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Table 1 Articles reporting the effect of etoposide in adults with hemophagocytic lymphohistiocytosis

From: The role of etoposide in the treatment of adult patients with hemophagocytic lymphohistiocytosis

Author

Year

Reference

Trigger

Total number of adults

Inclusion in meta–analysis

Survival of etoposide–treated patients, % (n)

Survival of non–etoposide–treated patients, % (n)

Additional information

Supporting the effect of etoposide

Risk of bias according to ROBINS–I

Song et al.

2019

[15]

Pregnancy

13

Yes

100% (6)

71% (5)

 

NS

Critical

Knaak et al.

2020

[16]

Various

40

Yes

14% (1)

45% (15)

 

NS

Critical

Naymagon et al.

2021

[12]

Various

90

Yes

21% (9)

33% (16)

Log–rank test for difference in the survival distribution (p = 0.41)

No

Critical

Diack et al.

2020

[8]

Various

26

Yes

29% (2)

26% (5)

p = 0.9

No

Critical

Ahn et al.

2010

[17]

Various

26

Yes

31% (4)

69% (9)

 

NS

Critical

Barba et al.

2015

[9]

Various

71

Yes

54% (15)

67% (29)

p = 0.3

No

Critical

Arca et al.

2015

[3]

Various

162

Yes

85% (69)

74% (60)

p = 0.079, aOR: 0.21, p = 0.04

Yes

Serious

Bigenwald et al.

2018

[4]

Malignancy

71

No

  

uHR: 0.55 (p = 0.04),

aHR: 0.50 (p = 0.04)

Yes

Critical

Bubik et al.

2020

[5]

Various

31

No

  

HR: 0.22 for ≥ 5 doses of etoposide (p = 0.003)

Yes

Critical

Li et al.

2020

[7]

B–cell lymphoma

31

No

  

Log–rank test for difference in survival distribution (p = 0.0183)

Yes

Critical

Song et al.

2019

[6]

EBV

58

No

  

Etoposide as 1st line therapy vs. no etoposide or 2nd line therapy (p = < 0.001)

Yes

Critical

Buyse et al.

2010

[10]

Various

56

No

  

EIT for non–survivors 6 h vs. survivors 4 h (p = 0.19)

No

Serious

Schram et al.

2015

[11]

Various

68

No

  

OS etoposide: 9.5 months, OS no etoposide: 1.9 months (p = 0.78)

No

Critical

  1. aHR adjusted hazard ratio, aOR adjusted odds ratio, EBV Epstein–Barr virus, EIT etoposide initiation time (time from intensive care unit admission to etoposide initiation), HR hazard ratio, NS not stated, OS overall survival, uHR unadjusted hazard ratio