borderline significancep = 0.051
Statistical appraisal by means of Egger’s test of regression produced a significant intercept ( β 0 = 2.34, 95% CI: 0.68–4.01, p = 0.008), suggesting funnel plot asymmetry beyond chance, and Begg’s rank correlation test revealed borderline significance (Kendall’s τ = 0.31, p = 0.051), offering supporting evidence for possible publication bias.