Non-Cochrane · aetiology · PM40928380

Bladder cancer risk factors: a comprehensive umbrella review of meta-analyses.

Zhang Desheng, Ren Junwei, Ye Junjiang, et al. · International journal of surgery (London, England) · 2026 · PubMed · doi:10.1097/js9.0000000000003371

Findings

184 findings

Population
AdultsHigher red meat intakeLower red meat intakeRisk of bladder cancer
Non-European populations
RR 1.47
GRADE not reported
Studies not reported
AdultsHigher red meat intakeLower red meat intakeRisk of bladder cancer
Studies published after 2008
RR 1.26
GRADE not reported
Studies not reported
AdultsHigher red meat intakeLower red meat intakeRisk of bladder cancer
Case-control studies
RR 1.31
GRADE not reported
Studies not reported
AdultsHigher red meat intakeLower red meat intakeRisk of bladder cancerRR 1.23 [1.08, 1.39]
Very low
20 studies · 1267801 participants
AdultsHigher processed meatLower processed meatRisk of bladder cancerRR 1.16 [1.08, 1.25]
Low
19 studies · 772304 participants
AdultsHigher processed meatLower processed meatRisk of bladder cancer
Non-European populations
RR 1.39
GRADE not reported
Studies not reported
AdultsHigher fishLower fishRisk of bladder cancerRR 0.80 [0.67, 0.95]
Very low
15 studies · 363935 participants
AdultsHigher fishLower fishRisk of bladder cancer
Populations outside Europe/USA
RR 0.60
GRADE not reported
Studies not reported
AdultsProcessed meat consumption: 50 g per day incrementReference level (per-increment dose-response)Risk of bladder cancerRR 1.20 [1.06, 1.37]
Very low
10 studies · 575231 participants
AdultsRed meat consumption: 100 g per day incrementReference level (per-increment dose-response)Risk of bladder cancerRR 1.22 [1.05, 1.41]
Very low
12 studies · 1062781 participants
AdultsHigher total fruit and vegetablesLower total fruit and vegetablesRisk of bladder cancerRR 0.84 [0.74, 0.94]
Very low
10 studies · 583117 participants
AdultsHigher total vegetablesLower total vegetablesRisk of bladder cancerRR 0.83 [0.77, 0.89]
Very low
20 studies · 1049757 participants
AdultsHigher total fruitLower total fruitRisk of bladder cancerRR 0.82 [0.76, 0.88]
Very low
26 studies · 1099780 participants
AdultsHigher vitamin ELower vitamin ERisk of bladder cancer
RCTs
RR 1.10 [0.86, 1.35]
Low
3 studies · 78590 participants
AdultsVitamin E: highVitamin E: lowRisk of bladder cancerRR 0.84 [0.72, 0.96]
Very low
8 studies · 497011 participants
AdultsHigher dietary fat intakeLower dietary fat intakeRisk of bladder cancerRR 1.28 [1.04, 1.58]
Very low
11 studies · 484117 participants
AdultsHigher Western dietLower Western dietRisk of bladder cancerRR 1.52 [1.36, 1.67]
Low
4 studies · 582705 participants
AdultsHigher Mediterranean dietLower Mediterranean dietRisk of bladder cancerRR 0.92 [0.87, 0.96]
Very low
6 studies · 1169220 participants
AdultsHigher total fluid intakeLower total fluid intakeRisk of bladder cancerRR 1.16 [1.00, 1.36]
Very low
20 studies · 471244 participants
AdultsCruciferous vegetable intake of at least 412.5 g per weekLower intake (dose-response reference)Risk of bladder cancerOR 0.79 [0.67, 0.92]
Low
6 studies · 3854 participants
AdultsHigher cruciferous vegetable intake (amount unspecified)Lower cruciferous vegetable intakeRisk of bladder cancer
Case-control studies
OR 0.55 [0.35, 0.88]
Very low
6 studies · 3854 participants
AdultsHigher cruciferous vegetable intake (amount unspecified)Lower cruciferous vegetable intakeRisk of bladder cancer
Cohort studies
OR 1.00 [0.88, 1.13]
Very low
10 studies · 1463894 participants
AdultsHigher broccoli consumptionLower broccoli consumptionRisk of bladder cancer
Case-control studies
OR 0.698 [0.578, 0.844]
Low
3 studies · 6046 participants
AdultsHigher broccoli consumptionLower broccoli consumptionRisk of bladder cancer
Cohort studies
RR 0.610 [0.428, 0.870]
Very low
1 study · 47909 participants
AdultsHigher dietary glycemic indexLower dietary glycemic indexRisk of bladder cancerRR 1.23 [1.09, 1.40]
Low
3 studies
AdultsLiquor or spirits: 12 g incrementReference level (per-increment dose-response)Risk of bladder cancerRR 1.09 [1.01, 1.17]
Very low
5 studies
AdultsHigher milkLower milkRisk of bladder cancerRR 0.89 [0.81, 0.98]
Very low
18 studies · 462066 participants
AdultsHigher whole milkLower whole milkRisk of bladder cancerRR 1.21 [1.04, 1.38]
Very low
4 studies · 4870 participants
AdultsHigher fermented dairy productsLower fermented dairy productsRisk of bladder cancerRR 0.78 [0.61, 0.94]
Very low
5 studies · 271382 participants
AdultsEgg consumptionReference category per source meta-analysisRisk of bladder cancerRR 1.11 [0.90, 1.35]
Very low
13 studies · 184727 participants
AdultsCoffee consumption: 125 ml /d incrementReference level (per-increment dose-response)Risk of bladder cancerRR 1.01 [0.98, 1.03]
Very low
15 studies · 2106261 participants
AdultsHigher total carotenoid intakeLower total carotenoid intakeRisk of bladder cancerRR 0.88 [0.76, 1.03]
Very low
11 studies · 521015 participants
AdultsHigher circulating carotenoid concentrationsLower circulating carotenoid concentrationsRisk of bladder cancerRR 0.36 [0.12, 1.07]
Very low
3 studies · 1546 participants
AdultsHigher white meatLower white meatRisk of bladder cancerRR 0.96 [0.83, 1.10]
Very low
15 studies · 758212 participants
AdultsHigher white meatLower white meatRisk of bladder cancer
Non-European populations
RR 0.75
GRADE not reported
