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Table 3 Results of subgroup analyses

From: Feasibility and diagnostic performance of dual-tracer-guided sentinel lymph node biopsy in cT1-2N0M0 gastric cancer: a systematic review and meta-analysis of diagnostic studies

 

Number of studies

Identification rate (95% CI)

P

Sensitivity (95% CI)

P

Preoperative T stage

 cT1

12

0.979 (0.923–1.035)

0.00

0.861 (0.786–0.917)

0.22

 cT2

2

0.963 (0.751–1.176)

0.00

0.943 (0.808–0.993)

0.51

Number of SLNs

 <5

11

–

–

0.839 (0.760–0.900)

0.07

 ≥5

8

–

–

0.944 (0.882–0.979)

0.84

Method of SLN biopsy

 Pick up

13

0.973 (0.959–0.988)

0.01

0.869 (0.810–0.915)

0.11

 Basin dissection

6

0.949 (0.925–0.974)

0.66

0.959 (0.860–0.995)

0.39

Type of dual tracers

  99mTc tin colloid + isosulfan blue

3

0.971 (0.960–0.982)

0.77

0.884 (0.810–0.937)

0.07

  99mTc tin colloid + ICG

3

0.889 (0.779–1.000)

<.001

0.826 (0.612–0.950)

0.34

  99mTc tin colloid + patent blue violet

5

0.962 (0.933–0.992)

0.93

0.880 (0.688–0.975)

0.31

  99mTc-HSA + ICG

2

0.932 (0.890–0.977)

0.62

1.00 (0.735–1.000)

>0.99

  99mTc-antimony sulfur colloid + ICG

2

0.932 (0.882–0.985)

0.38

1.00 (0.846–1.000)

>0.99

Time performing SLN biopsy after dye injection

 ≥15 min

9

0.973 (0.958–0.989)

0.10

0.952 (0.898–0.982)

0.71

 <15 min

10

0.962 (0.939–0.986)

0.03

0.810 (0.719–0.882)

0.33

Method for intraoperative histological evaluation of SLN

 HE

7

–

–

0.908 (0.849–0.950)

0.11

 HE + IHC

8

–

–

0.864 (0.750–0.940)

0.08

Methods of surgery

 Opening surgery

7

0.976 (0.965–0.988)

>.99

0.867 (0.786–0.925)

0.06

 Laparoscopic surgery

10

0.939 (0.907–0.972)

0.04

0.909 (0.813–0.969)

0.13

Country

 Japan

12

0.980 (0.973–0.988)

0.54

0.896 (0.837–0.939)

0.31

 Not in Japan

7

0.934 (0.891–0.978)

0.01

0.873 (0.773–0.940)

0.03

Year of studies

 ≥2013

7

0.976 (0.963–0.990)

0.06

0.905 (0.843–0.949)

0.15

 <2013

12

0.955 (0.931–0.980)

0.07

0.864 (0.774–0.928)

0.11

  1. SLN sentinel lymph node, P P value of heterogeneity, CI confidence interval, ICG indocyanine green, 99m Tc-HSA T99mc-human serum albumin, HE hematoxylin eosin, IHC immunohistochemistry