Variable | Studies (Na) | Sample (N) | Heterogeneity | RRb | 95% CIc | P value | ||
---|---|---|---|---|---|---|---|---|
I2 | P-value | |||||||
Year of publication (year) | 2000–2004 | 8 | 680,637 | 0 | 0.603 | 1.134 | 1.090–1.180 | < 0.001 |
2005–2009 | 11 | 1,937,507 | 73.652 | < 0.001 | 1.256 | 1.115–1.415 | < 0.001 | |
2010–2014 | 11 | 581,723 | 0 | 0.823 | 1.191 | 1.145–1.239 | < 0.001 | |
2015–2018 | 7 | 1,866,897 | 64.631 | 0.009 | 1.234 | 1.089–1.397 | < 0.001 | |
Test for subgroup differences: Q = 5.189, df(Q) = 3, P = 0.158 | ||||||||
Study design | Cohort | 32 | 5,049,603 | 70.899 | < 0.001 | 1.198 | 1.144–1.255 | < 0.001 |
Case–control | 3 | 12,373 | 0 | 0.999 | 1.199 | 1.049–1.372 | 0.008 | |
Cross-sectional | 2 | 4788 | 0 | 0.943 | 1.401 | 1.154–1.702 | 0.001 | |
Test for subgroup differences: Q = 2.367, df(Q) = 2, P = 0.306 | ||||||||
Prospective/retrospective | Prospective | 15 | 1,716,415 | 49.38 | 0.016 | 1.242 | 1.135–1.360 | < 0.001 |
Retrospective | 22 | 3,350,349 | 70.176 | < 0.001 | 1.195 | 1.132–1.261 | < 0.001 | |
Test for subgroup differences: Q = 0.523, df(Q) = 1, P = 0.470 | ||||||||
Quality of studies | High | 33 | 4,931,946 | 70.57 | < 0.001 | 1.167 | 1.148–1.187 | < 0.001 |
Moderate | 4 | 134,818 | 0 | 0.749 | 1.095 | 0.818–1.465 | 0.544 | |
Test for subgroup differences: Q = 0.427, df(Q) = 1, P = 0.514 | ||||||||
Continent | USA | 4 | 25,964 | 0 | 0.914 | 1.227 | 1.102–1.367 | < 0.001 |
Europe | 27 | 4,901,351 | 73.451 | < 0.001 | 1.197 | 1.142–1.254 | < 0.001 | |
Asia | 5 | 138,412 | 51.819 | 0.081 | 1.431 | 0.967–2.118 | 0.073 | |
Oceania | 1 | 1037 | 0 | NA | 0.92 | 0.320–2.647 | 0.877 | |
Test for subgroup differences: Q = 1.182, df(Q) = 3, P = 0.757 | ||||||||
Age of diagnosis (years) | ≤ 10 | 20 | 726,194 | 22.466 | 0.177 | 1.182 | 1.135–1.231 | < 0.001 |
> 10 | 4 | 2,097,090 | 80.450 | 0.002 | 1.274 | 1.045–1.555 | 0.017 | |
Both | 13 | 2,243,480 | 14.038 | 0.303 | 1.141 | 1.101–1.182 | < 0.001 | |
Test for subgroup differences: Q = 2.523, df(Q) = 2, P = 0.283 |