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 |
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.
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.
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.