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Table 28 Sensitivity analyses for smoking-adjusted data. Effect of removing relative risk/odds ratio estimates with largest Q2 values on heterogeneity and random-effects meta-analysis estimates

From: Systematic review of the relation between smokeless tobacco and cancer in Europe and North America

Cancer (number of estimates)

RR/OR estimate removed

 

Heterogeneity

Random-effects RR/OR (95% CI)

 

Id.

RR/OR

Q2

χ2

P

 

Oropharyngeal (n = 19)

   

69.5

< 0.001

1.36 (1.04–1.77)

 

35

2.67 (1.83–3.90)

15.6

52.2

< 0.001

1.27 (0.99–1.64)

 

13

2.05 (1.48–2.83)

12.2

37.9

0.002

1.20 (0.94–1.52)

 

43

6.20 (1.90–19.80)

8.9

28.9

0.017

1.11 (0.90–1.38)

 

7

0.70 (0.50–0.90)

6.2

21.0

0.101

1.17 (0.95–1.45)

Pancreatic (n = 7)

   

21.2

0.002

1.07 (0.71–1.60)

 

5

1.67 (1.12–2.50)

6.0

13.8

0.017

0.95 (0.63–1.46)

 

1

1.70 (0.90–3.10)

4.1

9.2

0.057

0.83 (0.54–1.28)

Overall digestive (n = 5)

   

17.3

0.002

0.86 (0.59–1.25)

 

19

0.40 (0.24–0.69)

13.3

3.1

0.382

1.14 (0.99–1.33)

Lung (n = 6)

   

28.7

< 0.001

0.99 (0.71–1.37)

 

6

1.77 (1.14–2.74)

15.5

12.7

0.013

0.83 (0.63–1.08)

 

2

6.80 (1.60–28.5)

9.4

3.3

0.343

0.72 (0.65–0.80)

Bladder (n = 10)

   

22.3

0.008

0.95 (0.71–1.29)

 

12

1.67 (1.09–2.55)

6.9

14.3

0.074

0.86 (0.65–1.13)

Non-Hodgkin's lymphoma (n = 3)

      
    

9.5

0.009

1.35 (0.62–2.95)

 

19

4.00 (1.30–12.0)

6.9

2.2

0.137

0.92 (0.57–1.50)

Overall (n = 7)

   

27.1

< 0.001

0.98 (0.84–1.15)

 

12

0.64 (0.53–0.78)

21.4

2.8

0.725

1.07 (1.00–1.15)

  1. CI = confidence interval; OR = odds ratio; RR = relative risk.