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Volatile inhalational anesthetics (IA) have been associated with tumor-promoting effects, while propofol-based total intravenous anesthesia (TIVA) may provide immunoprotective and anti-inflammatory benefits. Despite growing literature, the role of anesthetic technique in cancer progression is not fully established. Purpose: The purpose of this systematic review was to evaluate whether propofol-based TIVA, compared with inhalational anesthesia, reduces tumor growth, recurrence, metastasis, or mortality in patients undergoing cancer surgery. This question is clinically significant as even modest improvements in outcomes through anesthetic choice could have a broad global impact. Methods: A comprehensive search of MEDLINE, CINAHL, Cochrane Central, Google Scholar, and gray literature was conducted without date or language restrictions. Articles were appraised using the Johns Hopkins Nursing Evidence-Based Practice Model to determine the level and quality of evidence. Of 385 identified records, 17 studies met the inclusion criteria. Results: Of the 17 studies, 11 demonstrated reduced recurrence, metastasis, or mortality with TIVA compared to IA, while the remaining studies reported no significant differences. None favored IA. Evidence levels ranged from I to III, with most studies classified as Level III. Quality ratings were predominantly A or B. Primary outcomes included reductions in tumor recurrence and mortality, while secondary outcomes included preservation of immune function and decreased inflammatory markers. Conclusion: Current evidence indicates a potential benefit of propofol-based TIVA, with improved survival and reduced recurrence compared to IA. While limited by observational designs and heterogeneity among studies, findings support TIVA's possible advantage. Further randomized controlled trials are warranted. These results carry significant implications for anesthetic practice and may influence perioperative strategies for cancer care"},{"label":"Format","value":["Document (PDF)"]},{"label":"Identifier","value":"Submission ID: 22210648"},{"label":"Language","value":["English"]},{"label":"Publisher","value":"Texas Wesleyan University"},{"label":"Rights","value":["open access"]},{"label":"Subject","value":["Cancer","TIVA","Anesthesia--Inhaled"]},{"label":"Type","value":["Text"]},{"label":"Repository","value":["Academic Archive"]},{"label":"Date Added","value":"11.21.2025"},{"label":"Metadata Creator","value":"MVM"},{"label":"Creator Status","value":"Student"},{"label":"School Affiliation","value":["School of Health Professions"]},{"label":"Department Affiliation","value":["Doctor of Nurse Anesthesia Practice"]},{"label":"Faculty Sponsor","value":"Tito Tubog"}],"description":"Propofol's Effect on Cancer: A Systematic 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