highly significantP < 0.0001
A prespecified subgroup analysis (see Supplementary material online , Figure S6 ) demonstrated a highly significant interaction (χ 2 = 19.93; P < 0.0001), with a larger treatment effect in non-China studies (RR 1.30; 95% CI 1.23–1.38; I 2 = 0.0%) compared with China-based studies (RR 1.12; 95% CI 0.96–1.29; I 2 = 0.0%).