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Table 2 Odds ratios for pooled surgery exposures using a random effects model

From: Surgery and risk for multiple sclerosis: a systematic review and meta-analysis of case–control studies

Exposure

Included studies (n)

MS case group (n)

Control group (n)

Total (n)

Level of heterogeneity I22 p)

Pooled OR (95% CI)

Test for overall effect

       

Z ( p)

Tonsillectomy ≤ 20 years

12

4,414

4,422

8,836

44% (0.05)

1.32 (1.08-1.61)*

2.76 (0.006) *

Tonsillectomy > 20 years

9

1,801

1,618

3,419

32% (0.16)

1.20 (0.94-1.53)

1.45 (0.15)

Appendectomy ≤ 20 years

7

21,218

205,124

226,342

0% (0.54)

1.16 (1.01-1.34)*

2.06 (0.04) *

Appendectomy > 20 years

5

21,360

205,021

226,381

46% (0.11)

1.26 (0.92-1.72)

1.43 (0.15)

Adenoidectomy ≤ 20 years

3

458

636

1,094

35% (0.21)

1.06 (0.68-1.68)

0.27 (0.79)

Surgery ≤ 20 years

4

485

1,202

1,687

19% (0.30)

0.95 (0.70-1.31)

0.29 (0.77)

Surgery > 20 years

15

1,099

1,371

2,470

71% (0.0001)

1.19 (0.83-1.70)

0.94 (0.35)

  1. * Indicates statistically significant results at p < 0.05.
  2. CI = confidence interval, MS = multiple sclerosis, OR = odds ratio.