Table 3 Summary of studies assessing the prognostic value of Ki-67 in OTSCC providing unadjusted or adjusted estimates of HR and their 95% CIs for one or more endpoints, the HRs contrasting positive to negative expression

From: Prognostic biomarkers for oral tongue squamous cell carcinoma: a systematic review and meta-analysis

(Authors, year) Country

Stage or tumour size (primary treatment)

Primary antibody

Cutoff point in percentage

No. of cases

No. of positive cases (%)

Endpoint

Unadjusted analysis

Adjusted analysis

Compliance to REMARK guidelines

(Bova et al, 1999) Australia

I–IV (S in 96 patients, S+RT in 52 patients)

Ki-67, clone 7B11 (1 : 50; Zymed Laboratories, San Francisco, CA)

50

148

NA

DFS

HR 1.17 (95% CI 0.61–2.27), P=0.63

NA

Checklist no. 5 was not fulfilled

      

OS

HR 1.24 (95% CI 0.62–2.47), P=0.54

NA

 

(Mineta et al, 2002) Japan

I–IV (Radical treatment)

MIB-1, monoclonal (1 : 50; Immunotech, Marseille, France)

10

109

52 (48)

RFS

NA

HRa 0.82 (95% CI 0.47–1.44)

Checklist no. 1 was not fulfilled

(Sakata et al, 2008) Japan

I–IV (LDR brachytherapy alone in all patients+neck dissection for 9 who had N+)

MIB-1, monoclonal (Dako, Copenhagen, Denmark)

38

68

NA

Local RFS

P=0.59

HR 0.59 (95%CI 0.0514–6.74), P=0.7

Checklist no. 5 was not fulfilled

(Wang et al, 2009) China/USA

I–IV (S)

Ki-67, (1 : 200; Abcam)

NA

42

NA

OS

HR 0.55 (95%CI 0.03–8.76), P=0.67

NA

Checklist no. 5 was not fulfilled

(Bello et al, 2011) Finland/Israel

I–IV (S in 68 patients, S+RT in 49 patients, S+CRT in 10 patients+S+CT in 1 patient)

Ki-67 polyclonal (1 : 50, Dako A/S, Denmark)

40.4

77

18 (23.3)

DSS

HR 0.89 (95% CI 0.31–2.58)

NA

Checklist no. 5 was not fulfilled

(Bockelman et al, 2011) Finland

T1–T2 (S in 40 patients, S+RT in 33 patients)

Ki-67, monoclonal (1 : 100, Dako, Cytomation, Denmark)

30

73

53 (80.3)

OS

HRb 1.31 (95% CI 0.58–2.98)

NA

Checklist no. 5 was not fulfilled

(Hwa et al, 2015) South Korea

T1–T2 (S in 17 patients, S+RT in 8 patients)

Ki-67, monoclonal (1 : 1000; Dako, Carpinteria, CA, USA)

50

25

8 (32)

DSS

HR 0.51 (95% CI 0.05–5.05), P=0.57

NA

Checklist no. 5 was not fulfilled

  1. Abbreviations: CI=confidence interval; CT=chemotherapy; DFS=disease-free survival; DSS=disease-specific survival; HR=hazard ratio; LDR=low-dose-rate; NA=not available; OS=overall survival; RFS=relapse-free survival; RT=radiotherapy; S=surgery.
  2. aHR in Mineta et al study has been calculated by contrasting low Ki-67 vs high Ki-67, and we have converted it (as 1 divided by the reported HR and 1 divided by the reported CI) to be similar to all other studies in which HR was calculated by contrasting high Ki-67 vs low Ki-67.
  3. bHR of 1.31 (95% CI 0.58–2.98) was kindly calculated by the author for this meta-analysis.