Study design (effect measure) | Number of studies | Effect estimate | P value of effect | P value of heterogeneity, Q | I2 | P value Egger test |
---|---|---|---|---|---|---|
Cohort studies (SMR) | 63 | 1.55 (1.38–1.75) | 5.68E-13 | <0.0001 | 96.18 | 0.02 |
Cohort studies (SIR) | 19 | 1.68 (1.45–1.96) | 1.36E-11 | 4.59E-08 | 74.51 | 0.24 |
Cohort studies (RR) | 1 | 1.65 (1.13–2.40) | 0.01 | 1 |  | 0.72 |
Case-control mortality studies (OR) | 5 | 1.82 (1.25–2.66) | 0.0017 | 0.1070 | 51.17 | 0.51 |
Case-control incidence studies (OR) | 9 | 1.34 (1.24–1.46) | <0.0001 | 0.2075 | 0 | 0.46 |
Case-control studies (MOR) | 3 | 1.69 (1.26–2.26) | <0.0001 | <0.0001 | 86.70 | 1.00 |
Proportional mortality studies (PMR) | 2 | 1.10 (0.89–1.36) | 0.38 | 0.10 | 62.02 | 1.00 |
Silicotic studies (SMR) | 24 | 2.32 (1.91–2.81) | <0.0001 | <0.0001 | 94.34 | - |
Silicotic studies (SIR) | 4 | 2.49 (1.87–3.33) | <0.0001 | 0.377 | 25.04 | - |
Silicotic studies (OR) | 3 | 2.56 (1.84–3.57) | <0.0001 | 0.345 | 2.65 | - |
Silicotic studies (MOR) | 3 | 1.88 (1.31–2.71) | 0.0006 | <0.0001 | 86.98 | - |
Non-silicotic studies (SMR) | 4 | 1.78 (1.07–2.96) | 0.027 | 0.013 | 74.37 | - |
Non-silicotic studies (SIR) | 2 | 1.18 (0.86–1.62) | 0.292 | 0.192 | 41.21 | - |
Subgroup analysis of SMR studies | ||||||
Year of publication | ||||||
  ≤ 1990 | 16 | 2.37 (1.76–3.19) | 1.24E-08 | 2.92E-94 | 95.58 | 0.35 |
 1991–2000 | 21 | 1.44 (1.21–1.71) | 2.97E-05 | 1.25E-30 | 89.89 | 0.16 |
  > 2000 | 26 | 1.30 (1.16–1.46) | 1.05E-05 | 9.98E-49 | 93.50 | 0.60 |
Industry | ||||||
 Mine | 18 | 1.48 (1.18–1.86) | 0.00 | 4.73E-59 | 97.17 | 0.18 |
 Foundry | 4 | 1.51 (0.99–2.29) | 0.05 | 0.02 | 86.53 | 0.75 |
 Pottery | 7 | 1.14 (1.05–1.23) | 0.00 | 0.27 | 0.02 | 1.00 |
 Cement | 4 | 0.87 (0.42–1.82) | 0.71 | <0.0001 | 84.87 | 0.75 |
 Construction | 2 | 1.55 (1.31–1.82) | 1.94E-07 | 0.66 | 0.00 | 1.00 |
 Stone & granite | 8 | 1.32 (1.15–1.50) | 6.24E-05 | 0.01 | 65.17 | 0.72 |
 Mixed | 19 | 2.03 (1.61–2.56) | 1.68E-09 |  | 96.95 | 0.73 |
Country | ||||||
 Europe | 26 | 1.54 (1.25–1.89) | 4.95E-05 | 4.09E-33 | 95.70 | 0.13 |
 USA | 15 | 1.24 (1.12–1.38) | 6.24E-05 | 5.32E-07 | 79.80 | 0.06 |
 Canada | 5 | 2.14 (1.46–3.13) | 9.27E-05 | 2.34E-32 | 95.70 | 0.82 |
 Australia | 2 | 1.73 (1.51–1.98) | 7.65E-15 | 0.26 | 19.61 | 1.00 |
