Evidence map›Paper›PMID 41814462›Full record

SynthesisCancer medicine2026

Vitamin D and Bladder Cancer Risk: An Umbrella Review and Second Order Meta-Analysis.

Stefano Mancin, Gaetano Ferrara, Sara Morales Palomares, Sofia Matteucci, Alice Maria Santagostino, Giulia Ferrari, Mauro Parozzi, Fabio Petrelli, Rodolfo Hurle, Marco Sguanci and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Stefano MancinIRCCS Humanitas Research Hospital, Milan, Italy.ORCID https://orcid.org/0000-0002-4988-4391
Gaetano FerraraDepartment: Nefrology and Dialysis Unit, Ramazzini Hospital, Carpi, Modena, Italy.
Sara Morales PalomaresDepartment of Pharmacy, Health and Nutritional Sciences (DFSSN), University of Calabria, Rende, Italy.ORCID https://orcid.org/0009-0003-3884-4823
Sofia MatteucciIRCCS Humanitas Research Hospital, Milan, Italy.
Alice Maria SantagostinoIRCCS Humanitas Research Hospital, Milan, Italy.
Giulia FerrariIRCCS Humanitas Research Hospital, Milan, Italy.
Mauro ParozziDepartment of Medicine and Surgery University of Parma, Via Antonio Gramsci, Parma, Italy.
Fabio PetrelliSchool of Pharmacy, Polo Medicina Sperimentale e Sanità Pubblica "Stefania Scuri", Camerino, Italy.
Rodolfo HurleIRCCS Humanitas Research Hospital, Milan, Italy.
Marco SguanciItalian Society of Nephrology Nurse (SIAN), Olbia, Italy.
Giovanni CangelosiUnits of Diabetology, ASUR Marche, Fermo, Italy.ORCID https://orcid.org/0000-0002-8523-6906

Funding

The Italian Ministry of Health's 'Ricerca Corrente
6 · The paper itself

Abstract

introductionBladder cancer is a common malignancy with a high recurrence rate, posing a significant public health burden. Beyond its role in bone health, vitamin D has been suggested to influence cancer risk, including bladder cancer.

aimTo evaluate the association between serum vitamin D levels, dietary intake, and supplementation with bladder cancer risk.

methodsThis umbrella review included systematic reviews and meta-analyses from multiple databases, focusing on serum levels or intake of vitamin D and bladder cancer risk. Study quality was assessed using the JBI Critical Appraisal Tool. The Corrected Covered Area showed a 15.5% overlap. Considerable heterogeneity in study design, populations, and vitamin D assessment was noted. Two second-order meta-analyses were conducted for quantitative synthesis.

resultsEight studies met the inclusion criteria. Adequate serum vitamin D was generally defined as levels ≥ 30 nmol/L. Low serum vitamin D was significantly associated with increased bladder cancer risk (RR = 1.32; 95% CI: [1.27, 1.38]). Higher serum levels were linked to a non-significant risk reduction (RR = 0.86; 95% CI: [0.63, 1.16]). Evidence on dietary intake was inconsistent, with some analyses suggesting a modest protective effect, particularly when combined with specific dietary patterns.

conclusionsLow serum vitamin D is consistently associated with increased bladder cancer risk, while maintaining levels above 30 nmol/L may provide some protection. Evidence on dietary intake and supplementation remains inconclusive. Future studies should adopt standardized methods for vitamin D measurement, explore the role of free versus total vitamin D, and clarify population-specific differences to better define vitamin D's role in bladder cancer prevention.

Indexed as

Urinary Bladder NeoplasmsVitamin DVitamin D DeficiencyDietDietary SupplementsHumansRisk FactorsVitamin D

Identifiers

PMID41814462
PMCPMC13093333

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.