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. 2022 Jan 14;11:821785. doi: 10.3389/fonc.2021.821785

Table 3.

Meta-analyses assessing local anesthetics impact on cancer prognosis.

Cancer Patients Design Cancer prognosis outcome Ref
Solid tumors 14 studies (47 000 patients) Control group: general anesthesia Epidural anesthesia improved overall survival (p=0.013). (15)
Studied group: epidural anesthesia with or without general anesthesia
Solid tumors 10 studies (3254 patients) Control group: general anesthesia Combined general-epidural anesthesia was associated with decreased recurrence (p=0.027) and metastasis rate (p=0.035) within the subgroup of prostate cancer patients and the subgroup with follow-up less than or equal to 2 years (16)
Studied group: combined general-epidural anesthesia
Solid tumors 20 studies (NA) Control group: general anesthesia Perioperative regional anesthesia associated with improved overall survival ([HR] = 0.84, 95% CI, 0.75-0.94; I 2 =41%) (17)
Studied group: perioperative regional anesthesia
Solid tumors 21 studies (51 620 patients) Control group: general anesthesia Neuroaxial anesthesia improved overall survival (p=0.026) and recurrence-free survival (p=0.047) (18)
Studied group: neuroaxial anesthesia combined with or without general anesthesia