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. 2019 May 17;2(5):e194154. doi: 10.1001/jamanetworkopen.2019.4154

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.

a

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).

b

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.

c

Conducted within observational studies only (excluded 1 randomized trial examining disease-free survival).