Data were analyzed and the results were reported using a random effects model [22]. In order to explore the source of heterogeneity, we performed meta-regression analysis considering mean age, gender (percent of men), adjusted/unadjusted effect estimates, and a high/low risk of bias as covariates. All statistical analyses were performed at a significance level of 0.05 using Stata software, version 11 (StataCorp, College Station, TX, USA).