borderline significantP = 0.0515
(2007b) yielded a borderline significant effect favoring DFP (SMD: −0.21; 95% CI: −0.42 to 0.00; P = 0.0515), suggesting that this particular study may have influenced the overall result.
(2007b) yielded a borderline significant effect favoring DFP (SMD: −0.21; 95% CI: −0.42 to 0.00; P = 0.0515), suggesting that this particular study may have influenced the overall result.
A favorable trend was also noted in UIE and RVEF, although these outcomes did not reach statistical significance.
Additionally, a positive trend was observed in UIE and RVEF, though the effect estimates did not reach statistical significance.
In contrast, the evidence for UIE, cardiac T2* MRI, RVEF, and all-cause mortality was rated as low, primarily due to imprecision, limited number of included studies, and borderline significance in effect estimates.
While some trends were observed (e.g., reduced heterogeneity in adult-only groups), these did not reach statistical significance.
The pooled SMD was 0.48 (95% CI: −0.04 to 0.99; P = 0.0537; I 2 = 0%), showing a near-significant improvement with DFP (Fig. 4 D).