Table 3. Subgroup Analysis of Studies Examining the Association Between Chemotherapy Duration and Overall Survival Among Patients With Stage II and III Colon Cancer.
Variable | Estimates, No.a | Hazard Ratio (95% CI) | 95% Prediction Interval | I2 Statistic, % | P Value of Ratio |
---|---|---|---|---|---|
Treatment Variables | |||||
Chemotherapy regimen | |||||
Included patients treated with combination therapy | 11 | 0.62 (0.45-0.85) | 0.28-1.36 | 64.0 | .53 |
Patients treated with monotherapy only | 12 | 0.55 (0.46-0.66) | 0.31-0.97 | 80.2 | |
Middle period of diagnosis | |||||
2001 Onward | 15 | 0.53 (0.40-0.70) | 0.23-1.20 | 70.7 | .21 |
Before 2001 | 8 | 0.64 (0.56-0.72) | 0.48-0.84 | 55.3 | |
Patient Characteristics | |||||
Age, median, y | |||||
≥65 | 11 | 0.57 (0.49-0.67) | 0.42-0.88 | 29.0 | .15 |
<65 | 8 | 0.69 (0.57-0.83) | 0.48-0.99 | 47.9 | |
% Female | |||||
≥50 | 4 | 0.62 (0.54-0.71) | 0.54-0.71 | 0 | .82 |
<50 | 14 | 0.63 (0.53-0.76) | 0.39-1.02 | 59.1 | |
Tumor Characteristics | |||||
% Colon cancer | |||||
100 | 15 | 0.53 (0.44-0.65) | 0.30-0.95 | 71.3 | .10 |
<100 | 8 | 0.67 (0.55-0.80) | 0.45-0.99 | 58.3 | |
% Stage III | |||||
100 | 10 | 0.68 (0.58-0.79) | 0.49-0.94 | 44.9 | .01 |
<100 | 12 | 0.46 (0.36-0.59) | 0.24-0.89 | 75.2 | |
Study Characteristics | |||||
Countryb | |||||
Asian | 8 | 0.50 (0.36-0.70) | 0.23-1.12 | 87.8 | .27 |
Non-Asian | 15 | 0.62 (0.53-0.72) | 0.42-0.91 | 48.5 | |
Median follow-up, y | |||||
≥5 | 8 | 0.72 (0.61-0.84) | 0.55-0.94 | 27.7 | .14 |
<5 | 7 | 0.58 (0.46-0.73) | 0.36-0.92 | 50.5 | |
ROBINS-I overall risk of biasc | |||||
Moderate | 10 | 0.55 (0.43-0.72) | 0.26-1.15 | 85.5 | .66 |
Serious | 12 | 0.59 (0.49-0.71) | 0.40-0.87 | 42.1 |
Abbreviation: ROBINS-I, Risk of Bias in Nonrandomized Studies of Interventions.
There were a total of 23 estimates from 19 studies. Some estimates do not sum to 23 because some studies did not report the patient characteristic of interest and, as a result, were excluded from the analysis (see Table 1).
Asian countries include Japan, Malaysia, South Korea, and Taiwan. Non-Asian countries include Australia, Canada, France, Germany, Greece, Israel, the Netherlands, and the United States.
Conducted within observational studies only (excluded 1 randomized trial examining disease-free survival).