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. 2014 Apr 1;11(4):e1001624. doi: 10.1371/journal.pmed.1001624

Table 4. Subgroup analyses for association between HCC surveillance and early detection, curative treatment rates, and survival.

Variable Subgroup Odds Ratio
Early detection
Study design Prospective [37],[42],[45],[55],[57] OR 1.70 (95% CI 1.29–2.26)
Retrospective [17],[18],[29],[32][35],[38],[41],[43],[44],[47],[49],[52],[53],[61],[63] OR 2.30 (95% CI 1.98–2.67)
Location of study Asia [17],[34],[38],[49] OR 2.22 (95% CI 1.75–2.81)
Europe [37],[42],[55],[57],[63] OR 2.00 (95% CI 1.70–2.35)
United States [32],[33],[35],[41],[43][45],[47],[52],[53],[61] OR 2.31 (95% CI 1.79–2.99)
Study period During 1990s [17],[29],[49],[53],[55] OR 2.22 (95% CI 1.77–2.79)
After 2000 [18],[32][35],[37],[38],[41][43],[45],[47],[52],[57],[61],[63] OR 2.18 (95% CI 1.86–2.56)
Type of surveillance test Ultrasound alone [18],[32],[38],[47],[61] OR 2.04 (95% CI 1.55–2.68)
Ultrasound ± AFP [17],[29],[34],[35],[37],[42][45],[49],[52],[53],[55],[63] OR 2.16 (95% CI 1.80–2.60)
Study size More than 100 patients [17],[18],[29],[32][34],[37],[38],[41],[42],[47],[48],[50],[52],[55],[57],[61] OR 2.13 (95% CI 1.88–2.39)
Receipt of curative treatment
Study design Prospective [21],[22],[31],[37],[40] OR 2.37 (95% CI 1.51–3.72)
Retrospective [17],[19],[20],[26],[28][30],[32][36],[38],[43],[44],[46],[47],[49][51],[53][55],[58][63] OR 2.18 (95% CI 1.94–2.45)
Location of study Asia [17],[22],[31],[34],[38],[49][51],[54],[58],[62] OR 2.19 (95% CI 1.84–2.61)
Europe [19],[21],[26],[28],[30],[36],[37],[40],[55],[63] OR 1.87 (95% CI 1.51–2.31)
United States [32],[33],[35],[43],[44],[46],[47],[53],[59],[61] OR 2.52 (95% CI 1.99–3.20)
Study period Prior to 1990 [26],[44],[50],[54] OR 2.12 (95% CI 1.25–3.61)
During 1990s [17],[19],[20],[22],[28][31],[36],[40],[49],[51],[53],[55],[59],[60],[62] OR 2.23 (95% CI 1.87–2.67)
After 2000 [21],[32],[34],[35],[37],[38],[43][47],[58],[61],[63] OR 2.13 (95% CI 1.85–2.44)
Type of surveillance test Ultrasound alone [20],[28],[32],[38],[46],[47],[61],[62] OR 2.23 (95% CI 1.83–2.71)
Ultrasound ± AFP [17],[19],[22],[26],[29][31],[34][37],[40],[43],[44],[49][51],[53][55],[58][60],[63] OR 2.19 (95% CI 1.89–2.53)
Study size More than 100 patients [17],[19][22],[29],[31][34],[36][38],[40],[47],[49][51],[54],[55],[58],[61],[62] OR 2.18 (95% CI 1.91–2.48)
3-year survival
Location of study Asia [17],[22],[34],[38],[39],[49],[51],[54],[58],[62] 57.4% for surveillance vs. 31.7% for non-surveillance
Europe [19],[40],[55] 47.3% for surveillance vs. 21.8% for non-surveillance
United States [25],[27],[35],[43],[44],[47],[52],[53],[59],[61] 36.5% for surveillance vs. 18.2% for non-surveillance
Study period Prior to 1990 [39],[44],[54] 51.1% for surveillance vs. 25.4% for non-surveillance
During 1990s [17],[19],[22],[40],[49],[51],[53],[55],[59] 57.6% for surveillance vs. 32.2% for non-surveillance
After 2000 [25],[27],[34],[35],[38],[43],[47],[52],[58],[61] 42.8% for surveillance vs. 24.1% for non-surveillance
Liver function Child C cirrhosis ≥10% cohort [19],[25],[40],[44],[47],[54],[61] 57.0% for surveillance vs. 29.2% for non-surveillance
Child C cirrhosis <10% cohort [22],[34],[49],[51],[52],[53],[55],[58] 49.8% for surveillance vs. 22.0% for non-surveillance
Overall study quality Low quality [17],[19],[22],[25],[35],[38],[39],[43],[47],[52],[54],[59],[61] 54.7% for surveillance vs. 26.9% for non-surveillance
High quality [27],[34],[40],[44],[49],[51],[53],[55],[58],[62] 45.6% for surveillance vs. 28.8% for non-surveillance
Lead time bias assessment Did not adjust for lead time bias [17],[19],[22],[25],[34],[35],[38][40],[43],[44],[47],[51],[52],[54],[59],[61] 55.5% for surveillance vs. 27.4% for non-surveillance
Adjusted for lead time bias [27],[49],[53],[55],[58],[62] 39.7% for surveillance vs. 29.1% for non-surveillance
Study size More than 100 patients [17],[19],[22],[25],[27],[34],[38][40],[47],[49],[51],[52],[54],[55],[58],[61],[62] 50.7% for surveillance vs. 39.0% for non-surveillance