Table 2. Pooled risk estimates of HT for PTC risk (HT versus non-HT) according to the strata of selected covariates.
No. of studies | OR (95% CI) | P for heterogeneity | |
---|---|---|---|
Overall | 27 | 2.12 (1.78-2.52) | |
Study design | |||
Cohort | 5 | 2.46 (1.07-5.66) | 0.0003 |
Case-control | 22 | 2.03 (1.72-2.41) | < 0.00001 |
Study method | |||
Thyroidectomy | 18 | 2.34 (1.97-2.76) | < 0.00001 |
FNA | 6 | 1.27 (0.77-2.11) | < 0.0001 |
Selective FNA | 3 | 2.37 (0.51-11.11) | 0.002 |
Geographic area | |||
Europe | 11 | 1.56 (1.01-2.40) | < 0.00001 |
Asia | 9 | 2.79 (2.15-3.61) | < 0.00001 |
America | 7 | 1.92 (1.56-2.35) | 0.07 |
Publication year | |||
≥ 2010 | 20 | 2.32 (1.94-2.78) | < 0.00001 |
< 2010 | 7 | 1.65 (1.06-2.55) | < 0.00001 |
No. of PTCs | |||
≥ 100 | 18 | 2.12 (1.75-2.56) | < 0.00001 |
< 100 | 9 | 1.98 (1.16-3.37) | 0.003 |
Tumor subtype | |||
PTC | 24 | 2.06 (1.73-2.47) | < 0.00001 |
TC | 3 | 2.64 (0.66-10.50) | 0.002 |
Quality score | |||
≥ 7 | 2 | 4.79 (0.49-46.92) | 0.11 |
< 7 | 22 | 2.06 (1.73-2.44) | < 0.00001 |
Adjusted for multivariate | |||
Yes | 6 | 2.33 (1.32-4.14) | < 0.00001 |
No | 21 | 1.88 (1.51-2.34) | < 0.00001 |
Mean age (year) | |||
≥ 48 | 15 | 1.98 (1.54-2.53) | < 0.00001 |
< 48 | 7 | 1.94 (1.41-2.67) | 0.004 |
Sex ratio (female:male) | |||
≥ 5 | 10 | 2.17 (1.41-3.35) | < 0.00001 |
< 5 | 12 | 1.99 (1.61-2.45) | < 0.00001 |
Mean nodule size (cm) | |||
≥ 1.3 | 5 | 2.09 (1.64-2.66) | 0.005 |
< 1.3 | 4 | 3.38 (2.56-4.46) | 0.16 |
No., number; OR, odds ratio; CI, confidence interval; FNA, fine-needle aspiration; PTC, papillary thyroid carcinoma; TC, thyroid cancer.