Forest plots for comparisons of Δhepcidin. All three enrolled studies reported data of Δhepcidin. Meta-analysis yielded a significant heterogeneity (SMD =−3.31, 95% CI: −5.82 to −0.81, I2=98%, P=0.009, A). Sensitivity analysis was conducted by excluding each study one by one to find out the origin of heterogeneity. After excluding Besarab et al.’s (B) and Chen et al.’s (C) studies, I2was still higher than 50%. Finally, heterogeneity disappeared after excluding Akizawa et al.’s study, and hepcidin decreased after the treatment of roxadustat (SMD =−4.46, 95% CI: −5.02 to −3.89, I2=0%, P<0.00001, D). SMD, standard mean difference.