Table 1. Clinical characteristics of cohorts in the studies included in our meta-analysis.
Study | Country | Dates of diagnosed | Median age | Study type | Sample | Histology | PD-L1 cut-point | Grade | Stage | No. of patients | PD-L1 positive | PD-L1 negative | Follow-up duration | Overall survival rate | Progression-free survival rate | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
HR | 95% CI | P-value | Standard error | HR | 95% CI | P-value | Standard error | ||||||||||||||
Hamanishi et al., 2007 [5] | Japan | 1993–2001 | 55 (26–78) | Retrospective study | Tissue | Serous, clear cell, endometrioid, mucinous, and other types | IHC score's median level | I–IV | 70 | 48 | 22 | 5.19 yr | 4.26 | 1.39–12.94 | 0.011 | 0.248 | 2.57 | 1.11–5.93 | 0.027 | 0.186 | |
Darb-Esfahani et al., 2016 [14] | Germany | Retrospective study | Tissue | HGSOC | Any expression | I–IV | 202 | 153 | 49 | 0.41 | 0.23–0.71 | 0.002 | 0.128 | ||||||||
Chatterjee et al., 2017 [16] | Malaysia | 2007–2012 | Retrospective study | Blood, Ascites Tissue | EOC | IHC score's median level | I | 71 | 28 | 43 | 20 mon | 1.28 | 1.09–1.51 | 0.003 | 0.0355 | 1.25 | 1.09–1.43 | 0.001 | 0.0306 | ||
Borderline | |||||||||||||||||||||
Webb et al., 2016 [10] | Canada | 1984–2000 | Retrospective study | Tissue | HGSOC | >1 positive cells | 2,3 | I–III | 195 | 112 | 83 | 16 yr | 0.4864 | 0.3206–0.7378 | 0.0007 | 0.0924 | |||||
Endometrioid, clear cell, mucinous | |||||||||||||||||||||
Wang et al., 2017 [11] | China | 2007–2012 | 57 (29–87) | Retrospective study | Tissue | HGSOC | >5% of positive cells | I–IV | 107 | 26 | 81 | 49.5 mon | 1.299 | 0.764–2.211 | <0.001 | 0.1178 | |||||
Zhu et al., 2017 [9] | China | 1999–2014 | Retrospective study | Tissue | OCCC | 10% threshold of cell surface expression | I–IV | 122 | 54 | 68 | 33.1 mon | 3.032 | 1.285–7.153 | 0.011 | 0.1903 | 1.970 | 1.039–3.737 | 0.038 | 0.1413 | ||
Li et al.,a 2017 [8] | China | 2008–2015 | 57 | Retrospective study | Tissue | HGSOC | >10% of tumor cells | I–IV | 113 | 99 | 13 | 5 yr | 0.520 | 0.182–1.487 | 0.222 | 0.2327 | |||||
Li et al.,b 2017 [8] | China | 2008–2015 | 57 | Retrospective study | Tissue | OCCC | >10% of tumor cells | I–IV | 95 | 75 | 20 | 5 yr | 1.157 | 0.387–3.456 | 0.794 | 0.2424 | |||||
Mesnage et al., 2017 [15] | France | 60 (17–82) | Retrospective study | Immune cell | EOC | Stain >5% cells | II–IV | 50 | 35 | 15 | 52 mon | 0.78 | 0.34–1.82 | 0.560 | 0.1842 | ||||||
Kim et al., 2018 [13] | Korea | 2006–2017 | Retrospective study | Tissue | HGSOC | >25% of positive cells | IIIB–IVB | 113 | 101 | 12 | 30 mon | 1.19 | 0.50–2.83 | 0.482 | 0.1924 | 1.38 | 0.70–2.69 | 0.906 | 0.1504 | ||
Mills et al., 2018 [6] | USA | 2010–2015 | 59.7 | Retrospective study | Tissue | HGSOC | >10% of positive cells | I–IV | 93 | 27 | 66 | 2.9±1.5 yr | 0.61 | 0.26–1.41 | 0.001 | 0.1888 | |||||
Tai et al.,a 2018 [17] | China | 2000–2015 | 41 (22–62) | Retrospective study | Tissue | Krukenburg (metastasize from gastric cancer) | presence of staining | NA | 35 | 9 | 26 | 17 mon | 3.201 | 1.273–8.050 | 0.013 | 0.2041 | |||||
Tai et al.,b 2018 [17] | China | 2000–2015 | 41 (22–62) | Retrospective study | Tissue | Krukenburg (metastasize from colorectal cancer) | presence of staining | NA | 30 | 20 | 10 | 17 mon | 5.129 | 1.567–16.791 | 0.007 | 0.2628 |
Li et al.a provided data regarding PD-L1 expression on HGSOC; Li et al.b provided data regarding PD-L1 expression on OCCC. Tai et al.a provided data regarding PD-L1 expression and krukenburg metastasized from gastric cancer. Tai et al.b provided data regarding PD-L1 expression and krukenburg metastasized from colorectal cancer.
PD-L1, programmed cell death ligand-1; HR, hazard ratio; 95% CI, 95% confidence interval; IHC, immunohistochemistry; HGSOC, high-grade serous ovarian cancer; EOC, epithelial ovarian cancer; OCCC, ovarian clear cell carcinoma; NA, not applicable.