Studies not reported
AdultsHigher total tea consumptionLower total tea consumptionRisk of bladder cancerRR 0.96 [0.86, 1.06]
Very low
32 studies · 491321 participants
AdultsHigher black tea consumptionLower black tea consumptionRisk of bladder cancerRR 0.84 [0.70, 1.01]
Very low
10 studies · 62008 participants
AdultsHigher green tea consumptionLower green tea consumptionRisk of bladder cancerRR 0.95 [0.73, 1.24]
Very low
7 studies · 503110 participants
AdultsHigher dietary inflammatory potentialLower dietary inflammatory potentialRisk of bladder cancerRR 1.22 [0.97, 1.54]
Very low
6 studies · 373010 participants
AdultsHigher Dietary Inflammatory IndexLower Dietary Inflammatory IndexRisk of bladder cancerRR 1.04 [0.94, 1.13]
Very low
4 studies · 258078 participants
AdultsHigher soft drinksLower soft drinksRisk of bladder cancerRR 1.13 [0.89, 1.45]
Very low
5 studies
AdultsLight alcohol consumptionNo alcohol consumptionRisk of bladder cancerRR 0.96 [0.84, 1.08]
Very low
2 studies · 488213 participants
AdultsModerate alcohol consumptionNo alcohol consumptionRisk of bladder cancerRR 0.90 [0.53, 1.51]
Very low
2 studies · 488213 participants
AdultsHeavy alcohol consumptionNo alcohol consumptionRisk of bladder cancerRR 0.97 [0.69, 1.37]
Very low
2 studies · 488213 participants
AdultsBeer: 12 g incrementReference level (per-increment dose-response)Risk of bladder cancerRR 1.03 [0.98, 1.08]
Very low
5 studies
AdultsWine: 12 g incrementReference level (per-increment dose-response)Risk of bladder cancerRR 1.01 [0.97, 1.05]
Very low
4 studies
AdultsHigh-dose vitamin ALow-dose vitamin ARisk of bladder cancerRR 0.86 [0.65, 1.13]
Low
5 studies
AdultsHigh-dose vitamin B6Low-dose vitamin B6Risk of bladder cancerRR 0.77 [0.49, 1.20]
Low
3 studies
AdultsHigh-dose vitamin CLow-dose vitamin CRisk of bladder cancerRR 0.74 [0.36, 1.54]
Low
2 studies
AdultsHigh-dose vitamin DLow-dose vitamin DRisk of bladder cancerRR 1.05 [0.85, 1.29]
Low
1 study
AdultsHigh-dose beta-caroteneLow-dose beta-caroteneRisk of bladder cancerRR 1.19 [0.96, 1.46]
Moderate
6 studies
AdultsHigh-dose dietary nitrateLow-dose dietary nitrateRisk of bladder cancerOR 1.01 [0.76, 1.33]
Very low
10 studies · 715657 participants
AdultsModerate-dose dietary nitrateLow-dose dietary nitrateRisk of bladder cancerOR 1.18 [0.87, 1.59]
Very low
12 studies · 1193628 participants
AdultsHigh-dose dietary nitriteLow-dose dietary nitriteRisk of bladder cancerOR 0.91 [0.75, 1.11]
Very low
6 studies · 421648 participants
AdultsModerate-dose dietary nitriteLow-dose dietary nitriteRisk of bladder cancerOR 1.42 [0.97, 2.09]
Very low
7 studies · 722581 participants
AdultsHigher sugar-sweetened beveragesLower sugar-sweetened beveragesRisk of bladder cancerRR 1.14 [0.98, 1.33]
Very low
6 studies · 239587 participants
AdultsHigher potato consumptionLower potato consumptionRisk of bladder cancerRR 0.72 [0.46, 1.14]
Very low
5 studies · 5023 participants
AdultsHigher total dairy productsLower total dairy productsRisk of bladder cancerRR 0.92 [0.72, 1.13]
Very low
6 studies · 207706 participants
AdultsHigher cheeseLower cheeseRisk of bladder cancerRR 0.93 [0.79, 1.07]
Very low
7 studies · 274291 participants
AdultsHigher butterLower butterRisk of bladder cancerRR 1.00 [0.95, 1.06]
Very low
5 studies · 191031 participants
AdultsHigher total meatLower total meatRisk of bladder cancerRR 1.10 [0.92, 1.31]
Very low
11 studies · 137163 participants
AdultsHigher total meatLower total meatRisk of bladder cancer
Studies published after 2008
RR 1.31
GRADE not reported
Studies not reported
AdultsHigher total meatLower total meatRisk of bladder cancer
Higher quality score studies
RR 1.27
GRADE not reported
Studies not reported
AdultsCruciferous vegetable intake above 262.5 g per weekLower intake (dose-response reference)Risk of bladder cancerOR 0.91 [0.77, 1.07]
Very low
10 studies · 1463894 participants
AdultsWith Lynch syndromeWithout Lynch syndromeRelative risk of bladder cancerRR 7.48 [3.70, 15.13]
Low
4 studies · 6760 participants
AdultsDiastolic blood pressure, per 10 mmHg incrementReference level (per-increment dose-response)Risk of MIBCOR 1.14 [1.00, 1.20]
Very low
2 studies
Men with prostate cancerWith radiotherapy for prostate cancerWithout radiotherapy for prostate cancerSecondary bladder cancer in menHR 1.60 [1.33, 1.92]
Very low
16 studies · 209494 participants
MenWith Benign prostatic hyperplasiaWithout Benign prostatic hyperplasiaRisk of bladder cancer in men
Asian populations
RR 1.95
GRADE not reported
Studies not reported
MenWith Benign prostatic hyperplasiaWithout Benign prostatic hyperplasiaRisk of bladder cancer in men
Hospital-based studies
RR 1.71
GRADE not reported
Studies not reported
MenWith Benign prostatic hyperplasiaWithout Benign prostatic hyperplasiaRisk of bladder cancer in men
Caucasian populations
RR 1.51
GRADE not reported
Studies not reported
MenWith Benign prostatic hyperplasiaWithout Benign prostatic hyperplasiaRisk of bladder cancer in men
Studies with NOS score >6
RR 1.75 [1.38, 2.22]
GRADE not reported
Studies not reported
MenWith Benign prostatic hyperplasiaWithout Benign prostatic hyperplasiaRisk of bladder cancer in men
Population-based studies
RR 2.18
GRADE not reported
Studies not reported
MenWith Benign prostatic hyperplasiaWithout Benign prostatic hyperplasiaRisk of bladder cancer in menRR 1.71 [1.39, 2.11]
Low
6 studies · 629896 participants
