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Table 1 The basic characteristics of the included study

From: Assessment of the risks of a myasthenic crisis after thymectomy in patients with myasthenia gravis: a systematic review and meta-analysis of 25 studies

Source

Year

Study year

Study design

No. of patients

No. of myasthenic crisis cases

Age at thymectomy

(mean) Age, years

Gender Male/women

Study region

Non-thymomatous/thymoma

Significant risk factors

NOS score

Kato

2019

2000–2015

retrospective cohort study

90

14

median (range) 51.5 (41.3–64.0)

41/46

Japan

33/57

(15)

8

Xue

2017

2005–2014

case-control studies

127

13

NA

68/59

china

127

(3),(10)

8

Zou

2016

2007.06–2013.12

retrospective cohort study

541

67

26.4 ± 11.7/27.06 ± 13.5

256/285

china

NA

(1),(4),(6),(16)

6

Ando

2015

2000.01–2013.12

case-control studies

55

10

median (range) 55 (13–79)

25/30

Japan

30/25

(1),(17)

7

Lee

2015

2007.10–2012.03

case-control studies

146

10

T/C 25.0 (15.5–48.0)/35.0 (27.0–46.0)

NA

Korea

105/41

(12),(18)

8

Li

2018

2000.01–2013.03

case-control studies

176

51

46.6 ± 11.7

90/83

China

0/173

(2),(19)

9

Yu

2014

1997.03–2012.03

retrospective cohort study

178

58

38.4 ± 13.2

95/83

China

69/109

(1),(2),(8)

8

Choi

2014

1996.01–2009.12

retrospective cohort study

49

12

50.3 ± 12.4

23/25

Korea

0/49

(12)

6

Leuzzi

2014

1995.01–2011.12

case-control studies

177

22

45.8 ± 16.8

107/70

Italy

53/124

(1),(3),(4),(14)

9

Nam

2011

1997.01–2007.12

retrospective cohort study

68

20

age at onset 43.6 ± 13.9

NA

Japan

28/38

(1)

9

Chu

2011

1990–2009

case-control studies

243

44

31.5 ± 15.7

124/119

China

175/68

(3),(5),(13)

5

Liu

2006

1990.01–2006.01

case-control studies

176

36

31 ± 14

74/102

China

122/54

(1),(2),(6),(24)

9

Li

2016

1970.05–2011.05

case-control studies

306

49

31.54 ± 16.37

155/151

China

NA

(1),(2),(5)

8

Qian

2016

2002.02–2015.06

case-control studies

86

16

median (range)47 (25–71)

37/49

China

40/46

(1),(2),(3)

8

Li

2017

2008.01 ~ 2015.01

case-control studies

63

12

median (range)37 (10–76)

25/38

China

41/22

(3),(8),(9),(10)

7

Liu

2014

2011.01–2014.02

case-control studies

102

42

T/C 46.7 ± 10.11/39.6 ± 6.41

45/57

China

36/66

(3),(5),(11),(12),(20)

6

Niu

2013

2002.07–2012.07

case-control studies

134

28

age at onset 35 (1–82)

66/68

China

69/65

(3)

6

Ma

2011

1995.07–2009.12

case-control studies

84

24

median (range)42.67 (16—68)

35/49

China

21/63

(1),(3),(8),(11)

6

Zhang

2015

2008.06–2014.06

case-control studies

58

15

T/C 60.60 ± 6.20/60.7 ± 6.3

26/32

China

0/58

(3),(11),(21)

6

Wang

2006

NA

case-control studies

126

13

median (range)38 (9–62)

54/72

China

56/70

(1),(3),(7),(22)

5

Chen

2007

2002.07–2005.12

case-control studies

101

29

33.2 ± 14.67

43/58

China

33/68

(1),(3),(4),(13),(23)

8

Ge

2019

2008.01–2018.01

retrospective cohort study

47

14

40.1 ± 16.7

22/25

China

24/23

(11),(13)

6

Li

2014

2008.01–2013.06

case-control studies

198

32

NA

NA

China

135/63

(1),(3),(5),(6)

5

Kanai

2017

2002.01–2014.12

case-control studies

275

17

T/C:45.8 ± 16.1/49.2 ± 15.5

106/169

Japan

145/130

(2),(12),(14)

9

Watanabe

2004

1985.01–2002.12

retrospective cohort study

122

44

44 ± 17

30/92

Japan

93/29

(2),(7),(9)

6

  1. MG myasthenia gravis;AchR-Ab anti-acetylcholine receptor antibody; POA preoperative anxiety
  2. (1) preoperative MC history (2) preoperative bulbar symptom (3) preoperative Osserman stages (4) postoperative lung infection (5) thymoma (6) preoperative dosage of pyridostigmine bromide (7) preoperative serum AchR-Ab level (nm/L) (8) operation time (9) intraoperative blood loss>1000 ml (10) WHO classification (11) mode of operation (12) preoperative lung function (13) major postoperative complications (14) disease duration before thymectomy (15) Masaoka stage (16) POA (17) unstable MG (18) decremental response of orbicularis oculi (19) incomplete resection (20) general anaesthesia (21) Postoperative medication (22) Potential MC (23) age (24) preoperative lung infection