From: The prognostic value of lactate dehydrogenase levels in colorectal cancer: a meta-analysis
Pooled HR (95 % CI) | Heterogeneity | ||||||
---|---|---|---|---|---|---|---|
Stratified analysis | No. of studies | No. of patients | Fixed | Random | Meta-regression on p-value | I2 (%) | p-value |
Study location | 0.581 | ||||||
Asia | 4 | 580 | 1.66 [1.29, 2.14] | 1.82 [1.14, 2.9] | 67.9 | 0.025 | |
Europe | 19 | 5276 | 1.66 [1.53, 1.80] | 1.67 [1.40, 2.0] | 69.5 | <0.001 | |
Other regions | 5 | 1065 | 1.85 [1.52, 2.25] | 2.07 [1.45, 2.94] | 64.1 | 0.025 | |
Age | 0.563 | ||||||
≤ 50 | 2 | 191 | 1.98 [1.33, 2.94] | 2.31 [1.04, 5.13] | 63.1 | 0.1 | |
No limitation | 22 | 5623 | 1.70 [1.57, 1.84] | 1.77 [1.51, 2.08] | 68.5 | <0.001 | |
Number of patients | 0.68 | ||||||
≥ 100 | 22 | 6428 | 1.68 [1.56, 1.81] | 1.73 [1.49, 2.01] | 69 | <0.001 | |
< 100 | 6 | 439 | 1.84 [1.66, 2.04] | 1.96 [1.11, 3.43] | 60.3 | 0.28 | |
Metastasis | 0.059 | ||||||
Yes | 16 | 5044 | 1.84 [1.66, 2.04] | 1.96 [1.61, 2.37] | 64.4 | <0.001 | |
No | 5 | 883 | 1.53 [1.29, 1.82] | 1.21 [0.79, 1.86] | 74.4 | 0.028 | |
LDH cutoff | 0.309 | ||||||
> 300 U/L | 7 | 764 | 1.93 [1.50, 2.49] | 1.98 [1.41, 2.77] | 29.1 | 0.206 | |
250–300 U/L | 5 | 1028 | 1.61 [1.38, 1.88] | 1.84 [1.08, 3.13] | 88.6 | <0.001 | |
< 250 U/L | 6 | 1174 | 1.58 [1.31, 1.90] | 1.44 [0.94, 2.21] | 75.4 | 0.001 | |
Chemotherapy with anti-angiogenesis drugs | 0.64 | ||||||
Yes | 5 | 1675 | 1.75 [1.51, 2.02] | 1.78 [1.41, 2.23] | 57.3 | 0.053 | |
No | 16 | 4166 | 1.60 [1.46, 1.75] | 1.65 [1.40, 1.94] | 54.8 | 0.003 | |
Study type | 0.863 | ||||||
non-RCTa | 22 | 3683 | 1.66 [1.51, 2.02] | 2.03 [1.31, 3.13] | 71.5 | <0.001 | |
RCT | 5 | 3238 | 1.73 [1.54, 1.94] | 1.73 [1.54, 1.94] | <0.01 | 0.535 | |
Risk of bias | 0.31 | ||||||
High | 16 | 3142 | 1.52 [1.36, 1.68] | 1.63 [1.28, 2.09] | 76.5 | <0.001 | |
Low | 11 | 3799 | 1.87 [1.69, 2.07] | 1.65 [1.28, 2.12] | <0.01 | 0.655 |