MenWith Benign prostatic hyperplasiaWithout Benign prostatic hyperplasiaRisk of bladder cancer in men
Case-control studies
RR 2.50
GRADE not reported
Studies not reported
MenWith Benign prostatic hyperplasiaWithout Benign prostatic hyperplasiaRisk of bladder cancer in men
Cohort studies
RR 1.58
GRADE not reported
Studies not reported
AdultsWith urinary tract infectionWithout urinary tract infectionRisk of bladder cancerRR 1.33 [1.14, 1.55]
Very low
8 studies · 29837 participants
AdultsWith urinary calculiWithout urinary calculiRisk of bladder cancerOR 1.87 [1.45, 2.41]
Very low
13 studies · 182408 participants
AdultsWith cutaneous T-cell lymphomaWithout cutaneous T-cell lymphomaRisk of bladder cancerOR 1.72 [1.07, 2.48]
Very low
8 studies · 4139 participants
AdultsWith renal transplantWithout renal transplantRisk of bladder cancerRR 3.18 [1.34, 7.53]
Very low
11 studies · 81394 participants
AdultsWith overall atopyWithout overall atopyRisk of bladder cancerRR 1.31 [1.10, 1.56]
Very low
10 studies · 2335074 participants
AdultsWith asthmaWithout asthmaRisk of bladder cancerRR 1.46 [1.18, 1.80]
Very low
7 studies · 2171549 participants
AdultsWith lupus erythematosusWithout lupus erythematosusRisk of bladder cancerRR 1.66 [1.07, 2.59]
Very low
12 studies · 2806175 participants
AdultsWith primary colorectal cancerWithout primary colorectal cancerSecondary bladder cancerRR 1.19 [1.06, 1.33]
Very low
7 studies · 42880 participants
AdultsWith metabolic syndromeWithout metabolic syndromeRisk of bladder cancerRR 1.09 [1.02, 1.17]
Very low
2 studies · 12934208 participants
AdultsWith diabetesWithout diabetesRisk of bladder cancerRR 1.23 [1.16, 1.31]
Very low
17 studies · 83699162 participants
AdultsWith ANCA-associated vasculitisWithout ANCA-associated vasculitisRisk of bladder cancerRR 3.84 [2.72, 5.42]
Moderate
5 studies
WomenBreast cancer diagnosed at any ageWomen without breast cancer (general population)Risk of bladder cancerRR 1.15 [1.05, 1.26]
Very low
8 studies
WomenBreast cancer diagnosed before age 50Women without breast cancer (general population)Risk of bladder cancerRR 1.32 [1.17, 1.48]
Very low
4 studies
AdultsWith systemic sclerosisWithout systemic sclerosisRisk of bladder cancerRR 2.00 [1.06, 3.77]
Very low
2 studies
AdultsWith depression and anxietyWithout depression and anxietyRisk of bladder cancerRR 1.53 [1.00, 2.34]
Very low
4 studies
AdultsWith psoriasis and psoriatic arthritisWithout psoriasis and psoriatic arthritisRisk of bladder cancerRR 1.12 [1.04, 1.19]
Very low
9 studies · 1147009 participants
AdultsWith ankylosing spondylitisWithout ankylosing spondylitisRisk of bladder cancerRR 1.21 [0.92, 1.60]
Very low
5 studies · 58503 participants
AdultsWith inflammatory bowel diseaseWithout inflammatory bowel diseaseRisk of bladder cancerRR 0.99 [0.87, 1.12]
Very low
11 studies · 533167 participants
AdultsWith hepatitis C virus infectionWithout hepatitis C virus infectionRisk of bladder cancerRR 0.92 [0.82, 1.03]
Very low
5 studies
AdultsWith periodontal diseaseWithout periodontal diseaseRisk of bladder cancerRR 1.19 [0.95, 1.49]
Very low
3 studies
AdultsWith rhinitisWithout rhinitisRisk of bladder cancerRR 1.03 [0.74, 1.44]
Very low
4 studies · 1177243 participants
WomenBreast cancer diagnosed at age 50 or overWomen without breast cancer (general population)Risk of bladder cancerRR 1.08 [0.89, 1.30]
Very low
4 studies
AdultsWith opium consumptionWithout opium consumptionRisk of bladder cancerRR 4.07 [3.23, 5.12]
Moderate
15 studies · 60225 participants
AdultsAspirin use, mean duration ≥5 yearsNon-users (reference per source meta-analysis)Risk of bladder cancerRR 0.92 [0.88, 0.96]
Very low
7 studies · 1028458 participants
AdultsAspirin use, mean duration <5 yearsNon-users (reference per source meta-analysis)Risk of bladder cancerRR 0.90 [0.84, 0.96]
Very low
8 studies · 1105506 participants
AdultsWith pioglitazoneWithout pioglitazoneRisk of bladder cancer
Studies conducted in Europe
OR 1.17
GRADE not reported
Studies not reported
AdultsWith pioglitazoneWithout pioglitazoneRisk of bladder cancer
RCTs
OR 1.84 [0.99, 3.42]
Moderate
2 studies · 9114 participants
AdultsWith pioglitazoneWithout pioglitazoneRisk of bladder cancer
Cohort studies (observational subgroup)
OR 1.12
GRADE not reported
Studies not reported
AdultsWith pioglitazoneWithout pioglitazoneRisk of bladder cancer
Comparison with non-TZD users
OR 1.62
GRADE not reported
Studies not reported
AdultsWith pioglitazoneWithout pioglitazoneRisk of bladder cancer
Cohort and case-control studies
OR 1.13 [1.03, 1.25]
Low
20 studies · 4846088 participants
AdultsWith pioglitazoneWithout pioglitazoneRisk of bladder cancer
Duration of use >2 years
OR 1.49
GRADE not reported
Studies not reported
AdultsWith pioglitazoneWithout pioglitazoneRisk of bladder cancer
Cumulative dose 10.5-28 g
OR 1.27
GRADE not reported
Studies not reported
AdultsWith pioglitazoneWithout pioglitazoneRisk of bladder cancer
Studies adjusted for smoking
OR 1.28
GRADE not reported
Studies not reported
AdultsWith pioglitazoneWithout pioglitazoneRisk of bladder cancer
Duration of use 1-2 years
OR 1.25
GRADE not reported
Studies not reported
AdultsWith pioglitazoneWithout pioglitazoneRisk of bladder cancer
Non-industry funded studies
OR 1.20
GRADE not reported
Studies not reported
AdultsWith pioglitazoneWithout pioglitazoneRisk of bladder cancer
Cumulative dose >28 g
OR 1.66
