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. 2024 May 20;331(24):2105–2113. doi: 10.1001/jama.2024.6281

Table 2. Results of Subgroup Analyses of Comparisons by Various Characteristics That Indicate Quality of Comparison in Publications.

Characteristics No. of comparisons Pooled HR random model Heterogeneity Significance P valuea
HR (95% CI) P value Q Q P value
All comparisons 85 0.76 (0.69-0.82) <.001 688.6 <.001 NA
Patient characteristics
Accounts for age 53 0.85 (0.77-0.93) <.001 301.7 <.001 .002
Does not account for age 32 0.66 (0.59-0.75) <.001 204.2 <.001
Accounts for sex 57 0.85 (0.77-0.93) <.001 348.0 <.001 <.001
Does not account for sex 28 0.64 (0.56-0.72) <.001 173.7 <.001
Accounts for race/ethnicity 42 0.89 (0.79-1.00) .056 276.4 <.001 <.001
Does not account for race and ethnicity 43 0.68 (0.61-0.75) <.001 268.0 <.001
Accounts for comorbidities 14 0.81 (0.66-1.00) .05 214.7 <.001 .40
Does not account for comorbidities 71 0.74 (0.68-0.81) <.001 349.9 <.001
Accounts for stage 47 0.87 (0.78-0.97) .01 291.1 <.001 <.001
Does not account for stage 38 0.67 (0.60-0.74) <.001 217.9 <.001
Accounts for histology 34 0.94 (0.82-1.07) .33 246.5 <.001 <.001
Does not account for histology 51 0.68 (0.62-0.75) <.001 286.2 <.001
Accounts for performance status 23 0.80 (0.68-0.94) .01 256.1 <.001 .39
Does not account for performance status 62 0.74 (0.67-0.81) <.001 320.2 <.001
Accounts for line of treatment 43 0.72 (0.64-0.82) <.001 575.0 <.001 .15
Does not account for line of treatment 42 0.81 (0.73-0.90) <.001 112.0 <.001
Accounts for trial eligibility 17 0.85 (0.75-0.97) .01 37.0 .002 .17
Does not account for trial eligibility 52 0.73 (0.66-0.81) <.001 244.1 <.001
Missing data on trial eligibility 16 0.76 (0.63-0.92) .004 266.5 <.001
Routine care group does not include trial refusers 2 0.96 (0.73-1.26) .76 0.1 .74 .004
Routine care group includes trial refusers 14 0.93 (0.83-1.04) .18 19.2 .12
Missing data on the inclusion of trial refusers 69 0.73 (0.66-0.81) <.001 653.9 <.001
Treatment characteristics
Accounts for treatment effect (same treatments) 45 0.69 (0.62-0.77) <.001 291.8 <.001 .01
Does not account for treatment effect (different treatments) 30 0.87 (0.76-0.99) .04 58.3 <.001
Missing data on treatment effect 10 0.88 (0.69-1.11) .28 191.8 <.001
Setting characteristics
Similar time period for comparison groups 59 0.80 (0.72-0.88) <.001 460.1 <.001 .08
Different time period for comparison groups 26 0.69 (0.60-0.78) <.001 149.8 <.001
Compares routine care group to a single trialb 54 0.73 (0.65-0.82) <.001 301.4 <.001 .32
Compares routine care group to multiple trialsb 31 0.79 (0.70-0.90) <.001 322.4 <.001
Other characteristics
Routine care group data source is registries 67 0.75 (0.67-0.82) <.001 632.8 <.001 .42
Routine care group data source is medical records 18 0.80 (0.70-0.91) .001 53.7 <.001
Accounts for the same trial and routine care group sourcesc 29 0.82 (0.74-0.90) <.001 70.8 <.001 .18
Does not account for the same trial and routine care group sourcesc 56 0.74 (0.65-0.83) <.001 617.3 <.001
Trial sample size of ≥200 48 0.75 (0.67-0.84) <.001 613.1 <.001 .73
Trial sample size of <200 37 0.77 (0.69-0.85) <.001 69.1 <.001
a

Shows whether there is a significant difference between items in each subgroup (eg, in the first category, the P value of .002 shows that there is a statistically significant difference in survival estimates for comparisons that did vs did not account for age.

b

Studies that compared routine care patient groups to the same trial only included 1 trial in the trial group, whereas comparing to multiple trials included more than 1 trial in the trial participant group.

c

Studies accounting for the same trial and routine care sources indicated that both groups were from the same source. For example, the Surveillance, Epidemiology, and End Results (SEER) Program covers all the US, so it is not the same location, but if both trial and routine care groups are from the SEER database, then they accounted for similar group sources.