Table 3.
Results of subgroup analyses for the impact of 18F-FDG-PET or 18F-FDG-PET/CT on management in patients with CUP
| Variable | Category | No. of studies | Proportion (95% CI) | I2 (%) |
|---|---|---|---|---|
| Study design | Prospective | 6 | 38% (23%–55%) | 91.1 |
| Retrospective or unknown | 32 | 35% (30%–40%) | 75.1 | |
| Publication year | 2010 or earlier | 20 | 38% (32%–45%) | 65.0 |
| After 2010 | 18 | 34% (26%–40%) | 88.4 | |
| Study population size | ≥50 | 17 | 35% (29%–42%) | 89.0 |
| <50 | 21 | 36% (29%–44%) | 64.1 | |
| Imaging modality | PET/CT | 17 | 34% (27%–42%) | 65.5 |
| PET | 21 | 36% (30%–43%) | 87.1 | |
| Metastatic site(s) | Cervical node only | 13 | 35% (26%–46%) | 74.0 |
| Cervical node >1/3 patients | 6 | 37% (27%–47% | 81.5 | |
| Cervical node <1/3 patients | 19 | 35% (28%–42%) | 84.5 | |
| Conventional imaging workup | CT or MRI in all or most patients | 18 | 37% (28%–47%) | 85.2 |
| CT or MRI not done in all or most patients | 20 | 34% (30%–39%) | 74.3 |
CI = confidence interval; CT = computed tomography; CUP = cancer of unknown primary; FDG = Fluorodeoxyglucose; MRI = magnetic resonance imaging; PET = positron emission tomography