GRADE not reported
Studies not reported
AdultsWith angiotensin-converting enzyme inhibitorsWithout angiotensin-converting enzyme inhibitorsRisk of bladder cancerRR 1.04 [1.00, 1.08]
Very low
4 studies · 2560819 participants
AdultsWith angiotensin II receptor blockersWithout angiotensin II receptor blockersRisk of bladder cancerRR 1.07 [1.03, 1.11]
Low
5 studies · 1547916 participants
Patients with type 2 diabetesWith metforminWithout metforminRisk of bladder cancerOR 0.76 [0.63, 0.91]
Very low
3 studies · 465588 participants
Patients with diabetesWith insulin glargineWithout insulin glargineRisk of bladder cancerOR 0.6 [0.37, 0.99]
Very low
4 studies · 75702 participants
AdultsWith 5-alpha reductase inhibitorsWithout 5-alpha reductase inhibitorsRisk of bladder cancerOR 0.75 [0.64, 0.88]
Low
4 studies · 180829 participants
Patients with type 2 diabetesUse of thiazolidinedionesNo useRisk of bladder cancerRR 1.13 [1.05, 1.23]
Very low
7 studies · 2161655 participants
AdultsUse of acetaminophenNo useRisk of bladder cancerRR 1.01 [0.88, 1.17]
Very low
10 studies · 97108 participants
AdultsUse of non-aspirin NSAIDsNo useRisk of bladder cancerRR 0.87 [0.73, 1.05]
Very low
6 studies · 761678 participants
AdultsWith calcium channel blockersWithout calcium channel blockersRisk of bladder cancerRR 1.16 [0.91, 1.47]
Very low
6 studies · 1097423 participants
AdultsWith diureticsWithout diureticsRisk of bladder cancerRR 1.16 [0.93, 1.46]
Very low
2 studies · 67504 participants
WomenWith estrogen-progestogen therapy for hormone replacement therapyWithout estrogen-progestogen therapy for hormone replacement therapyRisk of bladder cancerRR 0.79 [0.59, 1.06]
Very low
5 studies
AdultsWith sodium-glucose transporter-2 inhibitorsWithout sodium-glucose transporter-2 inhibitorsRisk of bladder cancerRR 0.93 [0.71, 1.21]
Moderate
6 studies · 87218 participants
AdultsStatinsPlaceboRisk of bladder cancerRR 0.89 [0.68, 1.16]
Moderate
4 studies · 27849 participants
AdultsStatinsControlsRisk of bladder cancerRR 1.32 [0.76, 2.30]
Low
6 studies · 1166668 participants
AdultsWith spironolactoneWithout spironolactoneRisk of bladder cancerRR 0.89 [0.74, 1.06]
Very low
3 studies · 254392 participants
AdultsAndrogen deprivation therapyNo androgen suppression therapyRisk of bladder cancerOR 1.00 [0.46, 2.15]
Very low
4 studies · 242845 participants
AdultsAndrogen suppression therapy (total)No androgen suppression therapyRisk of bladder cancerOR 0.92 [0.68, 1.24]
Very low
8 studies · 423674 participants
Patients with type 2 diabetesUse of thiazolidinediones: rosiglitazoneNo useRisk of bladder cancerRR 1.08 [0.95, 1.23]
Very low
3 studies · 1508042 participants
Patients with type 2 diabetesDuration of pioglitazone use (thiazolidinediones)Reference category per source meta-analysisRisk of bladder cancerRR 1.22 [0.93, 1.59]
Very low
11 studies
AdultsExposure to disinfection by-productsNo exposureRisk of bladder cancerRR 1.59 [1.24, 2.04]
Very low
11 studies · 978500 participants
AdultsParticulate matter 2.5 (PM2.5): 5 μg/m3 incrementReference level (per-increment dose-response)Risk of bladder cancerRR 1.07 [1.03, 1.11]
Moderate
8 studies · 470260109 participants
AdultsNitrogen dioxide (NO2): 10 μg/m3 incrementReference level (per-increment dose-response)Risk of bladder cancerRR 1.04 [1.00, 1.07]
Low
6 studies · 1925421 participants
AdultsPesticide exposureNon-pesticide exposureRisk of bladder cancerOR 1.65 [1.22, 2.22]
Very low
10 studies
AdultsLong-term chlorinated drinking water consumptionShort-term chlorinated drinking water consumptionRisk of bladder cancerOR 1.4 [1.2, 1.7]
Very low
5 studies · 15694 participants
AdultsWith secondhand smokingWithout secondhand smokingRisk of bladder cancerRR 1.22 [1.06, 1.40]
Very low
14 studies · 325264 participants
AdultsHealthiest lifestyleLeast healthy lifestyleRisk of bladder cancerHR 0.83 [0.76, 0.91]
Very low
2 studies
AdultsHigher smoking intensityLower smoking intensityRisk of bladder cancerRR 1.83 [1.75, 1.91]
Very low
31 studies · 3569804 participants
AdultsHigh physical activityLow physical activityRisk of bladder cancerRR 0.85 [0.74, 0.98]
Very low
15 studies · 5402369 participants
AdultsExposure to chloroformNo exposureRisk of bladder cancerRR 1.00 [0.99, 1.02]
Very low
3 studies · 89434 participants
AdultsNitrate in drinking waterNo exposureRisk of bladder cancerOR 1.00 [0.69, 1.45]
Very low
3 studies · 8679 participants
Military veteransMilitary veterans exposed to contaminated drinking waterGeneral populationRisk of bladder cancerHR 1.25 [0.97, 1.61]
Very low
2 studies · 370408 participants
Adult workersExposure to tetrachloroethyleneNo exposureRisk of bladder cancerRR 1.47 [1.16, 1.85]
Very low
8 studies
Adult workersPaintersNon-paintersRisk of bladder cancerRR 1.25 [1.16, 1.34]
Low
41 studies
Adult workersRubber-manufacturing industry workNo exposureRisk of bladder cancerRR 1.36 [1.18, 1.57]
Very low
54 studies · 367994 participants
Adult workersHairdressersNon-hairdressersRisk of bladder cancerRR 1.30 [1.14, 1.47]
Very low
18 studies · 136301 participants
Adult workersHairdressers, job held ≥10 yearsReference category per source meta-analysisRisk of bladder cancerRR 1.70 [1.01, 2.88]
Very low
6 studies · 15768 participants
Male firefightersMale career firefightersNon-firefightersRisk of bladder cancerRR 1.16 [1.08, 1.26]
Very low
10 studies
