Subgroup | No. of studies | No. of patients | Pooled HR | 95% CI | P | Heterogeneity test | Statistical method | |
---|---|---|---|---|---|---|---|---|
I2 | P | |||||||
Treatment | ||||||||
 Resection [8, 12, 13, 20, 24,25,26,27,28, 31,32,33, 37, 38, 40, 42, 50] | 17 | 5861 | 1.30 | 1.08–1.55 | 0.004 | 61.5% | <0.001 | Random |
 Chemo [1, 7, 9,10,11, 15, 22, 23, 29, 30, 36, 39, 41, 43,44,45,46,47] | 18 | 5687 | 1.64 | 1.00–2.71 | < 0.001 | 60.0% | <0.001 | Random |
Analysis of survival | ||||||||
 Multivariate [1, 7,8,9, 12, 14, 21, 24, 26, 29, 30, 32, 33, 37,38,39,40,41,42, 44,45,46,47,48,49] | 25 | 7612 | 1.31 | 1.16–1.47 | < 0.001 | 63.6% | <0.001 | Random |
 Univariate [10, 11, 13, 15, 19, 20, 22, 23, 25, 27, 28, 31, 34, 36, 43, 50] | 16 | 5536 | 1.20 | 1.02–1.40 | 0.023 | 46.6% | 0.016 | Random |
Cut-off value | ||||||||
 ≤ 1.0 [1, 7, 10, 13,14,15, 20, 30, 32, 38, 39, 41, 43, 45, 46, 48, 49] | 17 | 4437 | 1.46 | 1.21–1.77 | < 0.001 | 67.6% | <0.001 | Random |
 1.0 to < 2.0 [8, 9, 11, 12, 14, 19, 21,22,23,24, 26, 27, 29, 31, 33, 34, 36, 40, 42, 44, 47, 50] | 22 | 7646 | 1.18 | 1.06–1.31 | 0.004 | 49.6% | 0.002 | Random |
5 | 4544 | 1.16 | 0.96–1.39 | 0.121 | 0.0% | 0.760 | Random | |
Disease site | ||||||||
3 | 1121 | 1.96 | 1.36–2.83 | < 0.001 | 0.0% | 0.737 | Random | |
3 | 454 | 1.82 | 1.43–2.31 | < 0.001 | 0.0% | 0.509 | Random | |
4 | 954 | 1.65 | 1.22–2.24 | 0.001 | 24.3% | 0.265 | Random | |
5 | 1306 | 1.20 | 0.92–1.57 | 0.177 | 63.9% | 0.011 | Random | |
3 | 558 | 1.56 | 0.88–2.15 | 0.129 | 73.5% | 0.023 | Random | |
4 | 2303 | 1.23 | 1.03–1.46 | 0.017 | 0.0% | 0.701 | Random | |
2 | 511 | 1.05 | 0.637–1.75 | 0.828 | 77.7% | 0.034 | Random | |
2 | 1324 | 1.10 | 0.85–1.43 | 0.442 | 29.9% | 0.232 | Random | |
Disease stage | ||||||||
 Non metastatic [7,8,9,10, 12, 13, 15, 19, 20, 24, 28, 29, 31, 32, 34, 37, 38, 40, 44, 46, 50] | 21 | 7437 | 1.32 | 1.12–1.54 | < 0.001 | 58.0% | 0.001 | Random |
10 | 2108 | 1.54 | 1.24–1.92 | < 0.001 | 60.2% | 0.004 | Random | |
11 | 3603 | 1.09 | 0.98–1.20 | 0.107 | 26.2% | 0.160 | Random | |
Region | ||||||||
 Asian [13,14,15, 19,20,21,22,23,24,25, 27,28,29,30,31, 33, 34, 39, 40, 42, 44, 47, 50] (China, India, Korea, Japan) | 23 | 8422 | 1.10 | 0.99–1.21 | 0.08 | 48.6% | 0.001 | Random |
 Non-Asian [1, 7,8,9,10,11,12, 26, 32, 36,37,38, 41, 43, 45, 46, 48, 49] (Denmark, America, UK, France, Italy) | 18 | 4726 | 1.27 | 1.16–1.39 | < 0.001 | 32.0% | 0.080 | Random |