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Table 1 Characteristics of the patients included in the meta-analysis

From: The prognostic value of IDO expression in solid tumors: a systematic review and meta-analysis

Study

Year

Country

Cancer type

Case (n)

Age (Median/Mean, years)

Tumor stage

(I/II/III/IV)

Follow-up (Median/Mean, months)

Study type

Method

Cut off value

Endpoints

NOS

Gerald. et al

2006

Austria

Colorectal cancer

143

NA

29/24/78/12

51.8a

Retrospective

IHC

High expression: score (5–12)

Low expression: score (0–4)

OS

8

K. et al

2006

Japan

Endometrial cancer

80

57.2a

54/10/10/6

71.6b

Retrospective

IHC

High expression: score (4–6)

Low expression: score (0–3)

OS, PFS

8

Rainer. et al

2007

Japan

Renal cell carcinoma

55

NA

22/33

NA

Retrospective

qPCR

High expression: Above the 80th percentile

OS

6

Ke. et al

2008

China

Hepatocellular carcinoma

138

NA

NA

NA

Retrospective

IHC

High expression: score (5–9)

Low expression: score (0–4)

OS

8

Kazuhiko. et al

2008

Japan

Endometrial Cancer

65

57.7a

44/6/9/6

72b

Retrospective

IHC

High expression: score (4–5)

Low expression: score (0–3)

OS, PFS

8

Hiroshi. et al

2009

Japan

Osteosarcoma

47

15b

0/47/0/0

67.4b

Retrospective

IHC

High expression: score (4)

Low expression: score (0–3)

OS

7

Tomoko. et al

2010

Japan

Cervical cancer

112

NA

67/45/0/0

NA

Retrospective

IHC

High expression: > 50% of tumor cells were stained

OS, PFS

7

Jacek. et al

2011

Poland

Vulvar squamous cell carcinoma

76

69.5b

NA

51.23b

Retrospective

IHC

> 50% of tumor cells were stained with clusters of higher intensity of expression

OS

8

Reinhart. et al

2011

Belgium

Melanoma

116

52b

NA

71b

Prospective

IHC

Almost none/weak versus strong IDO expression

OS, PFS

9

Renske. et al

2012

Netherland

Endometrial carcinoma

355

64b

196/58/77/44

63.6b

Prospective

IHC

High expression: score (4–6)

Low expression: score (0–3)

DFS

8

Jin. et al

2013

China

Laryngeal squamous cell carcinoma

187

52.4b

20/58/88/21

48.56a

Retrospective

IHC

High expression: score (3–4)

Low expression: score (0–2)

OS, DFS

9

Yunlong. et al

2015

China

Esophageal squamous cell cancer

196

54b

113(I–II)/83(III–IV)

NA

Prospective

IHC

High expression: score (5–12)

Low expression: score (0–4)

OS

8

Maciej. et al

2015

Poland

Melanoma

48

56.9b

NA

30.3b

Retrospective

IHC

High expression: score > 47.39 Low expression: score ≤ 47.39

OS

6

Ahlem. et al

2016

Tunisia

Nasopharyngeal carcinoma

71

NA

10(I–II)/53(III–IV)

30b

Prospective

IHC

High expression: score (4–5)

Low expression: score (0–3)

OS, PFS

7

Hao. et al

2016

China

Gastric adenocarcinoma

357

60.3a

80/79/198/0

41b

Retrospective

IHC

With the X-tile software, the cut-off point was 282, 51% patients were separated into the IDO high expression subgroup

OS

7

Tao. et al

2017

China

Pancreatic cancer

80

NA

10(I–II)/53(III–IV)

40b

Prospective

IHC

High expression: score (> 4)

Low expression: score (≤4)

OS

8

Tvrtko. et al

2017

Croatia

Bladder carcinomas

74

65.3a

NA

NA

Prospective

qPCR

IDO-positive group, in which expression of IDO gene was detected, regardless of the level of expression.

OS

7

Daniel. et al

2017

USA

Breast cancer

362

NA

278(I–II)/63(III–IV)

NA

Retrospective

IHC

Median cut-point was used to stratify IDO1 scores in low and high statuses.

OS

8

Lijie. et al

2017

USA

Glioblastoma

148

NA

NA

NA

Prospective

qPCR

IDO1 mRNA levels were stratified into IDO1- low and -high expressing groups based on the determined cutoff values.

OS

8

Wenjuan. et al

2018

China

Colorectal cancer

95

NA

NA

NA

Retrospective

IHC

High expression: score (2–3)

Low expression: score (0–1)

OS

7

Yufeng. et al

2018

Taiwan (China)

Thymic carcinoma

69

54a

1/3/45/20

46b

Retrospective

IHC

High expression: score (2–3)

Low expression: score (0–1)

OS, PFS

8

Hiroto. et al

2018

Japan

Esophageal cancer

182

66.5a

69/63/41/9

NA

Retrospective

IHC

High expression: score (2–3)

Low expression: score (0–1)

RFS

7

Yuki. et al

2018

Japan

Esophageal Cancer

305

66a

123/80/102/0

44.4b

Prospective

IHC

(0; no expression, 1; weak expression, 2; moderate expression or 3; strong expression)

OS

9

Masaaki. et al

2018

Japan

Gastric Cancer

60

67.8a

0/0/60/0

41a

Retrospective

IHC

A total score of greater than 4+ was defined as IDO positive expression

OS, DFS

8

Tamkin. et al

2019

Australia

Malignant pleural mesothelioma

67

65b

NA

NA

Retrospective

IHC

Negative

Positive (>  0%)

OS

7

Wenjuan. et al

2019

China

Adenosquamous Lung Carcinoma

183

58b

52/41/71/19

NA

Retrospective

IHC

High- and low-expression based on the determined cutoff values.

OS

8

Devarati. et al

2019

USA

Anal cancer

63

61b

7/24/9/21 (2 unknown)

35b

Retrospective

IHC

Positive (> 50% IDO1 expression)

OS

8

Julia. et al

2019

Germany

Rectal cancer

91

64b

NA

NA

Retrospective

IHC

High expression: score (3–6)

Low expression: score (0–2)

OS, DFS

8

Nadia. et al

2019

Tunisia

Vulvar squamous cell carcinoma

61

65.61a

29/4/26/2

NA

Retrospective

IHC

High expression: score (3)

Low expression: score (0–2)

OS, DFS

7

Sha. et al

2019

China

Esophageal squamous cell carcinoma

158

56b

0/34/124/0

40.2b

Retrospective

IHC

Positive (> 50% IDO1 expression)

RFS

8

Yuhshyan. et al

2019

Taiwan (China)

Bladder cancer

108

68a

45/43/19/1

45b

Retrospective

IHC

Strongly Positive (> 25% IDO1 expression)

OS, PFS

8

  1. Abbreviations: IHC Immunohistochemistry, qPCR Quantitative Real Time Polymerase Chain Reaction, NOS Newcastle-Ottawa Scale, OS overall survival, DFS disease free survival, PFS progression free survival. a Mean, b Median. NA: Not Available