Table 3. Subgroup analyses for evaluating clinicopathologic characteristics of endometriosis-associated ovarian cancer.
|
|
|
|
Heterogeneity |
|
|
---|---|---|---|---|---|---|
Category | No. of studies with references | RR | 95% CI | P | I2 | Model used |
FIGO stage I–II disease | ||||||
Study design | ||||||
Case–control | 2 | 1.983 | 1.683–2.336 | 0.973 | 0 | Fixed effect |
Cohort |
4 |
1.920 |
1.020–3.616 |
<0.001 |
91.975 |
Radom effects |
Adjustment for potential confounding factors | ||||||
Age |
5 |
1.973 |
1.297–3.003 |
<0.001 |
89.656 |
Random effects |
Grade 1 disease | ||||||
Study design | ||||||
Case–control |
14 |
1.354 |
1.169–1.568 |
0.743 |
0 |
Fixed effect |
Quality of study (NOS) | ||||||
⩾7 | 11 | 1.328 | 1.155–1.528 | 0.456 | 0 | Fixed effect |
<7 |
4 |
1.087 |
0.518–2.280 |
0.963 |
0 |
Fixed effect |
Assessment of endometriosis | ||||||
Histology | 3 | 1.801 | 0.898–3.610 | 0.063 | 63.872 | Random effects |
Self-report |
12 |
1.303 |
1.121–1.515 |
0.945 |
0 |
Fixed effect |
Adjustment for potential confounding factors | ||||||
Two factorsa | 13 | 1.330 | 1.147–1.543 | 0.858 | 0 | Fixed effect |
Eight factorsb |
12 |
1.303 |
1.121–1.515 |
0.945 |
0 |
Fixed effect |
Nulliparity | ||||||
Assessment of endometriosis | ||||||
Histology |
3 |
1.648 |
1.212–2.241 |
0.150 |
47.262 |
Fixed effect |
Adjustment for potential confounding factors | ||||||
Age |
3 |
1.319 |
1.237–1.407 |
0.308 |
15.038 |
Fixed effect |
Optimal debulking surgery | ||||||
Study design | ||||||
Case–control | 2 | 1.739 | 0.630–4.799 | <0.001 | 97.838 | Random effects |
Cohort |
3 |
1.147 |
0.973–1.352 |
0.239 |
30.192 |
Fixed effect |
Adjustment for potential confounding factors | ||||||
Age | 4 | 1.376 | 0.827–2.290 | <0.001 | 94.729 | Random effects |
Abbreviations: CI=confidence interval; FIGO= International Federation of Gynecology and Obstetrics; NOS=Newcastle–Ottawa Scale; RR=risk ratio.
Adjusted for age and race.
Age, body mass index, breastfeeding, family history of ovarian cancer, history of tubal ligation, parity, race, and use of oral contraceptive.