Table 2.
Subgroup analyses for obliteration rate, rehemorrhage rate, and permanent neurological deficits.
| Outcomes | Factors | Groups | No. of studies | OR and 95% CI | P value | I 2 (%) | P Q statistic | P value between subgroups |
|---|---|---|---|---|---|---|---|---|
| Obliteration rate | Study design | Prospective | 2 | 1.18 (0.45-3.08) | 0.731 | 0.0 | 0.946 | 0.188 |
| Retrospective | 16 | 0.54 (0.41-0.71) | < 0.001 | 68.8 | < 0.001 | |||
| Country | Eastern | 6 | 0.57 (0.41-0.79) | 0.001 | 0.0 | 0.446 | 0.538 | |
| Western | 12 | 0.55 (0.39-0.77) | < 0.001 | 75.4 | < 0.001 | |||
| Sample size | ≥ 100 | 8 | 0.58 (0.40-0.84) | 0.004 | 84.3 | < 0.001 | 0.358 | |
| < 100 | 10 | 0.53 (0.37-0.76) | 0.001 | 0.0 | 0.878 | |||
| Mean age (years) | ≥ 30 | 13 | 0.55 (0.39-0.77) | 0.001 | 74.9 | < 0.001 | 0.872 | |
| < 30 | 5 | 0.64 (0.48-0.86) | 0.003 | 0.0 | 0.724 | |||
| Nidus volume (ml) | ≥ 10 | 6 | 0.56 (0.34-0.91) | 0.020 | 0.0 | 0.823 | < 0.001 | |
| < 10 | 10 | 0.48 (0.38-0.61) | < 0.001 | 39.4 | 0.095 | |||
| Margin dose (Gy) | ≥ 20 | 8 | 0.53 (0.39-0.72) | < 0.001 | 56.7 | 0.024 | < 0.001 | |
| < 20 | 8 | 0.58 (0.39-0.87) | 0.009 | 53.8 | 0.034 | |||
| Intervention | Linear accelerator | 4 | 0.47 (0.30-0.73) | 0.001 | 0.0 | 0.789 | < 0.001 | |
| Gamma knife surgery | 9 | 0.49 (0.38-0.64) | < 0.001 | 45.4 | 0.066 | |||
| Not mentioned | 5 | 0.96 (0.79-1.17) | 0.688 | 0.0 | 0.624 | |||
| Follow-up (months) | ≥ 60 | 9 | 0.59 (0.41-0.86) | 0.006 | 80.3 | < 0.001 | 0.036 | |
| < 60 | 9 | 0.48 (0.37-0.63) | < 0.001 | 0.0 | 0.778 | |||
| Study quality | High | 11 | 0.52 (0.38-0.72) | < 0.001 | 77.7 | < 0.001 | 0.492 | |
| Low | 7 | 0.73 (0.46-1.16) | 0.182 | 0.0 | 0.618 | |||
| Rehemorrhage rate | Study design | Prospective | 1 | 0.40 (0.04-3.86) | 0.428 | — | — | 0.395 |
| Retrospective | 9 | 1.05 (0.81-1.37) | 0.708 | 11.1 | 0.343 | |||
| Country | Eastern | 3 | 1.86 (0.30-11.58) | 0.507 | 51.1 | 0.129 | 0.777 | |
| Western | 7 | 1.06 (0.86-1.30) | 0.583 | 0.0 | 0.476 | |||
| Sample size | ≥ 100 | 5 | 1.10 (0.89-1.34) | 0.373 | 0.0 | 0.977 | 0.208 | |
| < 100 | 5 | 0.71 (0.21-2.42) | 0.583 | 47.8 | 0.105 | |||
| Mean age (years) | ≥ 30 | 9 | 1.09 (0.89-1.33) | 0.418 | 0.0 | 0.565 | 0.085 | |
| < 30 | 1 | 0.23 (0.04-1.33) | 0.100 | — | — | |||
| Nidus volume (ml) | ≥ 10 | 2 | 1.87 (0.02-153.75) | 0.780 | 85.2 | 0.009 | 0.881 | |
| < 10 | 6 | 1.03 (0.72-1.49) | 0.864 | 0.0 | 0.854 | |||
| Margin dose (Gy) | ≥ 20 | 3 | 1.13 (0.75-1.70) | 0.569 | 0.0 | 0.882 | 0.833 | |
| < 20 | 5 | 0.85 (0.38-1.92) | 0.701 | 53.9 | 0.070 | |||
| Intervention | Linear accelerator | 1 | 0.37 (0.07-1.99) | 0.247 | — | — | 0.464 | |
| Gamma knife surgery | 5 | 1.09 (0.75-1.58) | 0.665 | 0.0 | 0.976 | |||
| Not mentioned | 4 | 0.93 (0.25-3.37) | 0.909 | 61.1 | 0.052 | |||
| Follow-up (months) | ≥ 60 | 6 | 1.07 (0.68-1.69) | 0.763 | 32.4 | 0.193 | 0.496 | |
| < 60 | 4 | 0.91 (0.56-1.48) | 0.712 | 0.0 | 0.604 | |||
| Study quality | High | 5 | 1.08 (0.88-1.32) | 0.451 | 0.0 | 0.731 | 0.474 | |
| Low | 5 | 0.87 (0.23-3.27) | 0.841 | 44.3 | 0.127 | |||
| Permanent neurological deficits | Study design | Prospective | 0 | — | — | — | — | — |
| Retrospective | 7 | 0.80 (0.48-1.33) | 0.385 | 18.8 | 0.286 | |||
| Country | Eastern | 2 | 0.69 (0.13-3.67) | 0.663 | 0.0 | 0.981 | 0.898 | |
| Western | 5 | 0.84 (0.44-1.59) | 0.585 | 45.8 | 0.117 | |||
| Sample size | ≥ 100 | 5 | 0.89 (0.42-1.86) | 0.751 | 41.2 | 0.146 | 0.650 | |
| < 100 | 2 | 0.64 (0.27-1.55) | 0.325 | 0.0 | 0.537 | |||
| Mean age (years) | ≥ 30 | 6 | 0.81 (0.46-1.44) | 0.480 | 32.3 | 0.194 | 0.926 | |
| < 30 | 1 | 0.67 (0.04-11.73) | 0.784 | — | — | |||
| Nidus volume (ml) | ≥ 10 | 1 | 0.54 (0.19-1.53) | 0.245 | — | — | 0.562 | |
| < 10 | 5 | 0.83 (0.38-1.80) | 0.631 | 35.9 | 0.182 | |||
| Margin dose (Gy) | ≥ 20 | 4 | 0.81 (0.30-2.17) | 0.674 | 50.9 | 0.106 | 0.774 | |
| < 20 | 3 | 0.83 (0.42-1.65) | 0.591 | 0.0 | 0.550 | |||
| Intervention | Linear accelerator | 1 | 1.00 (0.19-5.25) | 1.000 | — | — | 0.595 | |
| Gamma knife surgery | 5 | 0.72 (0.36-1.45) | 0.358 | 37.0 | 0.174 | |||
| Not mentioned | 1 | 1.23 (0.41-3.69) | 0.712 | — | — | |||
| Follow-up (months) | ≥ 60 | 4 | 1.40 (0.71-2.79) | 0.330 | 0.0 | 0.732 | 0.023 | |
| < 60 | 3 | 0.50 (0.28-0.89) | 0.018 | 0.0 | 0.622 | |||
| Study quality | High | 6 | 0.82 (0.46-1.46) | 0.498 | 32.3 | 0.194 | 0.929 | |
| Low | 1 | 0.70 (0.09-5.50) | 0.735 | — | — |