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. 2024 Aug 27;22:223. doi: 10.1186/s12957-024-03505-3

Table 3.

Subgroup analysis of the prognostic value of CONUT for OS in patients with HNC

Subgroups No. of studies No. of patients Effects model HR (95%CI) p Heterogeneity
I2(%) Ph
Total 8 1,478 Fixed 1.94(1.55–2.44) < 0.001 26.1 0.221
Country
China 5 1,186 Fixed 2.35(1.80–3.08) < 0.001 0 0.790
Japan 3 292 Fixed 1.16(0.75–1.79) 0.516 0 0.810
Sample size
< 150 5 499 Fixed 1.73(1.26–2.38) 0.001 44.5 0.125
≥ 150 3 979 Fixed 2.20(1.58–3.05) < 0.001 0 0.551
Study design
Prospective 1 78 - 0.93(0.31–2.76) 0.896 - -
Retrospective 7 1,400 Fixed 2.01(1.59–2.54) < 0.001 21.4 0.266
Cancer type
HNC/HNSCC 3 578 Random 1.50(0.68–3.32) 0.320 56.7 0.099
HPC 2 207 Fixed 2.70(1.70–4.29) < 0.001 0 0.924
LC 2 581 Fixed 2.07(1.47–2.93) < 0.001 0 0.791
OSCC 1 112 - 1.38(0.67–2.81) 0.381 - -
TNM stage
I-IV 6 1,263 Fixed 2.02(1.55–2.63) < 0.001 2.7 0.399

Recurrent/

Metastatic/

III-IV

2 215 Random 1.73(0.69–4.32) 0.242 74.9 0.046
Treatment
Surgery 4 787 Fixed 2.03(1.53–2.69) < 0.001 0 0.608
Mixed 2 191 Random 1.76(0.61–5.02) 0.294 64.6 0.093
Radiotherapy 1 398 - 3.72(1.33–10.39) 0.012 - -
ICIs 1 102 - 1.08(0.57–2.07) 0.809 - -
Cut-off value
≥ 4 4 711 Fixed 1.93(1.42–2.63) < 0.001 18.6 0.298
≥ 3 2 215 Random 1.73(0.69–4.32) 0.242 73.9 0.046
≥ 2 2 552 Fixed 2.29(1.37–3.83) 0.002 13.4 0.282
Survival analysis
Univariate 3 903 Fixed 2.09(1.45–3.02) < 0.001 40.2 0.188
Multivariate 5 575 Fixed 1.86(1.39–2.48) < 0.001 32.0 0.208

TNM: tumor (T), node (N), metastasis (M); HNC: head and neck cancer; LC: laryngeal cancer; OSCC: oral squamous cell carcinoma; HPC: hypopharyngeal cancer; HNSCC: head and neck squamous cell carcinoma; ICIs: immune checkpoint inhibitors; OS: overall survival