Adult workersHeavy diesel exhaust exposureNon-heavy diesel exhaust exposureRisk of bladder cancerRR 1.37 [1.05, 1.81]
Very low
2 studies
Adult workersTruck drivers (diesel exhaust exposure)Non-truck driversRisk of bladder cancerRR 1.17 [1.06, 1.29]
Very low
11 studies
Adult workersBus drivers (diesel exhaust exposure)Non-bus driversRisk of bladder cancerRR 1.33 [1.22, 1.45]
Very low
7 studies
Adult workersCoal mine workersNon-coal workersRisk of bladder cancer
Cohort studies
RR 0.79 [0.58, 1.10]
Very low
4 studies
Adult workersCoal mine workersNon-coal workersRisk of bladder cancer
Case-control studies
OR 2.17 [1.32, 4.02]
Very low
2 studies
Adult workersOccupational lead exposureNo exposureRisk of bladder cancerRR 1.41 [1.16, 1.71]
Very low
5 studies
Military veteransMilitary veterans exposed to Agent OrangeGeneral populationRisk of bladder cancerHR 1.17 [1.01, 1.36]
Very low
4 studies · 2998392 participants
Military veteransMilitary veterans exposed to depleted uraniumGeneral populationRisk of bladder cancerHR 2.13 [1.31, 3.48]
Low
4 studies · 5825 participants
Adult workersOccupational exposure to welding fumesNo exposureRisk of bladder cancerRR 1.26 [0.98, 1.60]
Very low
5 studies · 10892 participants
Adult workersOccupational benzene exposureNo exposureRisk of bladder cancerRR 1.07 [0.97, 1.18]
Very low
35 studies
Adult workersOccupational asbestos exposureNo exposureRisk of bladder cancerRR 1.04 [0.95, 1.13]
Very low
28 studies · 504130 participants
Adult workersBitumen workersNon-bitumen workersRisk of bladder cancerRR 1.09 [0.93, 1.27]
Very low
21 studies · 598 participants
Adult workersRoofersNon-roofersRisk of bladder cancerRR 1.18 [0.86, 1.62]
Very low
7 studies · 190 participants
Adult workersPaversNon-paversRisk of bladder cancerRR 0.97 [0.81, 1.16]
Very low
11 studies · 341 participants
Adult workersAny type of personal hair dye useNo hair dye useRisk of bladder cancerRR 0.93 [0.82, 1.05]
Very low
17 studies · 19736 participants
Adult workersPersonal use of permanent hair dyesNo hair dye useRisk of bladder cancerRR 0.92 [0.77, 1.09]
Very low
7 studies · 9619 participants
Adult workersAcrylonitrile workers (occupational exposure)No exposureRisk of bladder cancerRR 0.8 [0.3, 2.2]
Very low
3 studies · 118 participants
Male firefightersMale career firefighters, employed <10 yearsReference category per source meta-analysisRisk of bladder cancerRR 1.34 [0.78, 2.28]
Very low
4 studies
Male firefightersMale career firefighters, employed 10-20 yearsReference category per source meta-analysisRisk of bladder cancerRR 1.71 [0.63, 4.68]
Very low
4 studies
Male firefightersMale career firefighters, employed >20 yearsReference category per source meta-analysisRisk of bladder cancerRR 0.88 [0.55, 1.44]
Very low
4 studies
Adult workersHairdressers, job held ≥5 yearsReference category per source meta-analysisRisk of bladder cancerRR 1.52 [0.79, 2.93]
Very low
3 studies · 47604 participants
AdultsABO blood group AABO blood group ORisk of bladder cancerHR 1.12 [1.01, 1.23]
Very low
5 studies · 1946008 participants
WomenEver parity (has given birth)Nulliparity (never given birth)Risk of bladder cancerRR 0.76 [0.70, 0.82]
Low
13 studies · 2699564 participants
WomenEver parity (has given birth)Nulliparity (never given birth)Risk of bladder cancer
>=5 births vs nulliparous
RR 0.76
GRADE not reported
Studies not reported
WomenEver parity (has given birth)Nulliparity (never given birth)Risk of bladder cancer
Never smokers
RR 0.47
GRADE not reported
Studies not reported
WomenEver parity (has given birth)Nulliparity (never given birth)Risk of bladder cancer
3-4 births vs nulliparous
RR 0.79
GRADE not reported
Studies not reported
WomenEver parity (has given birth)Nulliparity (never given birth)Risk of bladder cancer
1-2 births vs nulliparous
RR 0.82
GRADE not reported
Studies not reported
WomenEver parity (has given birth)Nulliparity (never given birth)Risk of bladder cancer
Studies with fewer than 250 cases
RR 0.68
GRADE not reported
Studies not reported
WomenEver parity (has given birth)Nulliparity (never given birth)Risk of bladder cancer
Studies with more than 250 cases
RR 0.78
GRADE not reported
Studies not reported
WomenEarly menopauseNon-menopauseRisk of bladder cancerRR 1.22 [1.06, 1.40]
Very low
7 studies
AdultsHigher tooth lossLower tooth lossRisk of bladder cancerRR 1.23 [1.12, 1.35]
Low
2 studies · 64095 participants
AdultsABO blood group ABABO blood group ORisk of bladder cancerHR 1.06 [0.95, 1.19]
Very low
5 studies · 1946008 participants
AdultsABO blood group BABO blood group ORisk of bladder cancerHR 1.09 [0.97, 1.23]
Very low
5 studies · 1946008 participants
WomenAge at menarcheReference category per source meta-analysisRisk of bladder cancerRR 0.96 [0.85, 1.08]
Very low
12 studies · 1350207 participants
AdultsWith overweight (BMI = >25 kg/m2)Without overweight (BMI = >25 kg/m2)Risk of bladder cancerRR 1.06 [0.98, 1.15]
Very low
23 studies · 33697415 participants
AdultsWith obesity (BMI = >30 kg/m2)Without obesity (BMI = >30 kg/m2)Risk of bladder cancerRR 1.03 [0.96, 1.12]
Very low
23 studies · 29563710 participants

Included primary studies 84

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Feng 2021
matched by author and year (probable)
NR1 other reviewRisk of bladder cancernot extracted yet
Li 2022
Is periodontal disease a risk indicator for urogenital cancer? A systematic review and meta-analysis of cohort studies.
