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Table 1 Demographic data of studies comparing early-onset with late-onset NTMG after thymectomy

From: Effects of thymectomy on late-onset non-thymomatous myasthenia gravis: systematic review and meta-analysis

Author/year/country

Study design

Study period

Follow-up (y) mean/range

Age (y) (cutoff/range)

Early-onset (events/all)

Late-onset (events/all)

Thymic histology hyperplasia/involution/normal

Anti-AChR-ab (+/−/ND)

Preoperative classification

Surgical procedures

Medical treatment

NOS score

CSR

Improved

CSR

Improved

Liu/2015/China [20]

Single-center retrospective

2007–2011

5.2/3.1–7.2

40/NA

27/57

NA

21/46

NA

68/35/0

54/21/28

I 25/IIa 25/IIb 15/IIIa 17/IIIb 18/IV 3 MGFA

Bilateral/Right VATS

Anticholinesterase; corticosteroid; Ig

8

Lin/2010/Taiwan [12]

Single-center retrospective

1995–2004

3.6/1–11

40/5–78

16/42

NA

4/18

NA

42/14/4

39/10/11

I 22/II 30/III 4/IV 1/V 3 MGFA

Right-VATS/TS

anticholinesterase; corticosteroid

8

Zieliński/2004/Poland [21]

Single-center retrospective

1996–1999

NA/3.5–6.5

40/14–70

25/52

NA

2/6

NA

33/15/10

NA

I 5/IIa 19/IIb 34 Osserman

TS

Anticholinesterase; corticosteroid; immuno-suppressant

8

Mantegazza/2003/Italy [22]

Single-center prospective

NA

NA

1–6

40/NA

72/185

NA

2/21

NA

130/76/0

169/37/0

I 19/IIIa 63/IIIb 99/IVb 25 MGFA

Bilateral VATET/TS

Anticholinesterase; immuno-suppressant

8

Mack/1996/USA [23]

Multicenter retrospective

1992–1995

NA/0.3–3.9

40/9–84

5/21

14/21

1/6

3/6

19/2/6

NA

I 2/II 23/III 2 Osserman

VATS

Anticholinesterase; steroids

7

Frist/1994/USA [24]

Single-center retrospective

1971–1992

NA/0.8–21

45/2–67

12/33

19/33

2/9

3/9

NA

20/8/14

I 2/II 7/III 11/IV 19/V 3 Oosterhuis

TS

Anticholinesterase; corticosteroid

7

Maggi/1989/Italy [25]

Single-center retrospective

1973–1987

NA/5–10

40/NA

137/326

152/326

31/117

67/117

NA

NA

I 27/IIa 256/IIb 200/III 17 own classification

TC/TC + TS

Anticholinesterase; corticosteroid; immuno- suppressant; plasmapheresis

8

Monden/1985/Japan [26]

Single-center retrospective

NA

5/NA

50/16–59

21/32

9/32

2/4

2/4

NA

NA

I 5/IIa 29/IIb 67/III 1 Oosterhuis

TS

NA

8

Rubin/1981/USA [27]

Single-center retrospective

1961–1982

NA/0.5–15

40/9–54

9/18

9/18

1/3

2/3

13/3/5

6/15/0

II 6/III 6/IV 8/V 1 Osserman

TS

Anticholinesterase; corticosteroid; plasmapheresis

7

  1. NTMG non-thymomatous myasthenia gravis, Anti–AChR-ab anti-acetylcholine receptor antibody, CSR complete stable remission, TS trans-sternal thymectomy, TC transcervical thymectomy, VATS video-assisted thoracoscopic surgery, MGFA Myasthenia Gravis Foundation of America, NOS Newcastle–Ottawa scale, NA not available, ND not determined, IG immunoglobulin