Perioperative medicine & outcomes
Comparison of the Quality of Recovery-15 score in patients undergoing oncoplastic breast-conserving surgery under monitored anesthesia care versus general anesthesia: a prospective quality improvement study
Main finding · Accounting for confounding factorsResult — go to the resultΒ/SE[β] 3.31 99.5% CI 0.45–6.17Authors' conclusion
A care transformation initiative for patients undergoing oncoplastic BCS under MAC was associated with a higher quality recovery profile and shorter length of stay without any increase in perioperative or postoperative adverse events.
Study context
- Population
- Female adults undergoing oncoplastic breast-conserving surgery (no total mastectomy), Edmonton, AB, Canada, May 2021–February 20222 excluded secondarily
- Participants
- 125 adults
- Exposure
- Monitored anesthesia care (MAC) vs general anesthesia (GA) for oncoplastic breast-conserving surgery
- MACn = 61
- GAn = 64reference
- Outcome
- Change in QoR-15 score vs preoperative baseline
- Follow-up
- 24 hr
Methodological detailsquality improvement, quasi-experimental, propensity score analysis, two hospitals, No enrolled patients lost to follow up
- Quality improvement
- Quasi-experimental
- Propensity score analysis
- Two hospitals
- No enrolled patients lost to follow up
Main finding
Accounting for confounding factors
Β/SE[β]
3.31
99.5% CI 0.45–6.17
P = 0.001
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
Most secondary outcomes (time profiles, analgesic and antiemetic use, LOS)
- MAC associated with superior outcomes for most secondary outcomes
- Accounting for confounding factors
Safety
- Conversion to GA or unplanned airway management — MAC
- 0 events
Original publication
Comparison of the Quality of Recovery-15 score in patients undergoing oncoplastic breast-conserving surgery under monitored anesthesia care versus general anesthesia: a prospective quality improvement study. Can J Anaesth. Published 25 September 2023. doi:10.
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