Table 3.
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