| Total (n = 307) | No-CPBS (n = 221) | CPBS (n = 86) | OR [95% CI] | p |
---|---|---|---|---|---|
Patient characteristics | |||||
 Age (years) | 56.2 ± 12.4 | 55.3 ± 12.4 | 53.6 ± 11.2 | 0.99 [0.97–1.01] | 0.275 |
 Height (cm) | 163.5 ± 6.3 | 163.6 ± 6.6 | 163.4 ± 5.3 | 0.99 [0.96–1.04] | 0.824 |
 Weight (kg) | 64.5 ± 12.5 | 55.3 ± 5.9 | 55.2 ± 4.8 | 0.10 [0.99–1.03] | 0.212 |
 BMI (Kg/m2) | 24.1 ± 4.4 | 23.9 ± 4.1 | 24.7 ± 4.9 | 1.04 [0.98–1.10] | 0.168 |
 Preoperative pain | 95 (30.9%) | 56 (25.3%) | 39 (45.3%) | 1.13 [0.64–1.97] | 0.686 |
 Chronic use of pain drugs | 19 (6.2%) | 9 (4.1%) | 10 (11.6%) | 3.10 [1.21–7.92] | 0.018 |
 Anxiety/depression | 43 (14%) | 33 (14.9%) | 10 (11.6%) | 0.75 [0.35–1.60] | 0.446 |
 Fibromyalgia | 2 (0.7%) | 1 (0.5%) | 1 (1.2%) | 2.59 [0.16–41.90] | 0.511 |
 Neoadjuvant-CHT | 23 (7.5%) | 15 (6.8%) | 8 (9.3%) | 1.41 [0.58–3.45] | 0.461 |
 Preop. hormone therapy | 37 (12.1%) | 28 (12.7%) | 9 (10.5%) | 0.81 [0.36–1.79] | 0.589 |
 Neoadjuvant-RT | 1 (0.33%) | 1 (0.5%) | 0 (0.0%) | – | – |
 Previous ipsilateral breast surgery | 108 (35.18%) | 78 (35.3%) | 30 (34.9%) | 0.98 [0.58–1.66] | 1.000 |
 School education |  |  |  |  | 0.517 |
  Primary school | 30 (9.77%) | 24 (10.9%) | 6 (7.0%) | 0.79 [0.28–2.24] |  |
  Secondary school | 57 (18.57%) | 40 (18.1%) | 17 (19.8%) | 1.35 [0.62–2.93] |  |
  High school | 145 (47.23%) | 100 (45.2%) | 45 (52.3%) | 1.42 [0.75–2.69] |  |
   University | 75 (24.43%) | 57 (25.8%) | 18 (20.9%) | Ref. |  |
Surgical factors | |||||
 Breast-conserving surgery | 149 (48.5%) | 110 (49.8%) | 39 (45.3%) | 0.84 [0.51–1.38] | 0.526 |
 Mastectomy | 91 (29.6%) | 61 (27.6%) | 30 (34.9%) | 1.41 [0.83–2.39] | 0.214 |
 Implant-based reconstructive surgery (tissue-expandersor prosthesis) | 113 (36.8%) | 81 (36.7%) | 32 (37.2%) | 1.02 [0.61–1.72] | 0.928 |
  Pre-pectoral prosthesis | 23 (7.5%) | 17 (21.0%) | 6 (18.8%) | Ref. | – |
  Under-pectoral prosthesis or tissue-expander | 47 (15.3%) | 32 (39.5%) | 15 (46.9%) | 1.33 [0.44–4.05] | 0.618 |
  Tissue-expander substitution with prosthesis | 43 (14.0%) | 32 (39.5%) | 11 (34.4%) | 0.97 [0.31–3.09] | 0.964 |
 Axillary surgery | 146 (47.6%) | 95 (43.0%) | 51 (59.3%) | 1.93 [1.17–3.21] | 0.011 |
  Sentinel node biopsy | 99 (32.3%) | 64 (29.0%) | 35 (40.7%) | 0.94 [0.46–1.96] | 0.877 |
  Axillary lymph node dissection | 47(15.3%) | 31 (14.0%) | 16 (18.6%) | ||
 Cosmetic surgery | 68 (22.2%) | 48 (21.7%) | 20 (23.3%) | 1.09 [0.60–1.98] | 0.762 |
 Dorsal-flap reconstructive surgery | 1 (0.3%) | 1 (0.5%) | 0 (0.0%) | – | – |
 Bilateral surgery | 103 (33.6%) | 70 (31.8%) | 33 (38.4%) | 1.33 [0.79–2.24] | 0.276 |
 Selective pectoral nerves dissection | 19 (6.2%) | 12 (5.5%) | 7 (8.1%) | 1.53 [0.58–4.02] | 0.390 |
Anaesthesiologic factors | |||||
 Total intravenous anaesthesia | 251 (81.8%) | 180 (81.4%) | 71 (82.6%) | 0.93 [0.48–1.78] | 0.821 |
  Propofol | 251 (81.8%) | 180 (81.4%) | 71 (82.6%) | 1.08 [0.56–2.07] | 0.821 |
  Remifentanil | 221 (72.0%) | 157 (71.0%) | 64 (74.4%) | 1.19 [0.67–2.09] | 0.554 |
  Sufentanil | 29 (9.5%) | 22 (10.0%) | 7 (8.1%) | 0.80 [0.33–1.95] | 0.626 |
  Fentanil | 14 (4.6%) | 9 (4.1%) | 5 (5.8%) | 1.45 [0.47–4.47] | 0.513 |
 Inhaled anaesthesia | 56 (18.2%) | 41 (18.6%) | 15 (17.4%) | 1.07 [0.56–2.07] | 0.999 |
  Sevorane | 40 (13%) | 29 (13.1%) | 11 (12.8%) | 0.88 [0.23–3.32] | 0.846 |
  Desflurane | 16 (5.2%) | 12 (5.4%) | 4 (4.7%) | 1.14 [0.30–4.29] | 0.846 |
  Remifentanil | 32 (10.4%) | 22 (10.0%) | 10 (11.6%) | 0.58 [0.16–1.94] | 0.384 |
  Fentanil | 24 (7.8%) | 19 (8.6%) | 5 (5.8%) | 1.73 [0.50–5.95] | 0.384 |
 Regional anaesthesia | 66 (21.5%) | 53 (24.0%) | 13 (15.1%) | 0.56 [0.29–1.10] | 0.092 |
  PECS 1 | 28 (9.1%) | 22 (10.0%) | 6 (7.0%) | 0.68 [0.27–1.74] | 0.418 |
  PECS 2 | 17 (5.6%) | 12 (5.4%) | 5 (5.8%) | 1.08 [0.37–3.15] | 0.895 |
  Local anaesthetics infiltration | 21 (6.8%) | 19 (8.6%) | 2 (2.3%) | 0.25 [0.03–1.09] | 0.075 |
 Intraoperative analgesia | |||||
  Paracetamol | 265 (86.3%) | 188 (85.1%) | 77 (89.5%) | 1.50 [0.69–3.29] | 0.309 |
  Ketorolac | 49 (16.0%) | 33 (14.9%) | 16 (18.6%) | 1.30 [0.68–2.51] | 0.431 |
  Morphine | 242 (7.8%) | 169 (76.5%) | 73 (84.9%) | 1.73 [0.89–3.37] | 0.108 |