Evidence map›Paper›PMID 31662515›Full record

Trial reportIn vivo (Athens, Greece)

Impact of Awake Breast Cancer Surgery on Postoperative Lymphocyte Responses.

Gianluca Vanni, Marco Materazzo, Tommaso Perretta, Rosaria Meucci, Lucia Anemona, Chiara Buonomo, Mario Dauri, Alessandra Vittoria Granai, Maurizio Rho, Sara Ingallinella and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  6. Effect of transversus abdominis plane block combined with low-dose dexmedetomidine on elderly patients undergoing laparoscopic colectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Gianluca VanniBreast Unit, Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy.
Marco MaterazzoBreast Unit, Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy mrcmaterazzo@gmail.com.
Tommaso PerrettaDepartment of Diagnostic Imaging and Interventional Radiology, Molecular Imaging and Radiotherapy, Policlinico Tor Vergata University, Rome, Italy.
Rosaria MeucciDepartment of Diagnostic Imaging and Interventional Radiology, Molecular Imaging and Radiotherapy, Policlinico Tor Vergata University, Rome, Italy.
Lucia AnemonaAnatomic Pathology, Department of Experimental Medicine, Policlinico Tor Vergata University, Rome, Italy.
Chiara BuonomoDepartment of Emergency and Admission, Critical Care Medicine, Pain Medicine and Anesthetic Science, Policlinico Tor Vergata University, Rome, Italy.
Mario DauriDepartment of Emergency and Admission, Critical Care Medicine, Pain Medicine and Anesthetic Science, Policlinico Tor Vergata University, Rome, Italy.
Alessandra Vittoria GranaiBreast Unit, Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy.
Maurizio RhoBreast Unit, Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy.
Sara IngallinellaBreast Unit, Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy.
Federico TacconiDivision of Thoracic Surgery, Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy.
Vincenzo AmbrogiDivision of Thoracic Surgery, Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy.
Agostino ChiaravallotiDepartment of Biomedicine and Prevention, Policlinico Tor Vergata University, Rome, Italy.
Orazio SchillaciDepartment of Biomedicine and Prevention, Policlinico Tor Vergata University, Rome, Italy.
Giuseppe PetrellaDepartment of Surgical Science, Policlinico Tor Vergata University, Rome, Italy.
Oreste Claudio BuonomoBreast Unit, Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical stress and anesthesia affect the patient's immune system. Analysis of the lymphocyte response after breast-conserving surgery was conducted to investigate the differences between effects after general and local anesthesia. MATERIALS AND

methodsFifty-six patients with breast cancer were enrolled for BCS through local or general anesthesia. Total leukocytes, total lymphocytes, lymphocyte-subsets including CD3

resultsBaseline data showed no statistical difference between the two groups. Within-group ANOVA test showed significant differences for total leukocyte count (p<0.001), total lymphocyte count (p=0.009) and proportion of natural-killer cells (p=0.01) in the control group. Between-group analysis showed lower median values of total lymphocytes in the awake surgery group on postoperative days 1, 2 and 3 (p=0.001, p=0.02 and p=0.01, respectively) when compared to the control group. Patients who underwent surgery under general anesthesia had higher total lymphocyte counts on postoperative day 2 (p=0.04).

conclusionIn this randomized study, breast-conserving surgery plus local anesthesia had a lower impact on postoperative lymphocyte response when compared to the same procedure performed under general anesthesia.

Indexed as

AdultAgedAged, 80 and overAntigens, CDBreastBreast NeoplasmsFemaleHumansLeukocyte CountLymphocytesMiddle AgedPostoperative PeriodProspective StudiesWakefulnessAntigens, CDanaesthesiaawake surgeryBreast cancercancerconservative surgeryimmune functionimmunologicalleukocyteslocal anaesthesialymphocytessurgerywhite blood cell

Identifiers

PMID31662515
PMCPMC6899130

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.