Table 4A. Sensitivity analysis by excluding the poor trials |
Objective response rate |
63 |
FEM |
1.82 [1.62, 2.04] |
0% |
Poor* Zou et al. (2006), Feng et al. (2008), Zhao et al. (2008), Lv et al. (2009), Song et al. (2009), Zhang. (2009), Hou and Zhang. (2010), Li et al. (2010), Shi et al. (2010), Ding et al. (2011), He et al. (2011), Lu et al. (2011), Fu. (2012), Sun et al. (2012), Xu et al. (2012), Ju et al. (2013), Lai. (2013), Xu et al. (2013), Li et al. (2014), Li and Yang. (2014), Zhao et al. (2015), Zhang. (2016b), Fang. (2016), Li. (2016), Li et al. (2016), Huang et al. (2017), Ma. (2017), Su. (2017), Zhang et al. (2017), Liu et al. (2019), Zhao and Li. (2019), Xu. (2020), Xu and Li. (2020)
|
30 |
FEM |
1.80 [1.53, 2.13] |
0% |
Disease control rate |
61 |
FEM |
2.29 [1.97, 2.67] |
0% |
Poor* Zou et al. (2006), Feng et al. (2008), Lv et al. (2009), Song et al. (2009), Zhang. (2009), Hou and Zhang. (2010), Li et al. (2010), Shi et al. (2010), He et al. (2011), Lu et al. (2011), Fu. (2012), Sun et al. (2012), Xu et al. (2012), Ju et al. (2013), Lai. (2013), Xu et al. (2013), Li et al. (2014), Li and Yang. (2014), Zhang. (2016a), Zhang. (2016b), Fang. (2016), Li. (2016), Li et al. (2016), Huang et al. (2017), Ma. (2017), Su. (2017), Zhang. (2018), Liu et al. (2019), Zhao and Li. (2019), Xu. (2020), Xu and Li. (2020)
|
30 |
FEM |
2.20 [1.78, 2.71] |
0% |
Quality of life |
31 |
FEM |
3.03 [2.55, 3.60] |
0% |
Poor*Zou et al. (2006), Feng et al. (2008), Zhao et al. (2008), Lv et al. (2009), Song et al. (2009), Zhang. (2009), Hou and Zhang. (2010), Li et al. (2010), Shi et al. (2010), He et al. (2011), Sun et al. (2012), Ju et al. (2013), Lai. (2013), Xu et al. (2013), Liu and Zhang. (2014), Zhang. (2016a), Zhang. (2016b), Li. (2016)
|
13 |
FEM |
3.27 [2.54, 4.21] |
0% |
Myelosuppression |
17 |
FEM |
0.36 [0.28, 0.47] |
31% |
Poor* Zou et al. (2006), Lv et al. (2009), Song et al. (2009), Li et al. (2010), Shi et al. (2010), He et al. (2011), Xu et al. (2012), Cai et al. (2013), Ju et al. (2013), Lai. (2013), Li et al. (2014), Su. (2017)
|
5 |
REM |
0.37 [0.16, 0.85] |
69% |
Neutropenia |
40 |
FEM |
0.0.41 [0.35, 0.49] |
0% |
Poor* Feng et al. (2008), Zhang. (2009), Hou and Zhang. (2010), Lu et al. (2011), Fu. (2012), Sun et al. (2012), Xu et al. (2012), Xu et al. (2013), Li and Yang. (2014), Zhang. (2016a), Fang. (2016), Li. (2016), Li et al. (2016), Huang et al. (2017), Ma. (2017), Su. (2017), Zhang et al. (2017), Zhang. (2018), Xu. (2020)
|
21 |
FEM |
0.44 [0.35, 0.54] |
0% |
Thrombocytopenia |
28 |
FEM |
0.48 [0.39, 0.59] |
0% |
Poor* Feng et al. (2008), Zhang. (2009), Hou and Zhang. (2010), Xu et al. (2012), Xu et al. (2013), Li and Yang. (2014), Fang. (2016), Li et al. (2016), Huang et al. (2017), Su. (2017), Xu. (2020)
|
17 |
FEM |
0.52 [0.40, 0.67] |
4% |
Anemia |
11 |
FEM |
0.59 [0.43, 0.80] |
5% |
Poor* Li and Yang. (2014), Li. (2016), Ma. (2017), Zhang. (2018)
|
7 |
FEM |
0.71 [0.48, 1.04] |
0% |
Gastrointestinal toxicity |
49 |
FEM |
0.45 [0.39, 0.51] |
0% |
