Cochrane · systematic review · CD007469

Vitamin D supplementation for prevention of cancer in adults

Bjelakovic, G, Gluud, LL, Nikolova, D, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

Metabolic and Endocrine DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 42.9%Moderate 2 · 28.6%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Vitamin D versus placebo or no intervention for prevention of cancer in adults

Population: healthy participants or recruited among the general population; individuals diagnosed with a specific disease in a stable phase or with vitamin D deficiency
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cancer occurrence
Vitamin D vs placebo or no intervention
RR 1 [0.94, 1.06]18 studies · 50623 participantsModerate
Downgraded: risk of bias
Cancer occurrence in trials using vitamin D₃ (cholecalciferol)
Vitamin D vs placebo or no intervention
RR 1 [0.94, 1.06]14 studies · 49891 participantsModerate
Downgraded: risk of bias
All‐cause mortality
Vitamin D vs placebo or no intervention
RR 0.93 [0.88, 0.98]15 studies · 49866 participantsLow
Downgraded: risk of bias, imprecision
Cancer mortality in trials using vitamin D₃(cholecalciferol)
Vitamin D vs placebo or no intervention
RR 0.88 [0.78, 0.98]4 studies · 44492 participantsLow
Downgraded: risk of bias, imprecision
Adverse events: nephrolithiasis in trials using vitamin D₃(cholecalciferol) combined with calcium
Vitamin D vs placebo or no intervention
RR 1.17 [1.03, 1.34]3 studies · 42753 participantsLow
Downgraded: risk of bias, imprecision
Health‐related quality of life
Vitamin D vs placebo or no intervention
no estimate extractedNRNo studies
Health economics
Vitamin D vs placebo or no intervention
no estimate extractedNRNo studies