Table 3 Subgroup analyses of the prognostic effect of CTCs detected in the peripheral blood.

From: Meta-analysis Reveals the Prognostic Value of Circulating Tumour Cells Detected in the Peripheral Blood in Patients with Non-Metastatic Colorectal Cancer

 

Disease progression

Disease survival

n

HR (95% CI)

P heterogeneity

I 2 (%)

n

HR (95% CI)

P heterogeneity

I 2 (%)

Patient number

 <100

10

1.37 (0.82–2.31)

0.060

45.0

7

2.47 (0.99–6.16)

0.029

57.3

 ≥100

9

4.40 (2.32–8.35)

<0.001

88.6

8

2.40 (1.59–3.62)

0.004

66.2

Sampling time

 Preoperative

9

2.57 (1.57–4.21)

0.003

65.5

8

3.71 (2.78–4.96)

0.903

0.0

 Postoperative

8

2.41 (1.24–4.69)

<0.001

81.1

7

1.47 (0.89–2.42)

0.051

52.0

Detection method

 RT-PCR

15

2.43 (1.49–3.96)

<0.001

76.2

10

2.52 (1.64–3.90)

0.038

49.2

 Immunological methodsa

4

3.32 (1.04–10.61)

<0.001

90.2

5

2.33 (1.13–4.82)

0.006

72.4

Detection rate (%)

 <35

9

4.29 (2.61–7.08)

<0.001

76.0

9

3.18 (2.43–4.15)

0.385

6.1

 ≥35

10

1.41 (0.75–2.66)

<0.001

71.4

6

1.28 (0.65–2.51)

0.083

48.6

TNM stage

 

 TNM II

2

2.21 (1.15–4.24)

0.518

0.0

1

6.40 (1.63–25.16)

 TNM III

4

1.55 (0.55–4.39)

0.004

77.6

2

2.06 (0.38–10.99)

0.014

83.4

Dukes’ stage

 Dukes’ B

2

3.25 (1.89–5.57)

0.890

0.0

2

3.38 (1.73–6.61)

0.829

0.0

 Dukes’ C

2

3.13 (1.93–5.09)

0.853

0.0

3

2.63 (1.67–4.12)

0.981

0.0

Cancer type

 Colon cancer

4

5.62 (3.82–8.28)

0.519

0.0

3

2.89 (1.82–4.59)

0.607

0.0

 Rectal cancer

3

3.88 (2.01–7.48)

0.804

0.0

2

4.43 (1.43–13.68)

0.474

0.0

Multivariate adjustment

 Yes

12

3.62 (2.06–6.37)

<0.001

86.4

8

2.90 (1.78–4.72)

0.002

69.9

 No

7

1.15 (0.72–1.83)

0.691

0.0

7

1.78 (0.98–3.24)

0.128

39.5

  1. aImmunological methods included CellSearch, Epispot and CMx platform. CellSearch is to use anti-EpCAM antibody coated on magnetic beads for cell capture and then identify (CK)8/18/19+/DAPI+/CD45− cells as CTCs by immunostaining. CMx platform is also a EpCAM-dependent method to capture CK20+/DAPI+/CD45− cells as CTCs in peripheral blood. Epispot is an EpCAM-independent method based on capturing CK19− releasing cells after a depletion of hematopoietic CD45+ cells.