 Asia | 14 | 1.74 (1.27–2.39) | <0.0001 |  | 97.56 | 0.75 |
Occupational confounders | ||||||
 Absent | 13 | 1.32 (1.14–1.54) | <0.0001 | 1.79E-13 | 87.15 | 0.06 |
 Present | 30 | 1.35 (1.17–1.57) | 7.28E-05 | 7.37E-55 | 94.47 | 0.55 |
Reported measure adjusted for smoking | ||||||
 Not adjusted | 61 | 1.55 (1.37–1.75) | 4.16E-12 |  | 96.37 | 0.02 |
 Adjusted | 2 | 1.83 (1.51–2.22) | 7.23E-10 | 0.43 | 0.00 | 1.00 |
NOS score | ||||||
 1–3 | 6 | 2.56 (1.57–4.19) | 0.00 | 2.35E-65 | 96.18 | 1.00 |
 4–6 | 35 | 1.57 (1.36–1.82) | 9.02E-10 | 1.68E-80 | 93.07 | 0.45 |
 7–9 | 15 | 1.24 (1.01–1.52) | 0.042025 | 1.56E-44 | 97.23 | 0.17 |
Cumulative Silica Dust Exposure (CSDE) (mg/m3years) | ||||||
 0 < CSDE ≤ 0.83 | 5 | 1.19 (1.02–1.39) | 0.02 | 0.02 | 68.92 | 0.23 |
 0.83 < CSDE ≤ 3.9 | 5 | 1.27 (0.89–1.82) | 0.19 | 1.04E-24 | 97.57 | 0.48 |
 3.9 < CSDE ≤ 8.35 | 4 | 1.33 (0.94–1.87) | 0.10 | 2.97E-10 | 91.94 | 0.75 |
 CSDE > 8.35 | 5 | 1.36 (0.87–2.13) | 0.18 | 1.15E-21 | 96.33 | 0.82 |
Subgroup analysis of SIR studies | ||||||
Year of publication | ||||||
 ≤ 1990 | 4 | 2.32 (1.50–3.58) | <0.0001 | 0.07 | 64.63 | 0.75 |
 1991–2000 | 6 | 1.77 (1.17–2.69) | 0.01 | 5.07E-09 | 85.81 | 0.47 |
  > 2000 | 9 | 1.54 (1.40–1.70) | 8.29E-18 | 0.41 | 17.30 | 1.00 |
Industry | ||||||
 Mine | 2 | 1.67 (1.32–2.13) | 2.55E-05 | 0.07 | 69.32 | 1.00 |
 Foundry | 4 | 1.40 (1.23–1.58) | 2.67E-07 | 0.52 | 7.15 | 0.33 |
 Pottery | 1 | 2.34 (0.62–8.84) | 0.21 | 1 |  | 0.33 |
 Cement | 3 | 1.34 (1.01–1.76) | 0.04 | 0.43 | 12.61 | 1.00 |
 Construction | 1 | 1.50 (1.26–1.79) | 5.04E-06 | 1 |  | 1.00 |
 Granite | 3 | 1.94 (1.55–2.44) | 1.33E-08 | 0.93 | 0.00 | 1.00 |
 Mixed | 5 | 2.13 (1.18–3.87) | 0.01 | 4.08E-05 | 85.96 | 0.82 |
Country | ||||||
 Europe | 13 | 1.78 (1.48–2.14) | 1.16E-09 | 9.18E-08 | 77.40 | 0.13 |
 Canada | 2 | 1.42 (0.52–3.93) | 0.49 | 0.05 | 74.77 | 1.00 |
 Australia | 1 | 1.89 (1.57–2.28) | 2.26E-11 | 1 |  | 1.00 |
 Asia | 3 | 1.38 (1.10–1.73) | <0.0001 | 0.28 | 6.72 | 1.00 |
Occupational confounders | ||||||
 Absent | 3 | 1.94 (1.55–2.44) | 1.33E-08 | 0.93 | 0.00 | 1.00 |
 Present | 12 | 1.57 (1.32–1.87) | 4.14E-07 | 4.45E-08 | 80.28 | 0.64 |
NOS grading | ||||||
 1–3 | 3 | 1.99 (1.19–3.30) | 0.01 | 0.95 | 0.00 | 1.00 |
 4–6 | 11 | 1.55 (1.28–1.87) | 5.74E-06 | 2.36E-08 | 82.02 | 0.76 |
 7–9 | 1 | 1.61 (1.21–2.14) | <0.001 | 1 |  | 0.76 |