Table 2. Subgroups examined in the sensitivity analyses.
Group | Rationale for Evaluation | Studies, n | I2, % | Overall HR (95% CI) |
---|---|---|---|---|
DCGL reported as an outcome | To investigate the effect of TG on loss of graft, where patients who died were excluded from the graft survival analysis | 12 [34, 36–41, 43, 46, 48, 49, 51] | 70.0 | 3.30 (2.43–4.50) |
DCGF reported (graft loss and other laboratory indicators of graft failure) | To investigate the effect of TG on graft loss/functional deterioration | 5 [26, 42, 45, 47, 52] | 80.5 | 3.31 (1.55–7.11) |
Graft loss and patient death as outcomes | To investigate the effect of TG in studies that did not censor death | 4 [35, 44, 50, 53] | 11.4 | 2.58 (1.80–3.71) |
Studies that included published HRs and CIs | To investigate the effect of TG in studies that presented HR and CIs, avoiding uncertainties around the estimation of the HR | 13 [26, 34, 36–38, 40, 42–44, 46, 51–53] | 62.7 | 4.11 (2.94–5.73) |
Follow-up reported as commencing at time of biopsy | To investigate the effect of TG in studies that defined follow-up initiation at the time of biopsy | 17 [26, 35, 36, 38–40, 42, 44–53] | 65.5 | 3.24 (2.45–4.28) |
Follow-up reported as commencing at time of biopsy and published HR | To investigate the effect of TG in studies that met the strict criteria where follow-up was reported as commencing at the time of biopsy and HR was published | 10 [26, 36, 38, 40, 42, 44, 46, 51–53] | 50.3 | 4.53 (3.19–6.43) |
For-cause biopsy and time to biopsy data reported | To investigate the effect of TG in studies that were used in the meta-regression analysis | 16 [34–37, 40–42, 44, 45, 47–53] | 61.6 | 2.89 (2.20–3.80) |
For-cause biopsy reported, DC graft outcome and time to biopsy data | To investigate the effect of TG in a subgroup of studies used in the meta-regression analysis that censored death | 12 [34, 36, 37, 40–42, 45, 47–49, 51, 52] | 69.1 | 3.09 (2.18–4.37) |
CI, confidence interval; DC, death-censored; DCGF, death-censored graft failure; DCGL, death-censored graft loss; HR, hazard ratio; TG, transplant glomerulopathy.