Table 3. Subgroup analysis comparing AC versus AR following radical hysterectomy for recurrence.
Characteristics | Number of studies | AC patients (No.) | AR patients (No.) | OR (95% CI) for recurrence | p value | Study heterogeneity | ||
---|---|---|---|---|---|---|---|---|
I2 | p value, Cochran Q | |||||||
Study design | ||||||||
RCT | 2 | 72 | 69 | 1.20 (0.53–2.70) | 0.66 | 0% | 0.35 | |
NRS | 11 | 870 | 1,652 | 0.83 (0.63–1.09) | 0.18 | 27% | 0.06 | |
Histology type | ||||||||
SCC | 3 | 183 | 202 | 0.51 (0.09–3.01) | 0.46 | 83% | 0.02 | |
ADC | 2 | 86 | 92 | 0.42 (0.17–1.06) | 0.07 | 34% | 0.22 | |
All | 8 | 673 | 1,337 | 1.06 (0.85–1.32) | 0.60 | 0% | 0.62 | |
Indications for adjuvant treatment | ||||||||
High-risk | 4 | 510 | 1,045 | 0.93 (0.67–1.30) | 0.69 | 31% | 0.32 | |
Intermediate-risk | 2 | 103 | 110 | 2.13 (0.45–10.01) | 0.34 | 25% | 0.25 | |
High- or intermediate-risk | 5 | 179 | 376 | 0.63 (0.30–1.30) | 0.21 | 52% | 0.06 | |
AR details | ||||||||
CCRT | 4 | 506 | 821 | 1.04 (0.81–1.35) | 0.74 | 0% | 0.37 | |
RT | 7 | 350 | 465 | 0.82 (0.55–1.23) | 0.33 | 19% | 0.10 | |
CCRT or RT | 2 | 86 | 182 | 0.54 (0.29–1.01) | 0.054 | 0% | 0.72 | |
AC details | ||||||||
Platinum combination with taxane only | 2 | 97 | 117 | 1.45 (0.16–12.93). | 0.74 | 70% | 0.07 | |
Platinum combination with non-taxane only | 5 | 280 | 374 | 0.84 (0.46–1.53) | 0.57 | 49% | 0.04 | |
Mixed | 6 | 565 | 1,230 | 0.87 (0.62–1.21) | 0.40 | 24% | 0.41 | |
Status of LNM | ||||||||
LNM | 3 | 473 | 971 | 0.94 (0.64–1.40) | 0.77 | 45% | 0.19 | |
No LNM | 2 | 103 | 110 | 2.13 (0.45–10.01) | 0.34 | 25% | 0.25 | |
Mixed | 6 | 216 | 450 | 0.72 (0.44–1.20) | 0.21 | 27% | 0.10 |
AC, adjuvant chemotherapy; ADC, adenocarcinoma; AR, adjuvant radiotherapy; CCRT, concurrent chemoradiotherapy; CI, confidence interval; LNM, lymph node metastasis; NRS, non-randomized study; OR, odds ratio; RCT, Randomized controlled trial; RT, radiotherapy; SCC, squamous cell carcinoma.