic paravertebral block and two doses of hydrocortisone (Group PH, n=31), standard general anesthesia with no hydrocortisone (Group G, n=31), or thoracic paravertebral block with no hydrocortisone (Group P, n=31). IL-6 was measured at three time points: before operation, 6 and 12 hours postoperatively. CRP and cortisol were measured preoperatively and 6 hours postoperatively. Results: On comparing group PH and GH, there was significant decrease in IL-6 level in group PH compared to group GH at 6 hour (122.1±21.2 vs 135.8±29.8pg/dl), but insignificant difference at 24 hours (107.9±21.6 vs 106.8±15.9pg/dl). CRP showed significant decrease in the postoperative reading in group PH compared to group GH (1.63±0.32 vs 1.91±0.43mg/l), and also group PH showed significant decrease compared to the control group P (1.63±0.32 vs 2.2±0.54). Conclusion: addition of hydrocortisone to general anesthesia or thoracic paravertebral block attenuated production of IL-6 and CRP levels significantly postoperatively compared to either anesthetic regimen alone, but not the serum cortisol level, highlighting its role in modifying the stress response to surgery. However, the effect was more pronounced when combined with thoracic paravertebral block.

scholarly journals Effects of a Hypnosis Session Before General Anesthesia on Postoperative Outcomes in Patients Who Underwent Minor Breast Cancer Surgery

2018 ◽  
Vol 1 (4) ◽  
pp. e181164 ◽  
Author(s):  
Jibba Amraoui ◽  
Camille Pouliquen ◽  
Julien Fraisse ◽  
Jacques Dubourdieu ◽  
Sophie Rey Dit Guzer ◽  
...  
Keyword(s):  
Breast Cancer ◽  
General Anesthesia ◽  
Cancer Surgery ◽  
Postoperative Outcomes ◽  
Breast Cancer Surgery
Sign in / Sign up

Export Citation Format

Share Document