Subgroups | No. of studies | No. of patients | Effects model | HR (95% CI) | p | Heterogeneity | |
---|---|---|---|---|---|---|---|
I2(%) | Ph | ||||||
Total | 6 | 2,569 | Random | 1.52 (1.13–2.04) | 0.006 | 57.4 | 0.038 |
Country | |||||||
China | 4 | 2,064 | Fixed | 1.77 (1.35–2.33) | < 0.001 | 48.4 | 0.121 |
Others | 2 | 505 | Fixed | 1.19 (0.94–1.51) | 0.143 | 17.2 | 0.272 |
Sample size | |||||||
< 300 | 3 | 496 | Random | 1.63 (0.96–2.78) | 0.071 | 76.1 | 0.015 |
≥ 300 | 3 | 2,073 | Fixed | 1.49 (1.12–1.98) | 0.006 | 36.6 | 0.207 |
Cancer type | |||||||
Ovarian cancer | 3 | 711 | Fixed | 1.31 (1.07–1.59) | 0.009 | 38.7 | 0.196 |
Cervical cancer | 2 | 820 | Fixed | 2.50 (1.58–3.96) | < 0.001 | 0 | 0.334 |
Endometrial cancer | 1 | 1,038 | - | 0.98 (0.47–2.03) | 0.948 | - | - |
FIGO stage | |||||||
I-IV | 4 | 1,749 | Fixed | 1.28 (1.06–1.55) | 0.012 | 21.6 | 0.281 |
I-II | 2 | 820 | Fixed | 2.50 (1.58–3.96) | < 0.001 | 0 | 0.334 |
Treatment | |||||||
Surgery | 4 | 1,534 | Random | 1.46 (0.94–2.26) | 0.089 | 67.2 | 0.028 |
Surgery + CCRT/ Surgery + chemotherapy | 2 | 1,035 | Fixed | 1.60 (1.18–2.18) | 0.003 | 39.2 | 0.200 |
Study center | |||||||
Single center | 5 | 1,871 | Random | 1.42 (1.04–1.94) | 0.027 | 56.5 | 0.056 |
Multicenter | 1 | 698 | - | 2.16 (1.25–3.74) | 0.006 | - | - |
Cut-off value | |||||||
= 3 | 3 | 1,026 | Fixed | 1.95 (1.46–2.61) | < 0.001 | 29.1 | 0.244 |
≠ 3 | 3 | 1,543 | Fixed | 1.17 (0.94–1.46) | 0.170 | 0 | 0.480 |
Age (median), years | |||||||
< 56 | 3 | 988 | Random | 1.86 (0.93–3.73) | 0.080 | 80.2 | 0.006 |
≥ 56 | 3 | 1,581 | Fixed | 1.44 (1.12–1.85) | 0.004 | 0 | 0.447 |
NOS score | |||||||
< 8 | 4 | 1,363 | Fixed | 1.72 (1.37–2.16) | < 0.001 | 36.6 | 0.193 |
≥ 8 | 2 | 1,206 | Fixed | 1.06 (0.80–1.40) | 0.705 | 0 | 0.820 |