Anesthetic drugs & techniques

Long-term survival in older patients given propofol or sevoflurane anaesthesia for major cancer surgery: follow-up of a multicentre randomised trial

Br J AnaesthPublished Long-term follow-up of a multicentre randomised controlled trial

Primary result · DeathsResult — go to the resultAdjusted hazard ratio 1.02 95% CI 0.83–1.26

Authors' conclusion

Long-term survival after major cancer surgery was similar with i.v. and volatile anaesthesia.

Study context

Population
Patients aged 65–90 yr scheduled for major cancer surgery, 14 tertiary hospitals in China1,195 in modified ITT analysis
Participants
1,228 patients
Comparison
Propofol vs Sevoflurane
  • Propofoln = 598
  • Sevofluranen = 597reference
Primary endpoint
Overall survival after surgery
Methodological details14 tertiary hospitals
  • 14 tertiary hospitals

Primary result

Deaths · median 43 months follow-up

Adjusted hazard ratio

1.02

95% CI 0.83–1.26

P = 0.834

Events by treatment group

Propofol vs Sevoflurane
adjusted HR 1.02 (95% CI 0.83–1.26); P = 0.834

As reported in the abstract

Secondary outcomes

OutcomePropofolSevofluraneEstimateP value
Recurrence-free survival · median 43 monthsModified ITT37%35%adjusted HR for recurrence or death 1.07 (95% CI 0.89–1.30)P = 0.465
Event-free survival · median 43 monthsModified ITT49%46%adjusted HR for an event 1.09 (95% CI 0.93–1.29)P = 0.298

Original publication

Long-term survival in older patients given propofol or sevoflurane anaesthesia for major cancer surgery: follow-up of a multicentre randomised trial. Br J Anaesth. Published 4 June 2023. doi:10.1016/j.bja.2023.01.023

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