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.