PMID:36016605
20221 other reviewRisk of bladder cancernot extracted yet
Ahmadinezhad 2022
The relationship between metabolic syndrome and its components with bladder cancer: a systematic review and meta-analysis of cohort studies.
PMID:35638225
2022this review onlyRisk of bladder cancer; PM40928380-P150-O1; Relative risk of bladder cancernot extracted yet
Alif 2022
Cancer and mortality in coal mine workers: a systematic review and meta-analysis.
PMID:34782367
2022this review onlyRisk of bladder cancernot extracted yet
Allen 2023
Risks of second non-breast primaries following breast cancer in women: a systematic review and meta-analysis.
PMID:36765408
2023this review onlyRisk of bladder cancernot extracted yet
Arafa 2022
Chronic exposure to nitrate in drinking water and the risk of bladder cancer: a meta-analysis of epidemiological evidence.
PMID:35063929
2022this review onlyRisk of bladder cancernot extracted yet
Bai 2017
Parity and bladder cancer risk: a dose-response meta-analysis.
PMID:28061845
2017this review onlyRisk of bladder cancernot extracted yet
Baladia 2024
Broccoli Consumption and Risk of Cancer: An Updated Systematic Review and Meta-Analysis of Observational Studies.
PMID:38892516
2024this review onlyRisk of bladder cancernot extracted yet
Bayne 2018
Role of urinary tract infection in bladder cancer: a systematic review and meta-analysis.
PMID:29520590
2018this review onlyRisk of bladder cancernot extracted yet
Bermej 2019
Milk and Dairy Product Consumption and Bladder Cancer Risk: A Systematic Review and Meta-Analysis of Observational Studies.
PMID:31089737
2019this review onlyRisk of bladder cancernot extracted yet
Boffetta 2001
A meta-analysis of bladder cancer and diesel exhaust exposure.
PMID:11138807
2001this review onlyRisk of bladder cancernot extracted yet
Bommareddy 2022
Association of Spironolactone Use With Risk of Cancer: A Systematic Review and Meta-analysis.
PMID:35138351
2022this review onlyRisk of bladder cancernot extracted yet
Boniol 2017
Meta-analysis of occupational exposures in the rubber manufacturing industry and risk of cancer.
PMID:29025048
2017this review onlyRisk of bladder cancernot extracted yet
BOSETTI 2013
Cancer risk for patients using thiazolidinediones for type 2 diabetes: a meta-analysis.
PMID:23345544
2013this review onlyRisk of bladder cancernot extracted yet
Boyle 2014
Sweetened carbonated beverage consumption and cancer risk: meta-analysis and review.
PMID:24625472
2014this review onlyRisk of bladder cancernot extracted yet
Collatuzzo 2024
Risk of bladder, kidney and prostate cancer from occupational exposure to welding fumes: a systematic review and meta-analysis.
PMID:38231405
2024this review onlyRisk of bladder cancernot extracted yet
Collins 1998
Review and meta-analysis of studies of acrylonitrile workers.
PMID:9714515
1998this review onlyRisk of bladder cancernot extracted yet
Connaughton 2022
Association of Hypertension and Organ-Specific Cancer: A Meta-Analysis.
PMID:35742125
2022this review onlyRisk of MIBC; Secondary bladder cancer in mennot extracted yet
Crippa 2018
Red and processed meat consumption and risk of bladder cancer: a dose-response meta-analysis of epidemiological studies.
PMID:28070638
2018this review onlyRisk of bladder cancernot extracted yet
Cui 2023
Epidemiological and genetic evidence for the relationship between ABO blood group and human cancer.
PMID:37074298
2023this review onlyRisk of bladder cancernot extracted yet
Dai 2016
Benign Prostatic Hyperplasia and the Risk of Prostate Cancer and Bladder Cancer: A Meta-Analysis of Observational Studies.
PMID:27149447
2016this review onlyRisk of bladder cancer in men; Risk of bladder cancernot extracted yet
Dai 2019
Association between coffee consumption and risk of bladder cancer in a meta-analysis of 16 prospective studies.
PMID:31528185
2019this review onlyRisk of bladder cancernot extracted yet
Dai 2024
The Association between Dietary Inflammatory Potential and Urologic Cancers: A Meta-analysis.
PMID:37940476
2024this review onlyRisk of bladder cancernot extracted yet
DeBono 2023
Firefighting and Cancer: A Meta-analysis of Cohort Studies in the Context of Cancer Hazard Identification.
PMID:37389311
2023this review onlyRisk of bladder cancernot extracted yet
Dianatinasab 2022
Dietary patterns and risk of bladder cancer: a systematic review and meta-analysis.
PMID:35016647
2022this review onlyRisk of bladder cancernot extracted yet
Fan 2021
Can Aspirin Use Be Associated With the Risk or Prognosis of Bladder Cancer? A Case-Control Study and Meta-analytic Assessment.
PMID:34350107
2021this review onlyRisk of bladder cancernot extracted yet
Filho 2023
The carcinogenicity of opium consumption: a systematic review and meta-analysis.
PMID:36773182
2023this review onlyRisk of bladder cancernot extracted yet
Franco 2023
Occupational asbestos exposure and urinary bladder cancer: a systematic review and meta-analysis.