Poor* Zou et al. (2006), Feng et al. (2008), Lv et al. (2009), Song et al. (2009), Zhang. (2009), Hou and Zhang. (2010), Li et al. (2010), Liu et al. (2010), Shi et al. (2010), He et al. (2011), Lu et al. (2011), Sun et al. (2012), Xu et al. (2012), Cai et al. (2013), Ju et al. (2013), Lai. (2013), Xu et al. (2013), Li et al. (2014), Zhang. (2016a), Fang. (2016), Li. (2016), Li et al. (2016), Su. (2017), Zhang et al. (2017), Zhang. (2018)
|
24 |
FEM |
0.44 [0.36, 0.53] |
0% |
Liver toxicity |
29 |
FEM |
0.58 [0.47, 0.72] |
0% |
Poor* Hou and Zhang. (2010), Sun et al. (2012), Li et al. (2014), Zhang. (2016a), Huang et al. (2017), Ma. (2017), Zhang et al. (2017)
|
22 |
FEM |
0.57 [0.46, 0.72] |
0% |
Renal toxicity |
24 |
FEM |
0.62 [0.48, 0.79] |
0% |
Poor* Sun et al. (2012), Li et al. (2014), Huang et al. (2017), Ma. (2017)
|
20 |
FEM |
0.60 [0.46, 0.79] |
0% |
Alopecia |
3 |
REM |
0.27 [0.05, 1.37] |
70% |
Poor* Song et al. (2009)
|
2 |
FEM |
0.12 [0.04, 0.34] |
0% |
Neurotoxicity |
5 |
FEM |
0.63 [0.35, 1.12] |
0% |
Poor* Song et al. (2009)
|
4 |
FEM |
0.58 [0.31, 1.09] |
No |
Table 4B. Sensitivity analysis by excluding the over- or under-estimated trials |
Objective response rate |
63 |
FEM |
1.82 [1.62, 2.04] |
0% |
Over* Zou et al. (2006), Yang et al. (2008), Lv et al. (2009), Hong et al. (2010), Wen. (2014), Ning et al. (2015), Zhu. (2015), Zhang. (2016b), Li et al. (2016), Su. (2017), Wu and Chen. (2017), Zhang et al. (2017), Su and Zhang. (2019), Zhao and Li. (2019), Chen. (. (2020), Geng et al. (2020), Xu. (2020)
|
46 |
FEM |
1.47 [1.28, 1.69] |
0% |
Disease control rate |
61 |
FEM |
2.29 [1.97, 2.67] |
0% |
Over* Hong et al. (2010), Pei. (2012), Wang and Peng. (2012), Wen. (2014), Zhao et al. (2015), Zhang. (2016b), Fang. (2016), Li et al. (2016), Huang et al. (2017), Ma. (2017), Su. (2017), Zhou. (2018), Liu et al. (2019), Chen. (2020), Geng et al. (2020), Tan et al. (2020), Xu. (2020), Xu and Li. (2020)
|
43 |
FEM |
1.78 [1.47, 2.16] |
0% |
Quality of life |
31 |
FEM |
3.03 [2.55, 3.60] |
0% |
Over* Zou et al. (2006), Feng et al. (2008), Yang et al. (2008), Zhao et al. (2008), Lv et al. (2009), Song et al. (2009), Wen et al. (2009), Hong et al. (2010), Hou and Zhang. (2010), Li et al. (2010), Shi et al. (2010), Fan et al. (2011), He et al. (2011), Jiang et al. (2011), Wang and Peng. (2012), Ju et al. (2013), Wu et al. (2017b), Su and Zhang. (2019)
|
13 |
FEM |
2.07 [1.56, 2.73] |
0% |
Myelosuppression |
17 |
FEM |
0.36 [0.28, 0.47] |
31% |
Under*Lv et al. (2009), Li et al. (2010), Liu et al. (2010), Shi et al. (2010), He et al. (2011), Xu et al. (2012), Ju et al. (2013), Zhou. (2018), Su and Zhang. (2019)
|
8 |
FEM |
0.61 [0.43, 0.86] |
0% |
Neutropenia |
40 |
FEM |
0.0.41 [0.35, 0.49] |
0% |
Under* Wen et al. (2009), Zhang. (2009), Hong et al. (2010), Hou and Zhang. (2010), Lu et al. (2011), Fu. (2012), Sun et al. (2012), Xu et al. (2012), Cheng et al. (2014), Liu and Zhao. (2014), Li. (2015), Zhang. (2015), Zhu. (2015), Fang. (2016), Li. (2016), Wu and Chen. (2017), Zhang. (2018), Chen. (2020), Guo. (2020)
