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. 2025 Aug 7;30(4):471.
doi: 10.3892/ol.2025.15217. eCollection 2025 Oct.

Prognostic importance of red blood cell distribution width in patients with glioma: A meta-analysis

Yao Chen  1 , Feng Chen  2 , Ye-Xin Luo  3 , Lin Xiong  4
Affiliations

Prognostic importance of red blood cell distribution width in patients with glioma: A meta-analysis

Yao Chen et al. Oncol Lett. .

Abstract

The present study aimed to investigate whether red blood cell distribution width (RDW) was an independent prognosis factor for patients with glioma after surgery. Potential studies were found in four databases including PubMed, Embase, China National Knowledge Infrastructure and the Cochrane Library on 21st July, 2022. To evaluate the prognosis after surgery, hazard ratios (HRs) and 95% confidence intervals (CIs) were pooled to calculate the overall survival (OS) of patients with glioma. Stata V16.0 software was used for data analysis. A total of 8 studies were included, involving 1,468 patients. After collecting and analyzing the data, RDW was demonstrated to be a prognostic factor for OS of patients with glioma (HR=1.51; I2=0.00%; 95% CI, 1.29-1.74; P<0.01). Patients with high preoperative RDW levels had a high risk of poor survival after neurosurgery. High preoperative RDW levels may be associated with poor prognosis and warrant further clinical attention.

Keywords: glioma; meta-analysis; prognosis; red blood cell distribution width.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1. Flowchart of study selection.
Figure 1.
Flowchart of study selection.
Figure 2. Overall survival of high–RDW group and low–RDW group. RDW, red blood c ell distribution width; CI, confidence interval.
Figure 2.
Overall survival of high-RDW group and low-RDW group. RDW, red blood cell distribution width; CI, confidence interval.
Figure 3. Funnel plot of overall survival. CI, confidence interval.
Figure 3.
Funnel plot of overall survival. CI, confidence interval.
Figure 4. Subgroup analysis based on RDW value of 13.5.
Figure 4.
Subgroup analysis based on RDW value of 13.5.
Figure 5. Meta–regression analysis. RDW, red blood cell distribution width.
Figure 5.
Meta-regression analysis. RDW, red blood cell distribution width.
Figure 6. Sensitivity analysis. CI, confidence interval.
Figure 6.
Sensitivity analysis. CI, confidence interval.
See this image and copyright information in PMC

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