PMID:36847813
2023this review onlyRisk of bladder cancernot extracted yet
Fu 1995
Cancer and occupational exposure to inorganic lead compounds: a meta-analysis of published data.
PMID:7757170
1995this review onlyRisk of bladder cancernot extracted yet
Goyal 2021
Cutaneous T-cell lymphoma is associated with increased risk of lymphoma, melanoma, lung cancer, and bladder cancer.
PMID:32822803
2021this review onlyRisk of bladder cancernot extracted yet
Guha 2010
Bladder cancer risk in painters: a meta-analysis.
PMID:20647380
2010this review onlyRisk of bladder cancernot extracted yet
Harling 2010
Bladder cancer among hairdressers: a meta-analysis.
PMID:20447989
2010this review onlyRisk of bladder cancernot extracted yet
Hong 2018
The Effect of Daily Fluid Management and Beverages Consumption on the Risk of Bladder Cancer: A Meta-analysis of Observational Study.
PMID:30580757
2018this review onlyRisk of bladder cancernot extracted yet
Keimling 2014
The association between physical activity and bladder cancer: systematic review and meta-analysis.
PMID:24594995
2014this review onlyRisk of bladder cancernot extracted yet
Kronstedt 2024
Exposures and Bladder Cancer Risk Among Military Veterans: A Systematic Review and Meta-analysis.
PMID:39153606
2024this review onlyRisk of bladder cancernot extracted yet
Lao 2021
Association Between Alcohol Consumption and Risk of Bladder Cancer: A Dose-Response Meta-Analysis of Prospective Cohort Studies.
PMID:34604033
2021this review onlyRisk of bladder cancernot extracted yet
Li 2013
Egg consumption and risk of bladder cancer: a meta-analysis.
PMID:23659445
2013this review onlyRisk of bladder cancernot extracted yet
Li 2021
Consumption of sugar-sweetened beverages and fruit juice and human cancer: a systematic review and dose-response meta-analysis of…
PMID:33854607
2021this review onlyRisk of bladder cancernot extracted yet
Li 2022
Age of menarche and primary bladder cancer risk: A meta-analysis and systematic review.
PMID:35400567
2022this review onlyRisk of bladder cancernot extracted yet
Li 2024
Ambient air pollution and urological cancer risk: A systematic review and meta-analysis of epidemiological evidence.
PMID:38879581
2024this review onlyRisk of bladder cancernot extracted yet
Liang 2016
Pesticide exposure and risk of bladder cancer: A meta-analysis.
PMID:27557494
2016this review onlyRisk of bladder cancernot extracted yet
Lin 2019
Vitamin E consumption and the risk of bladder cancer.
PMID:30806606
2019this review onlyRisk of bladder cancernot extracted yet
Long 2022
Dietary glycemic index, glycemic load and cancer risk: a meta-analysis of prospective cohort studies.
PMID:35034169
2022this review onlyRisk of bladder cancernot extracted yet
Ma 2021
The association between hepatitis C virus infection and renal cell cancer, prostate cancer, and bladder cancer: a systematic review and…
PMID:34035396
2021this review onlyRisk of bladder cancernot extracted yet
Mofrad 2021
Potato Consumption and Risk of Site-Specific Cancers in Adults: A Systematic Review and Dose-Response Meta-Analysis of Observational…
PMID:33861304
2021this review onlyRisk of bladder cancernot extracted yet
Mundt 2018
Cancer Risk Associated With Exposure to Bitumen and Bitumen Fumes: An Updated Systematic Review and Meta-Analysis.
PMID:29111990
2018this review onlyRisk of bladder cancernot extracted yet
Nassour 2023
Relative Risk of Bladder and Kidney Cancer in Lynch Syndrome: Systematic Review and Meta-Analysis.
PMID:36672455
2023this review onlyRelative risk of bladder cancer; Risk of MIBCnot extracted yet
Onishi 2013
Cancer incidence in systemic sclerosis: meta-analysis of population-based cohort studies.
PMID:23576072
2013this review onlyRisk of bladder cancernot extracted yet
Park 2017
Effects of Vitamin and Antioxidant Supplements in Prevention of Bladder Cancer: a Meta-Analysis of Randomized Controlled Trials.
PMID:28244289
2017this review onlyRisk of bladder cancernot extracted yet
Robertson 2022
Risk of extracolonic second primary cancers following a primary colorectal cancer: a systematic review and meta-analysis.
PMID:35152308
2022this review onlySecondary bladder cancer; Risk of bladder cancernot extracted yet
Seyyedsalehi 2021
Dietary N-nitroso compounds intake and bladder cancer risk: A systematic review and meta-analysis.
PMID:34119660
2021this review onlyRisk of bladder cancernot extracted yet
Seyyedsalehi 2024
Occupational benzene exposure and risk of kidney and bladder cancers: a systematic review and meta-analysis.
PMID:39229942
2025this review onlyRisk of bladder cancernot extracted yet
Shang 2015
Incidence of Cancer in ANCA-Associated Vasculitis: A Meta-Analysis of Observational Studies.
PMID:25973882
2015this review onlyRisk of bladder cancernot extracted yet
Shi 2018
Tooth loss and cancer risk: a dose-response meta analysis of prospective cohort studies.
PMID:29599929
2018this review onlyRisk of bladder cancernot extracted yet
Shi 2024
Exposure to disinfection by-products and risk of cancer: A systematic review and dose-response meta-analysis.
PMID:38183752
2024this review onlyRisk of bladder cancernot extracted yet
Spiazzi 2024
Sodium-glucose cotransporter 2 inhibitors and cancer: a systematic review and meta-analysis.
PMID:38530620
2024this review onlyRisk of bladder cancernot extracted yet
Symvoulidis 2023
The Effect of Statins on the Incidence and Prognosis of Bladder Cancer: A Systematic Review and Meta-Analysis.
PMID:37504348
2023this review onlyRisk of bladder cancernot extracted yet
Tang 2012
Insulin glargine and cancer risk in patients with diabetes: a meta-analysis.
PMID:23284776
2012this review onlyRisk of bladder cancernot extracted yet
Tang 2018
Pioglitazone and bladder cancer risk: a systematic review and meta-analysis.
PMID:29476615
2018this review onlyRisk of bladder cancernot extracted yet
Turati 2014
Personal hair dye use and bladder cancer: a meta-analysis.
