Prognostic Significance of P16INK4a Expression in Penile Squamous Cell Carcinoma: A Meta-Analysis with Trial Sequential Analysis

Autor: Yan-yan Xiu, Hengcheng Zhang, Ninghong Song, Min Gu, Hong Cheng, Jiayi Zhang
Rok vydání: 2018
Předmět:
Zdroj: BioMed Research International. 2018:1-9
ISSN: 2314-6141
2314-6133
DOI: 10.1155/2018/8345893
Popis: Background. Recently, P16INK4a expression has been shown to be correlated with cancer-specific survival (CSS) in penile squamous cell carcinoma (SCC). Therefore, we performed this meta-analysis to clarify the prognostic value of P16INK4a for penile SCC. Methods. A systematic search was performed in PubMed, Embase, and Web of Science to identify all relevant articles up to May 25, 2017. Hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) of included studies were pooled to estimate the prognostic value. Trial sequential analysis (TSA) was performed to assess the quantity and strength of survival evidence. Results. Five retrospective studies consisting of 323 cases were finally included. We found that P16INK4a positive expression was significantly associated with a better CSS of penile SCC (HR=0.45, 95%CI: 0.30-0.67, P Conclusions. P16INK4a positive expression is independently associated with improved CSS for patients with penile SCC.
Databáze: OpenAIRE