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. 2015 Oct 20;2015(10):CD010463. doi: 10.1002/14651858.CD010463.pub2

Comparison 6. Outcome analysis by cisplatin or carboplatin combination.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Overall survival by platinum agent 13   Hazard Ratio (Fixed, 95% CI) 0.76 [0.69, 0.85]
1.1 Cisplatin combination vs non‐platinum treatment 8   Hazard Ratio (Fixed, 95% CI) 0.91 [0.77, 1.08]
1.2 Carboplatin combination vs non‐platinum treatment 5   Hazard Ratio (Fixed, 95% CI) 0.67 [0.59, 0.78]
2 1‐Year OS rate by platinum agent 13 1695 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.82, 0.96]
2.1 Cisplatin combination vs non‐platinum therapy 8 829 Risk Ratio (M‐H, Fixed, 95% CI) 0.95 [0.83, 1.08]
2.2 Carboplatin combination vs non‐platinum therapy 5 866 Risk Ratio (M‐H, Fixed, 95% CI) 0.85 [0.76, 0.93]
3 Progression‐free survival by platinum agent 9   Hazard Ratio (Random, 95% CI) 0.76 [0.61, 0.93]
3.1 Cisplatin combination vs non‐platinum therapy 7   Hazard Ratio (Random, 95% CI) 0.83 [0.71, 0.97]
3.2 Carboplatin combination vs non‐platinum therapy 2   Hazard Ratio (Random, 95% CI) 0.66 [0.38, 1.15]
4 Objective response rate by platinum agent 11 1432 Risk Ratio (M‐H, Fixed, 95% CI) 1.57 [1.32, 1.85]
4.1 Cisplatin combination vs non‐platinum therapy 7 673 Risk Ratio (M‐H, Fixed, 95% CI) 1.44 [1.15, 1.80]
4.2 Carboplatin combination vs non‐platinum therapy 4 759 Risk Ratio (M‐H, Fixed, 95% CI) 1.73 [1.34, 2.23]
5 Anemia by platinum agent 11 1437 Risk Ratio (M‐H, Fixed, 95% CI) 2.53 [1.70, 3.76]
5.1 Cisplatin combination vs non‐platinum therapy 8 803 Risk Ratio (M‐H, Fixed, 95% CI) 4.09 [2.22, 7.55]
5.2 Carboplatin combination vs non‐platinum therapy 3 634 Risk Ratio (M‐H, Fixed, 95% CI) 1.54 [0.90, 2.66]
6 Neutropenia by platinum agent 11 1413 Risk Ratio (M‐H, Random, 95% CI) 1.46 [0.76, 2.81]
6.1 Cisplatin combination vs non‐platinum therapy 8 779 Risk Ratio (M‐H, Random, 95% CI) 1.37 [0.50, 3.75]
6.2 Carboplatin combination vs non‐platinum therapy 3 634 Risk Ratio (M‐H, Random, 95% CI) 1.95 [0.62, 6.12]
7 Febrile neutropenia by platinum agent 8 1215 Risk Ratio (M‐H, Random, 95% CI) 1.58 [0.56, 4.50]
7.1 Cisplatin combination vs non‐platinum therapy 6 649 Risk Ratio (M‐H, Random, 95% CI) 1.14 [0.17, 7.67]
7.2 Carboplatin combination vs non‐platinum therapy 2 566 Risk Ratio (M‐H, Random, 95% CI) 2.30 [0.97, 5.46]
8 Thrombocytopenia by platinum agent 9 1260 Risk Ratio (M‐H, Fixed, 95% CI) 3.59 [2.22, 5.82]
8.1 Cisplatin combination vs non‐platinum therapy 6 626 Risk Ratio (M‐H, Fixed, 95% CI) 4.34 [2.12, 8.91]
8.2 Carboplatin combination vs non‐platinum therapy 3 634 Risk Ratio (M‐H, Fixed, 95% CI) 3.02 [1.57, 5.79]
9 Fatigue by platinum agent 7 1150 Risk Ratio (M‐H, Fixed, 95% CI) 1.56 [1.02, 2.38]
9.1 Cisplatin combination vs non‐platinum therapy 5 584 Risk Ratio (M‐H, Fixed, 95% CI) 1.40 [0.75, 2.61]
9.2 Carboplatin combination vs non‐platinum therapy 2 566 Risk Ratio (M‐H, Fixed, 95% CI) 1.71 [0.95, 3.05]
10 Emesis by platinum agent 8 1193 Risk Ratio (M‐H, Fixed, 95% CI) 3.64 [1.82, 7.29]
10.1 Cisplatin combination vs non‐platinum therapy 6 627 Risk Ratio (M‐H, Fixed, 95% CI) 4.80 [2.02, 11.42]
10.2 Carboplatin combination vs non‐platinum therapy 2 566 Risk Ratio (M‐H, Fixed, 95% CI) 1.84 [0.54, 6.31]
11 Peripheral neuropathy by platinum agent 5 776 Risk Ratio (M‐H, Fixed, 95% CI) 7.02 [2.42, 20.41]
11.1 Cisplatin combination vs non‐platinum therapy 3 210 Risk Ratio (M‐H, Fixed, 95% CI) 4.40 [1.06, 18.31]
11.2 Carboplatin combination vs non‐platinum therapy 2 566 Risk Ratio (M‐H, Fixed, 95% CI) 11.01 [2.11, 57.53]