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Perioperative Dexmedetomidine and Long-term Survival After Cancer Surgery

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研究单位: [1]Peking University First Hospital [2]Peking University First Hospital,Beijing,Beijing, China,China,100034 [3]Tsinghua University Yuquan Hospital,Beijing,Beijing,China,100040 [4]Cancer Hospital Chinese Academy of Medical Sciences,Beijing,Beijing,China,200032 [5]The First Affiliated Hospital of Army Medical University (Southwest Hospital),Chongqing,Chongqing,China,400038 [6]Fujian Provincial Hospital,Fuzhou,Fujian,China,350001 [7]The First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian,China,350004 [8]Fujian Medical University Union Hospital,Fuzhou,Fujian,China,Fujian [9]Guangdong General Hospital,Guangzhou,Guangdong,China,Guangdong [10]Peking University Shenzhen Hospital,Shenzhen,Guangdong,China,518034 [11]The First Affiliated Hospital of Shenzhen University,Shenzhen,Guangdong,China,518035 [12]Affiliated Cancer Hospital of Guangxi Medical University,Nanning,Guangxi,China,530021 [13]The Second Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi,China,Guangxi [14]Zhejiang Cancer Hospital,Zhejiang,Hangzhou,China,310022 [15]The First Affiliated Hospital of China University of Science and Technology,Hefei,Hebei,China,065001 [16]The First Affiliated Hospital of China University of Science and Technology(Anhui Provincial Hospital),Hefei,Hebei,China,230001 [17]The Fourth Hospital of Hebei Medical University,Shijiazhuang,Hebei,China,050011 [18]Tangshan Workers'' Hospital,Tangshan,Hebei,China,063000 [19]The Second Affiliated Hospital of Harbin Medical University,Harbin,Heilongjiang,China,150001 [20]Harbin Medical University Cancer Hospital,Harbin,Heilongjiang,China,150081 [21]The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan,China,450052 [22]Henan Provincial People''s Hospital,Zhengzhou,Henan,China,463599 [23]Xiangya Hospital Central south university,Changsha,Hunan,China,410119 [24]The First Affiliated Hospital of University of South China,Hengyang,Hunan,China,421005 [25]Affiliated Drum Tower Hospital, Medical School of Nanjing University,Nanjing,Jiangsu,China,210008 [26]The Second Affiliated Hospital of Suzhou University,Suzhou,Jiangsu,China,215004 [27]Bethune First Hospital Of Jilin University,Changchun,Jilin,China,130031 [28]General hospital of eastern theater command,Nanjing,Nanjing,China,210002 [29]General Hospital of Ningxia Medical University,Yinchuan,Ningxia,China,750003 [30]People''s Hospital of Ningxia Hui Autonomous Region,Yinchuan,Ningxia,China,750011 [31]Xijing Hospital, Fourth Military Medical University,Xi''an,Shaanxi,China,710032 [32]Shandong Provincial Hospital Heze Hospital,Heze,Shandong,China,274000 [33]Shanghai Fourth People''s Hospital Affiliated to Tongji University School of Medicine,Shanghai,Shanghai,China,200123 [34]First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,China,830011 [35]The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang,China,325000

关键词: Older patients Cancer surgery Dexmedetomidine Long-term survival

研究目的:
Along with aging population, cancer incidence and mortality are increasing. However, despite advances in oncology and surgery, long-term survival of cancer patients is far from optimal. Dexmedetomidine is a highly selective alpha 2 adrenergic receptor agonist with sedative, analgesic, and anxiolytic effects. Studies showed that perioperative use of dexmedetomidine reduces delirium and some non-delirium complications after surgery. In long-term follow-up studies of older patients who, for other reasons, were randomized to receive either dexmedetomidine or placebo during intra- or postoperative period, dexmedetomidine use was associated with improved long-term survival. This multicenter randomized trial aims to investigate the effect of perioperative dexmedetomidine on long-term outcomes in older patients undergoing cancer surgery.

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