PMID:24342029
2014this review onlyRisk of bladder cancernot extracted yet
Vaengebjerg 2020
Prevalence, Incidence, and Risk of Cancer in Patients With Psoriasis and Psoriatic Arthritis: A Systematic Review and Meta-analysis.
PMID:32074260
2020this review onlyRisk of bladder cancernot extracted yet
Villanueva 2003
Meta-analysis of studies on individual consumption of chlorinated drinking water and bladder cancer.
PMID:12594192
2003this review onlyRisk of bladder cancernot extracted yet
Vlaanderen 2014
Tetrachloroethylene exposure and bladder cancer risk: a meta-analysis of dry-cleaning-worker studies.
PMID:24659585
2014this review onlyRisk of bladder cancernot extracted yet
Wang 2019
Dietary fat intake and risk of bladder cancer: Evidence from a meta-analysis of observational studies.
PMID:31880534
2019this review onlyRisk of bladder cancernot extracted yet
Wang 2020
Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies.
PMID:31745237
2020this review onlyRisk of bladder cancernot extracted yet
Weng 2017
Tea Consumption and Risk of Bladder Cancer: A Dose-Response Meta-Analysis.
PMID:28167914
2016this review onlyRisk of bladder cancernot extracted yet
Wu 2020
Carotenoid Intake and Circulating Carotenoids Are Inversely Associated with the Risk of Bladder Cancer: A Dose-Response Meta-analysis.
PMID:31800007
2020this review onlyRisk of bladder cancernot extracted yet
Xiang 2021
Impact of Androgen Suppression Therapy on the Risk and Prognosis of Bladder Cancer: A Systematic Review and Meta-Analysis.
PMID:34970495
2021this review onlyRisk of bladder cancernot extracted yet
Xie 2020
Antihypertensive medications are associated with the risk of kidney and bladder cancer: a systematic review and meta-analysis.
PMID:31968309
2020this review onlyRisk of bladder cancernot extracted yet
Xu 2020
Reproductive and hormonal factors and bladder cancer risk: a prospective study and meta-analysis.
PMID:32629427
2020this review onlyRisk of bladder cancernot extracted yet
Yan 2014
Risk of bladder cancer in renal transplant recipients: a meta-analysis.
PMID:24496458
2014this review onlyRisk of bladder cancernot extracted yet
Yan 2018
Secondhand smoking increases bladder cancer risk in nonsmoking population: a meta-analysis.
PMID:30288109
2018this review onlyRisk of bladder cancernot extracted yet
Yao 2014
Intake of fruit and vegetables and risk of bladder cancer: a dose-response meta-analysis of observational studies.
PMID:25248495
2014this review onlyRisk of bladder cancernot extracted yet
Yu 2018
The risk of bladder cancer in patients with urinary calculi: a meta-analysis.
PMID:29305631
2018this review onlyRisk of bladder cancernot extracted yet
Yu 2023
Meat Intake and the Risk of Bladder Cancer: A Systematic Review and Meta-Analysis of Observational Studies.
PMID:36537666
2023this review onlyRisk of bladder cancernot extracted yet
Yu 2024
Association of ankylosing spondylitis with the risk of cancer: a meta-analysis of cohort studies.
PMID:38830028
2025this review onlyRisk of bladder cancernot extracted yet
Zhang 2013
Use of nonsteroidal anti-inflammatory drugs and bladder cancer risk: a meta-analysis of epidemiologic studies.
PMID:23894577
2013this review onlyRisk of bladder cancernot extracted yet
Zhang 2020
Combined lifestyle factors, incident cancer, and cancer mortality: a systematic review and meta-analysis of prospective cohort studies.
PMID:32037402
2020this review onlyRisk of bladder cancernot extracted yet
Zhang 2021
Metformin and risk of cancer among patients with type 2 diabetes mellitus: A systematic review and meta-analysis.
PMID:32605879
2021this review onlyRisk of bladder cancernot extracted yet
Zhang 2021
Does inflammatory bowel disease increase the risk of lower urinary tract tumors: a meta-analysis.
PMID:33532306
2021this review onlyRisk of bladder cancernot extracted yet
Zhang 2022
Association Between Systemic Lupus Erythematosus and Cancer Morbidity and Mortality: Findings From Cohort Studies.
PMID:35600353
2022this review onlyRisk of bladder cancer; Secondary bladder cancernot extracted yet
Zhao 2019
High prevalence of secondary bladder cancer in men on radiotherapy for prostate cancer: evidence from a meta-analysis.
PMID:30666156
2019this review onlySecondary bladder cancer in men; Risk of bladder cancer in mennot extracted yet
Zhao 2022
Cigarette smoking and risk of bladder cancer: a dose-response meta-analysis.
PMID:35332429
2022this review onlyRisk of bladder cancernot extracted yet
Zheng 2024
Unveiling the Effects of Cruciferous Vegetable Intake on Different Cancers: A Systematic Review and Dose-Response Meta-analysis.
PMID:39348271
2025this review onlyRisk of bladder cancernot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationAdults of any race, gender, geographic region or settingAdults (general population, workers, patients with the listed conditions, military veterans); some analyses restricted to men (BPH, radiotherapy for prostate cancer) or women (parity, menopause, menarche, breast cancer)
InterventionRisk factors for bladder cancer: lifestyle, diet, environmental exposures, occupational hazards, physiological conditions, diseases, medication and substance use156 risk factors from 84 meta-analyses in six domains: dietary, disease-related, medication, environmental and lifestyle, occupational, physiological
ComparisonPresence vs absence of the exposure, or higher vs lower exposure levelExposure vs non-exposure; high vs low intake; dose-response increments (e.g. processed meat 50 g/day, red meat 100 g/day, PM2.5 5 ug/m3, NO2 10 ug/m3)
OutcomesBladder cancer incidence or riskRisk of bladder cancer (also muscle-invasive bladder cancer and secondary bladder cancer); 79 potential associations; GRADE: 60 very low, 16 low, 3 moderate
Study designsSystematic reviews with meta-analysis of observational studies (cohort, case-control, cross-sectional) and randomized controlled trials; English language84 meta-analyses (2429 records retrieved); cohort, case-control and RCT-based meta-analyses; no GRADE high-certainty outcomes
TimingNot specifiedNot specified