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CIN, cervical intraepithelial neoplasia; CKC, cold-knife c

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SDC table 4. Subgroup Analyses for the Primary Outcome

Comparison Studies, No. Participants, No. Relative Risk (95%

CI)

Interaction Testing P Value

Early or late CIN during follow-up .01a

Persistent disease (<6 mo) 12 1,579 1.04 (0.81-1.35)

Recurrent disease (>6 mo) 7 1,929 2.07 (1.26-3.40)b

Type of study .08

Clinical trial 6 718 2.03 (1.06-3.88)b

Cohort study 13 2,890 1.35 (1.00-1.81)

Sampling strategy .11

Based on diagnosis of CIN only 16 3,169 1.59 (1.16-2.18)b

Based on diagnosis of CIN and either positive margins in the cone biopsy or hysterectomy during follow-up

3 339 0.82 (0.48-1.39)

Unsatisfactory colposcopy .65

In >50% of patients 5 499 1.64 (0.77-3.48)

In <50% of patients 7 1,108 1.31 (0.71-2.12)

Unsatisfactory colposcopy at baseline .03a

More patients with unsatisfactory colposcopy in LEEP group 3 400 0.98 (0.59-1.63)

More patients with unsatisfactory colposcopy in CKC group 6 826 2.05 (1.37-3.08)b

High-grade dysplasia (CIN grade 1 and 2) at baseline .23

More high-grade dysplasia in LEEP group 7 801 1.04 (0.65-1.66)

More high-grade dysplasia in CKC group 9 1,314 1.45 (1.10-1.92)b

Abbreviations: CIN, cervical intraepithelial neoplasia; CKC, cold-knife conization; LEEP, loop electrosurgical excision procedure.

a

Statistically significant relative risk estimate for the subgroup, favorable for CKC.

b

Statistically significant interaction testing.

(2)

Adapted from El-Nashar S, Hopkins M, Cliby W, Famuyide A. Can LEEP replace cold knife conization for the

management of cervical intraepithelial neoplasia in women with unsatisfactory colposcopic examination? A

systematic review and a meta-analysis [Abstract]. Gynecol Oncol. 2011 Mar;120 Suppl 1:S105. Used with

permission.

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