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 |