Anesthetic drugs & techniques

Secondary Analysis of the Cancer and Anaesthesia (CAN) ‐Study, a Randomised Controlled Trial – Local Anaesthesia and Overall Survival

Acta Anaesthesiol ScandPublished Secondary analysis of the CAN randomised controlled trial

Authors' conclusion

We found no association with local-anaesthetic skin infiltration or regional anaesthesia and long-term survival in this non-preplanned secondary analysis of a randomised controlled trial.

Study context

Population
Breast cancer patients in the CAN study (sevoflurane vs propofol maintenance)analysed
Participants
1,670 patients
Comparison
Any local or regional anaesthesia vs neither during breast cancer surgery
  • Local anaesthetic infiltrationn = 803
  • Paravertebral blockn = 67
  • Bothn = 75
  • Neithern = 725reference
Primary endpoint
Overall survival
Follow-up
Median 76.8 months
Methodological detailsexploratory, non-preplanned
  • Exploratory
  • Non-preplanned

Primary result

As reported in the abstract

  • No significant differences in overall survival
  • Any local or regional anaesthesia (n = 945) vs Neither: P = 0.54
  • All four groups: P = 0.89

Original publication

Secondary Analysis of the CAN ‐Study, a Randomised Controlled Trial – Local Anaesthesia and Overall Survival. Acta Anaesthesiol Scand. Published 28 May 2026. doi:10.1111/aas.70268

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