|
21 |
FEM |
0.56 [0.44, 0.71] |
0% |
Thrombocytopenia |
28 |
FEM |
0.48 [0.39, 0.59] |
0% |
Under* Hong et al. (2010), Wang and Peng. (2012), Xu et al. (2012), Zhu. (2015), Guo. (2020), Tan et al. (. (2020)
|
22 |
FEM |
0.57 [0.45, 0.74] |
0% |
Anemia |
11 |
FEM |
0.59 [0.43, 0.80] |
5% |
Under* Li. (2016), Wu and Chen. (2017)
|
9 |
FEM |
0.68 [0.48, 0.96] |
0% |
Gastrointestinal toxicity |
49 |
FEM |
0.45 [0.39, 0.51] |
0% |
Under* Lv et al. (2009), Wen et al. (2009), Zhang. (2009), Hong et al. (2010), Hou and Zhang. (2010), Shi et al. (2010), Lu et al. (2011), Xu et al. (2012), Wen. (2014), Zhu. (. (2015), Fang. (2016), Li. (2016), Li et al. (2016), Ma and Jiang. (2016), Wu et al. (2017b), Wu and Chen. (2017), Zhang et al. (2017), Zhang. (2018), Su and Zhang. (. (2019), Guo. (2020)
|
29 |
FEM |
0.61 [0.51, 0.75] |
0% |
Liver toxicity |
29 |
FEM |
0.58 [0.47, 0.72] |
0% |
Under* Wu et al. (2017b), Wu and Chen. (2017), Su and Zhang. (2019)
|
26 |
FEM |
0.68 [0.54, 0.86] |
0% |
Renal toxicity |
24 |
FEM |
0.62 [0.48, 0.79] |
0% |
Under* Wu et al. (2017b)
|
23 |
FEM |
0.67 [0.51, 0.87] |
0% |
Alopecia |
3 |
REM |
0.27 [0.05, 1.37] |
70% |
Under* Wang. (2009), Liu et al. (2010)
|
1 |
No |
1.38 [0.28, 6.80] |
No |
PBL |
Trials |
SM |
SMD (95% CI) |
I2
|
Excluded trials (Reference number) |
Trials |
SM |
SMD (95% CI) |
I2
|
Table 4C. Sensitivity analysis by excluding the poor trials |
CD3+ T cell |
14 |
REM |
1.12 [0.69, 1.55] |
92% |
Poor* Li et al. (2016), Huang et al. (2017), Ma. (2017), Liu et al. (2019), Zhao and Li. (2019), Xu. (2020)
|
8 |
REM |
0.86 [0.29, 1.43] |
93% |
CD3+ CD4+ T cell |
15 |
REM |
1.34 [0.99, 1.68] |
88% |
Poor* Li et al. (2016), Huang et al. (2017), Ma. (2017), Su. (2017), Liu et al. (2019), Zhao and Li. (2019), Xu. (2020)
|
8 |
REM |
1.40 [0.81, 1.98] |
92% |
CD4+/CD8+ T cell ratios |
11 |
REM |
0.96 [0.57, 1.35] |
88% |
Poor* Li et al. (2016), Huang et al. (2017), Ma. (2017), Liu et al. (2019), Zhao and Li. (2019)
|
7 |
REM |
0.93 [0.47, 1.38] |
86% |
Natural killer cell |
3 |
REM |
0.96 [0.22, 1.71] |
86% |
Poor* Li et al. (2016)
|
2 |
REM |
1.27 [0.32, 2.21] |
84% |
Table 4D. Sensitivity analysis by excluding the over- or under-estimated trials |
CD3+ T cell |
14 |
REM |
1.12 [0.69, 1.55] |
92% |
Over* Jiang et al. (2011), Han et al. (2015), Zhao et al. (2015), Li et al. (2016), Huang et al. (2017), Ma. (2017), Liu et al. (2019), Xu. (2020) Under* Zhang. (2014)
|
5 |
FEM |
0.46 [0.28, 0.63] |
0% |
CD3+ CD4+ T cell |
15 |
REM |
1.34 [0.99, 1.68] |
88% |
Over* Jiang et al. (2011), Han et al. (2015), Zhao et al. (2015), Li et al. (2016), Ma. (2017), Su. (2017), Lv et al. (2018),under* Wu et al. (2017b)
|
7 |
FEM |
0.97 [0.80, 1.13] |
26% |
CD4+/CD8+ T cell ratios |
11 |
REM |
0.96 [0.57, 1.35] |
88% |
Over* Jiang et al. (2011), Han et al. (2015), Wu et al. (2017b), Liu et al. (2019)
|
7 |
FEM |
0.48 [0.32, 0.65] |
0% |
Natural killer cell |
3 |
REM |
0.96 [0.22, 1.71] |
86% |
Over* Jiang et al. (2011)
|
2 |
FEM |
0.56 [0.25, 0.88] |
37% |