Pain medicine

Effects of opioids on tumour growth and metastasis in animal models: a systematic review

Br J AnaesthPublished Systematic review of preclinical in vivo studies

Authors' conclusion

We found no relationship indicative of an organ-specific, cancer-promoting effect of opioids.

Study context

Population
Published in vivo preclinical (animal) studies of opioids and tumour growth and metastasis168 experiments
Participants
118 participants
Outcome
Organ-specific effects of opioids on tumour growth and metastasis (reported cancer outcome)

Pooled result

As reported in the abstract

Reported cancer outcome
Experiments reporting an anti-cancer effect of opioids
94/168, 56%
Experiments reporting a pro-cancer effect
31 (18%)
Opioid category associated with reported cancer outcome
P<0.001
Opioid dose associated with reported cancer outcome
P=0.0056

Further pooled results

Morphine studies: proportion using low-dose morphine

Among experiments reporting pro-cancer outcomes
65%
Among experiments reporting anti-cancer outcomes
8%

Original publication

Effects of opioids on tumour growth and metastasis in animal models: a systematic review. Br J Anaesth. Published 25 March 2025. doi:10.1016/j.bja.2025.02.030

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