Anaesthetic drugs & techniques

Impact of propofol‐based vs. volatile‐based anaesthesia on survival and recurrence after cancer surgery: a systematic review and meta‐analysis of randomised trials

AnaesthesiaPublished Systematic review and meta-analysis of randomised trials

Pooled result · Overall survivalResult — go to the resultHazard ratio 1.05 95% CI 0.94–1.17

Authors' conclusion

Propofol-based and volatile-based anaesthesia yield similar long-term oncological outcomes, with no significant differences in survival or recurrence and minimal heterogeneity, supported by high-certainty evidence.

Study context

Population
Adults undergoing curative cancer surgery11 RCTs
Participants
3,904 vs 3,907
Comparison
Propofol-based vs volatile-based anaesthesia
  • Propofol-basedn = 3,904
  • Volatile-basedn = 3,907reference
Outcome
Overall survival and recurrence
Methodological detailsrandom-effects meta-analysis, exploratory trial sequential analysis
  • Random-effects meta-analysis
  • Exploratory trial sequential analysis

Pooled result

Overall survival

Hazard ratio

1.05

95% CI 0.94–1.17

P = 0.42

Propofol-based vs Volatile-based
HR 1.05 (95% CI 0.94–1.17); P = 0.42

As reported in the abstract

Further pooled results

OutcomeHR (95% CI)P value
Recurrence-free survivalRandom-effects meta-analysis · minimal heterogeneity1.06 (0.95–1.19)P = 0.31

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Impact of propofol‐based vs. volatile‐based anaesthesia on survival and recurrence after cancer surgery: a systematic review and meta‐analysis of randomised trials. Anaesthesia. Published 17 August 2026. doi:10.1111/anae.70347

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.