Table 2.
Subgroup analysis on diagnostic accuracy of magnifying endoscopy with narrow-band imaging for the extent of early gastric cancer.
| Study characteristics | Number of studies | n (lesions examined) | Events (lesions examined) | I 2 | P | 95% CI (%) | P value |
|---|---|---|---|---|---|---|---|
| Overall | 10 | 1018 | 930 | 86.1% | <0.01 | 92.44 [86.74-96.75] | |
| Tumor size (mm) | |||||||
| ≤20 | 5 | 526 | 481 | 92.7% | <0.01 | 91.22 [78.40-98.91] | 0.5728 |
| >20 | 1 | 62 | 54 | NA | NA | 87.10 [77.45-94.46] | |
| Depth | |||||||
| T1a | 4 | 305 | 270 | 28.9% | 0.24 | 89.28 [85.38-92.69] | 0.3008 |
| ≥T1b | 4 | 77 | 65 | 35.3% | 0.20 | 88.82 [78.82-96.46] | |
| Location | |||||||
| Upper third | 6 | 129 | 113 | 9.0% | 0.36 | 90.42 [82.96-96.26] | 0.3678 |
| Middle third | 5 | 199 | 173 | 54.3% | 0.07 | 89.94 [81.35-96.38] | |
| Lower third | 5 | 143 | 133 | 0 | 0.86 | 94.99 [89.85-98.67] | |
| Macroscopic type | |||||||
| Elevated | 3 | 226 | 213 | 86.0% | <0.01 | 92.26 [78.05-99.75] | 0.9924 |
| Flat | 3 | 27 | 25 | 40.0% | 0.19 | 96.21 [77.93-100.00] | |
| Depressed | 4 | 228 | 208 | 35.7% | 0.20 | 94.26 [88.37-98.46] | |
| Histological type | |||||||
| Differentiated | 3 | 280 | 252 | 73.1% | 0.02 | 92.78 [84.87-98.10] | 0.6800 |
| Undifferentiated | 6 | 341 | 303 | 79.2% | <0.01 | 91.76 [82.34-98.20] | |
| H. pylori status | |||||||
| Noneradicated | 4 | 385 | 345 | 90.6% | <0.01 | 85.52 [70.27-96.10] | 0.8187 |
| Uninfected | 3 | 61 | 56 | 65.4% | 0.06 | 96.78 [75.30-100.00] | |
| Eradicated | 4 | 204 | 187 | 86.7% | <0.01 | 90.36 [74.04-99.51] | |
| Endoscopists' experience | |||||||
| Less experienced | 1 | 31 | 28 | NA | NA | 90.32 [76.92-98.70] | 0.8521 |
| Experienced | 4 | 631 | 573 | 91.0% | <0.01 | 88.08 [77.38-9.577] |
CI: confidence interval; T1a: mucosal cancer; T1b: submucosal cancer; NA: not available.