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Table 2 The pooled frequency of POLEmut ECs according to clinicopathology characteristics

From: The clinicopathological characteristics of POLE-mutated/ultramutated endometrial carcinoma and prognostic value of POLE status: a meta-analysis based on 49 articles incorporating 12,120 patients

Clinicopathological characteristics in EC

Pooled frequency of POLEmut (95% CI), (%)

No. of studies

I2 (95% CI), (%)

P for I2

Model

Egger’s test

Overall POLEmut

7.95 (6.52–9.51)

50

86.3 (82.7–89.1)

< 0.0001

Random effect

z = 1.832, P = 0.06695

EEC

7.95 (6.55–9.46)

32

79.6 (71.8–85.2)

< 0.0001

Random effect

z = 2.5622, P = 0.0104

NEEC

4.45 (2.63–6.61)

30

56.0 (33.7–70.8)

0.0001

Random effect

z = 1.018, P = 0.3087

Grade 1–2

5.35 (4.16–6.67)

23

57.2 (31.9–73.1)

0.0004

Random effect

z = 1.0836, P = 0.2785

Grade 3

10.55 (8.35–12.94)

27

66.6 (50.0–77.7)

< 0.0001

Random effect

z = 0.50043, P = 0.6168

FIGO stage I-II

9.15 (7.06–11.46)

29

80.8 (73.2–86.3)

< 0.0001

Random effect

z = 2.7772, P = 0.005483

FIGO stage II-IV

3.08 (1.72–4.71)

30

51.9 (26.9–68.3)

0.0006

Random effect

z = 0.66061, P = 0.5089

FIGO stage III-IV

2.89 (1.43–4.67)

28

39.4 (4.6–61.6)

0.0180

Random effect

z = 0.25724, P = 0.797

LVSI absent

6.96 (5.32–8.77)

17

68.3 (47.6–80.8)

< 0.0001

Random effect

z = 1.7728, P = 0.07626

LVSI present

6.40 (3.82–9.48)

17

75.1 (60.0–84.5)

< 0.0001

Random effect

z = 0.24716, P = 0.8048

Myometrial invasion≥50%

4.78 (3.47–6.28)

11

39.6 (0.0–70.3)

0.0846

Random effect

z = 0.70065, P = 0.4835

Myometrial invasion< 50%

6.85 (5.04–8.89)

11

65.5 (34.5–81.8)

0.0013

Random effect

z = 0.93704, P = 0.3487

Lymph node status absent

9.46 (7.77–11.28)

7

0.0 (0.0–45.4)

0.7823

Fixed effect

z = −0.75094, P = 0.4527

Lymph node status present

4.97 (0.55–12.07)

7

66.0 (23.9–84.8)

0.0072

Random effect

z = − 0.30722, P = 0.7587

Risk stratification-low

5.87 (3.81–8.30)

5

0.0 (0.0–0.0)

0.9660

Fixed effect

z = 0, P = 1

Risk stratification-intermediate

7.18 (1.07–16.78)

5

69.4 (21.5–88.0)

0.0110

Random effect

z = 0, P = 1

Risk stratification-high

8.87 (6.07–12.09)

7

52.1 (0.0–79.6)

0.0512

Random effect

z = −0.15019, P = 0.8806

With adjuvant therapy

9.00 (6.78–11.46)

15

60.5 (30.6–77.6)

0.0012

Random effect

z = 0.14846, P = 0.8820

Without adjuvant therapy

6.27 (4.11–8.75)

14

47.0 (1.4–71.5)

0.0266

Random effect

z = 0.4927, P = 0.6222

  1. Abbreviations: EC Endometrial Carcinoma, POLE Polymerase É›, POLEmut POLE-Mutated/Ultramutated, EEC Endometrioid Endometrial Carcinoma, NEEC Nonendometrioid Endometrial Carcinoma, FIGO Federation International of Gynecology and Obstetrics, LVSI Lymphovascular Space Invasion, CI Confidence Interval