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. 2019 Mar 12;13:857–869. doi: 10.2147/DDDT.S189156

Table 3.

Meta-analysis of the safety of tacrolimus in induction therapy of patients with lupus nephritis

Therapeutic regimen Indicators Number of studies Q test, P-value Model selected OR (95% CI) P-value

TAC + GC vs CYC + GC Gastrointestinal syndrome 4 0.63 Fixed 0.30 (0.12, 0.78) 0.01
Leucopenia 5 0.71 Fixed 0.25 (0.08, 0.74) 0.01
Hypertension 3 0.93 Fixed 1.57 (0.41, 5.91) 0.51
Hyperglycemia 6 0.64 Fixed 1.66 (0.78, 3.54) 0.19
Infection 5 0.23 Fixed 0.77 (0.42, 1.43) 0.41
Upper respiratory infection 2 0.45 Fixed 0.90 (0.90, 4.18) 0.89
Pneumonia 3 0.53 Fixed 0.42 (0.09, 1.93) 0.26
Herpes zoster or varicella 4 0.54 Fixed 1.21 (0.45, 3.21) 0.71
Urinary tract infection 3 0.69 Fixed 0.72 (0.25, 2.05) 0.53
Alopecia 3 0.33 Fixed 0.59 (0.19, 1.83) 0.36
Irregular menstruation 5 0.90 Fixed 0.16 (0.05, 0.45) 0.0006
Blood creatinine increase 5 0.75 Fixed 1.52 (0.50, 4.60) 0.46
Liver function disorder 4 0.98 Fixed 0.52 (0.23, 1.20) 0.13
TAC + GC vs MMF + GC Leucopenia 2 0.51 Fixed 0.52 (0.06, 4.12) 0.53
Hyperglycemia 3 0.88 Fixed 2.25 (0.69, 7.33) 0.18
Infection 2 0.05 Random 0.95 (0.06, 16.03) 0.97
Serious infection 2 0.48 Fixed 0.43 (0.15, 1.18) 0.10
Herpes zoster or varicella 2 0.74 Fixed 0.13 (0.03, 0.53) 0.004
Blood creatinine increase 2 0.33 Fixed 13.54 (1.75, 104.81) 0.01
TAC + MMF + GC vs CYC + GC Gastrointestinal syndrome 2 0.78 Fixed 0.16 (0.08, 0.35) <0.00001
Leucopenia 2 0.20 Fixed 0.16 (0.04, 0.59) 0.006
Hypertension 2 0.48 Fixed 3.15 (1.06, 9.29) 0.04
Hyperglycemia 2 0.61 Fixed 1.46 (0.43, 4.93) 0.54
Upper respiratory infection 2 0.18 Fixed 0.91 (0.51, 1.65) 0.76
Pneumonia 2 0.60 Fixed 2.06 (0.76, 5.61) 0.16
Herpes zoster or varicella 2 0.64 Fixed 1.92 (0.75, 4.91) 0.18
Urinary tract infection 2 0.75 Fixed 0.66 (0.18, 2.38) 0.52
Alopecia 2 0.38 Fixed 0.52 (0.20, 1.33) 0.17
Irregular menstruation 2 0.85 Fixed 0.25 (0.07, 0.93) 0.04

Abbreviations: TAC, tacrolimus; GC, glucocorticoids; MMF, mycophenolate mofetil; CYC, cyclophosphamide.