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Fig 1.

Flow diagram showing study selection process.

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Table 1.

Characteristics of included studies.

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Table 2.

Critical appraisal of included studies.

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Fig 2.

Forest plot of comparison of the risks of POCD or POD in patients with or without ApoE4.

Abbreviations: POCD, postoperative cognitive dysfunction; POD, postoperative delirium.

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Fig 3.

Small-study effect test for POCD or POD.

(a) Small-study effect test of POCD at 1 week. (b) Small-study effect test of POCD at 1–3 months. (c) Small-study effect test of POCD after 1 year. (d) Small-study effect test of POD. Abbreviations: POCD, postoperative cognitive dysfunction; POD, postoperative delirium.

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Table 3.

Sensitivity analyses: Effect of different research characteristics on POCD or POD with ApoE4 carriers.

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Table 4.

Trial sequential analysis of the incidence of POCD or PODa.

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