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. 2015 Apr 9;26(2):100–110. doi: 10.3802/jgo.2015.26.2.100

Table 3. Subgroup analyses for comparing postoperative urinary and anorectal functions between conventional and nerve sparing radical surgery for cervical cancer.

Category No. of studies SDM or OR 95% CI Heterogeneity Model used
p-value I2
DPC*
 Study design
  RCT 2 -1.907 -2.600 to -1.214 <0.001 93.268 Random effects
  Prospective 4 -2.167 -3.524 to -0.810 <0.001 92.750 Random effects
  Retrospective 6 -0.813 -1.330 to -0.296 <0.001 89.152 Random effects
 Quality of study (NOS)
  ≥8 6 -1.002 -1.495 to -0.508 <0.001 88.011 Random effects
  <8 4 -1.874 -3.331 to -0.418 <0.001 93.695 Random effects
 Surgical approach
  Laparotomy 7 -1.958 -2.914 to -1.003 <0.001 93.118 Random effects
  Laparoscopy 4 -0.978 -1.586 to -0.370 <0.001 87.814 Random effects
 Radicality
  Type III or C 10 -1.622 -2.236 to -1.007 <0.001 91.472 Random effects
 Postvoid residual urine not requiring DPC (mL)
  <50 6 -2.178 -3.243 to -1.113 <0.001 93.632 Random effects
  <100 5 -0.616 -0.805 to -0.428 0.001 77.275 Random effects
 Adjustment for potential confounding factors
  Age, extent of lymphadenectomy, FIGO stage 6 -0.982 -1.510 to -0.454 <0.001 86.496 Random effects
  Age, extent of lymphadenectomy, FIGO stage, no. of resected LNs 2 -1.653 -1.989 to -1.318 0.786 <0.001 Fixed effect
Urinary incontinence
 Study design
  Prospective 3 0.325 0.023 to 4.634 0.041 68.702 Random effects
  Retrospective 5 0.592 0.403 to 0.869 0.103 48.005 Fixed effect
 Quality of study (NOS)
  ≥8 4 0.519 0.242 to 1.117 0.105 51.099 Random effects
  <8 3 0.750 0.121 to 4.639 0.057 65.199 Random effects
 Radicality
  Type III or C 7 0.509 0.230 to 1.128 0.050 52.390 Random effects
 Follow-up for evaluating dysfunctions (mo)
  6 2 0.214 0.018 to 2.507 0.090 65.272 Random effects
  12 6 0.743 0.273 to 2.025 0.072 50.492 Random effects
 Adjustment for potential confounding factors
  Age, adjuvant treatment, FIGO stage 5 0.539 0.361 to 0.803 0.159 39.262 Fixed effect
  Age, adjuvant treatment, extent of lymphadenectomy, FIGO stage 4 0.489 0.288 to 0.830 0.098 52.298 Random effects
Urinary frequency
 Surgical approach, radicality, and adjustment for potential confounding factors
  Laparotomy, and type III or C, and age, adjuvant treatment, extent of lymphadenectomy, FIGO stage 2 0.269 0.914 to 0.568 0.342 <0.001 Fixed effect
Urinary retention
 Follow-up for evaluating dysfunctions (mo)
  6 2 0.143 0.006 to 3.183 0.039 76.601 Random effects
 Quality of study (NOS), and adjustment for potential confounding factors
  ≥8, and age, adjuvant treatment, extent of lymphadenectomy, FIGO stage 2 0.301 0.051 to 1.762 0.173 46.252 Fixed effect
Constipation
 Study design
  Prospective 2 0.648 0.153 to 2.749 0.491 <0.001 Fixed effect
  Retrospective 3 0.353 0.088 to 1.420 0.005 81.351 Random effects
 Quality of study (NOS)
  ≥8 4 0.343 0.102 to 1.159 0.012 72.430 Random effects
 Surgical approach
  Laparotomy 3 0.457 0.106 to 1.965 0.005 81.459 Random effects
 Radicality
  Type III or C 4 0.426 0.140 to 1.292 0.011 73.119 Random effects
 Follow-up for evaluating dysfunctions (mo)
  12 4 0.765 0.426 to 1.371 0.519 <0.001 Fixed effect
 Adjustment for potential confounding factors
  Age, adjuvant treatment, FIGO stage 4 0.343 0.102 to 1.159 0.012 72.430 Random effects
  Age, adjuvant treatment, extent of lymphadenectomy, FIGO stage 3 0.177 0.078 to 0.401 0.509 <0.001 Fixed effect

CI, confidence interval; DPC, duration of postoperative catheterization; FIGO, International Federation of Gynecology and Obstetrics; LN, lymph node; NOS, the Newcastle-Ottawa Scale; RCT, randomized controlled trial.

*SDM, standard difference in mean; OR, odds ratio.