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. 2024 Jul 20;16(14):2597. doi: 10.3390/cancers16142597

Table 5.

Asymmetry and heterogeneity tests for publication bias: subgroups of chemotoxicity.

Study
Sub-Variables
Studies n;
Total Sample n
Pooled Prevalence by Rank
(%: 95% CI) a
Asymmetry Tests Heterogeneity Tests
between Studies
Begg’s Test Egger’s Test
Kendall’s T p b SE p c Qdf Between I2 (%)Between p bBetween
Pooled Prevalence of Moderate-to-Severe Chemotoxicity
Non-Hematological Toxicity 16; n = 6602 39.2 (33.7 to 44.7) 0.34 0.600 40.9 0.943 121.6915 88.56 0.033
Hematological Toxicity 19; n = 6882 25.3 (19.4 to 31.5) 0.29 0.491 20.5 0.423 132.6518 93.79 0.049
Pooled Prevalence of Moderate-to-Severe Chemotoxicity Subgroups
Abdominal pain 3; n = 1655 24.3 (2.01 to 60.1) 0.33 0.412 60.3 0.143 56.12 99.61 <0.001
GI Toxicity 20; n = 9489 22.9 (16.4 to 30.1) 0.23 0.598 20.40. 0.892 132.5219 98.59 <0.001
Neuropathy 9; n = 5382 17.9 (4.9 to 36.5) 0.4/2 0.394 30.2 0.352 122.598 95.89 0.049
Neutropenia 14; n = 8227 17.9 (11.1 to 25.9) 0.51 0.341 50.3 0.422 144.6513 98.51 <0.001
Nausea/Vomiting 10; n = 5089 17.8 (8.5 to 29.6) 0.41 0.535 50.6 0.314 69.59 98.66 <0.001
Diarrhea 18; n = 7209 14.1 (11.1 to 17.4) 0.31 0.591 40.4 0.289 144.0117 98.11 <0.001
Leukocytosis 2; n = 2287 12.9 (0.4 to 38.2) 0.32 0.542 30.4 0.132 243.311 99.51 0.035
Fatigue 7; n = 2772 12.6 (4.6 to 23.7) 0.38 0.224 40.5 0.499 132.566 99.92 <0.001
Anemia 7; n = 2547 10.4 (4.5 to 18.3) 0.56 0.621 30.4 0.289 132.556 89.61 <0.001
Leukopenia 3; n = 4452 10.2 (3.6 to 19.6) 0.41 0.214 50.6 0.512 241.952 89.52 0.021
Mucositis/stomatitis 7; n = 2608 9.5 (2.9 to 18.7) 0.59 0.399 60.2 0.526 87.46 95.41 0.014
Hand-Foot-Syndrome 5; n = 700 9.0 (1.8 to 20.9) 0.16 0.841 60.5 0.431 353.174 97.84 0.019
Anorexia 5; n = 1804 6.4 (3.7 to 9.6) 0.41 0.412 50.4 0.122 101.424 99.41 <0.001
Coagulation disorders 2; n = 2757 4.9 (4.1 to 5.8) 0.33 0.312 50.5 0.082 99.491 89.59 <0.001
Constipation 2; n = 341 3.4 (1.8 to 5.6) 0.14 0.623 50.6 0.412 93.041 84.23 0.048
Pooled Prevalence of Mild Chemotoxicity
Overall Chemotoxicity 6; n = 1309 61.7 (48.0 to 74.6) 0.54 0.841 20.3 0.347 122.685 95.92 <0.001
Non-Hematological Toxicity 3; n = 473 50.1(21.1 to 78.9) 0.55 0.792 30.1 0.572 134.882 92.51 0.002
Hematological Toxicity 4; n = 913 22.1 (6.6 to 43.5) 0.41 0.852 20.9 0.123 156.413 85.91 0.024
Pooled Prevalence of Mild Chemotoxity Subgroups
Diarrhea 4; n = 956 58.9 (28.8 to 85.6) 0.41 0.312 20.4 0.312 111.313 78.41 0.048
Hand-Foot-Syndrome 2; n = 202 51.7 (0.4 to 98.8) 0.52 0.411 40.1 0.522 198.561 88.51 0.009
Anemia 3; n = 763 36.5 (1.5 to 84.9) 0.33 0.012 20.3 0.731 153.662 94.55 0.014
Mucositis/stomatitis 3; n = 884 28.6 (7.2 to 57.0) 0.28 0.102 40.9 0.341 142.652 93.41 <0.001
Neutropenia 3; n = 884 25.7 (6.2 to 52.3) 0.62 0.531 50.3 0.512 166.242 99.79 <0.001
Nausea/Vomiting 3; n = 1572 18.3 (0.6 to 52.3) 0.38 0.512 20.5 0.823 143.662 95.12 <0.001
Fatigue 2; n = 492 17.1 (0.5 to 63.7) 0.12 0.312 20.4 0.623 98.421 98.55 0.032
Coagulation disorders 2; n = 1422 4.3 (0.7 to 10.7) 0.52 0.432 20.3 0.412 102.031 85.66 0.045

Note: CIs: confidence intervals; GI: gastrointestinal; df = degree of freedom; and SE: standard error. a Weighted effect size and standard error were applied, resulting in pooled estimates and 95% confidence intervals (CIs). b p < 0.05 considered significant publication bias. c p-value of <0.05 was considered statistically significant.