Table 2.
Summary of meta-analysis results.
| Phthalate | Cancer | Studies | Case (n) | Control (n) | Tests of association |
Tests of heterogeneity |
|||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Model | OR [95%CI] | Z | P-value | Q-value | P-value | I2 (%) | |||||
| MEP | Cancer | 10 | 3011 | 6777 | RE | 1.026[0.790–1.332] | 0.193 | 0.847 | 25.706 | 0.002 | 64.989 |
| Breast cancer | 5 | 2437 | 4651 | RE | 0.982[0.696–1.387] | 0.101 | 0.920 | 15.992 | 0.003 | 74.988 | |
| Prostate cancer | 2 | 180 | 1732 | RE | 0.887[0.253–3.104] | 0.188 | 0.851 | 6.588 | 0.010 | 84.820 | |
| Thyroid cancer | 2 | 255 | 255 | FE | 1.301[0.828–2.045] | 1.142 | 0.253 | 1.731 | 0.188 | 42.232 | |
| MnBP | Cancer | 10 | 3011 | 6777 | RE | 0.958[0.711–1.290] | 0.281 | 0.779 | 32.424 | <0.001 | 72.242 |
| Breast cancer | 5 | 2437 | 4651 | FE | 0.917[0.781–1.077] | 1.054 | 0.292 | 4.453 | 0.348 | 10.179 | |
| Prostate cancer | 2 | 180 | 1732 | FE | 1.322[0.855–2.046] | 1.255 | 0.210 | 0.248 | 0.618 | 0.000 | |
| Thyroid cancer | 2 | 255 | 255 | RE | 0.597[0.070–5.056] | 0.473 | 0.636 | 20.08 | <0.001 | 95.020 | |
| MEHP | Cancer | 10 | 3011 | 6777 | RE | 1.286[0.953–1.736] | 1.647 | 0.099 | 31.661 | <0.001 | 71.574 |
| Breast cancer | 5 | 2437 | 4651 | FE | 0.983[0.831–1.162] | 0.203 | 0.839 | 2.445 | 0.654 | 0.000 | |
| Prostate cancer | 2 | 180 | 1732 | FE | 1.223[0.784–1.908] | 0.203 | 0.839 | 2.445 | 0.654 | 0.000 | |
| Thyroid cancer | 2 | 255 | 255 | RE | 5.235[0.549–49.890] | 1.439 | 0.150 | 12.974 | <0.001 | 92.292 | |
| MBzP | Cancer | 9 | 2900 | 6666 | RE | 0.824[0.668–1.017] | 1.806 | 0.071 | 14.862 | 0.062 | 46.170 |
| Breast cancer | 5 | 2437 | 4651 | FE | 0.731[0.626–0.854] | 3.947 | <0.001 | 3.365 | 0.499 | 0.000 | |
| Prostate cancer | 2 | 180 | 1732 | FE | 1.493[0.976–2.284] | 1.847 | 0.065 | 1.239 | 0.266 | 19.315 | |
| MCHP | Cancer | 2 | 1132 | 2606 | RE | 0.866[0.449–1.670] | 0.429 | 0.668 | 4.962 | 0.026 | 79.845 |
| MCPP | Cancer | 5 | 1505 | 5197 | RE | 0.911[0.582–1.427] | 0.407 | 0.684 | 17.982 | 0.001 | 77.755 |
| Breast cancer | 4 | 1405 | 3621 | RE | 0.758[0.544–1.055] | 1.641 | 0.101 | 6.405 | 0.093 | 53.164 | |
| MEHHP | Cancer | 10 | 3011 | 6777 | RE | 1.407[1.021–1.940] | 2.087 | 0.037 | 42.02 | <0.001 | 78.582 |
| Breast cancer | 5 | 2437 | 4651 | FE | 1.011[0.866–1.180] | 0.133 | 0.895 | 2.593 | 0.628 | 0.000 | |
| Prostate cancer | 2 | 180 | 1732 | RE | 1.577[0.502–4.959] | 0.780 | 0.435 | 6.798 | 0.009 | 85.290 | |
| Thyroid cancer | 2 | 255 | 255 | RE | 4.080[1.126–14.782] | 2.141 | 0.032 | 6.259 | 0.012 | 84.022 | |
| MEOHP | Cancer | 10 | 3011 | 6777 | RE | 1.217[0.958–1.547] | 1.608 | 0.108 | 23.057 | 0.006 | 60.967 |
| Breast cancer | 5 | 2437 | 4651 | FE | 0.953[0.818–1.111] | 0.613 | 0.540 | 2.366 | 0.669 | 0.000 | |
| Prostate cancer | 2 | 180 | 1732 | RE | 1.721[0.876–3.380] | 1.577 | 0.115 | 2.226 | 0.136 | 55.066 | |
| Thyroid cancer | 2 | 255 | 255 | RE | 2.098[0.868–5.071] | 1.645 | 0.100 | 3.643 | 0.056 | 72.554 | |
| MiBP | Cancer | 8 | 2756 | 6522 | FE | 1.024[0.882–1.189] | 0.315 | 0.752 | 11.248 | 0.128 | 37.765 |
| Breast cancer | 5 | 2437 | 4651 | FE | 0.968[0.882–1.140] | 0.391 | 0.696 | 6.093 | 0.192 | 34.350 | |
| Prostate cancer | 2 | 180 | 1732 | FE | 1.229[0.800–1.889] | 0.942 | 0.346 | 1.432 | 0.232 | 30.143 | |
| MECPP | Cancer | 8 | 2824 | 4669 | RE | 1.428[1.021–1.997] | 2.080 | 0.038 | 28.783 | <0.001 | 75.680 |
| Breast cancer | 4 | 2394 | 2687 | RE | 1.075[0.829–1.394] | 0.545 | 0.586 | 6.425 | 0.093 | 53.307 | |
| Prostate cancer | 2 | 180 | 1732 | FE | 1.582[1.017–2.459] | 2.036 | 0.042 | 0.765 | 0.382 | 0.000 | |
| DEHP | Cancer | 7 | 1581 | 5352 | RE | 1.391[0.918–2.108] | 1.557 | 0.120 | 23.381 | 0.001 | 74.338 |
| Breast cancer | 4 | 1262 | 3481 | RE | 1.113[0.758–1.633] | 0.545 | 0.586 | 6.886 | 0.076 | 56.432 | |
| Prostate cancer | 2 | 180 | 1732 | RE | 2.194[0.781–6.160] | 1.492 | 0.136 | 5.147 | 0.023 | 80.572 | |
| DBP | Cancer | 3 | 648 | 1058 | FE | 1.436[1.048–1.968] | 2.249 | 0.025 | 0.459 | 0.795 | 0.000 |
| Breast cancer | 2 | 509 | 919 | FE | 1.389[0.990–1.950] | 1.902 | 0.057 | 0.194 | 0.659 | 0.000 | |
| MMP | Cancer | 4 | 1395 | 1469 | RE | 0.976[0.543–1.753] | 0.083 | 0.934 | 12.61 | 0.006 | 76.209 |
| MEHP% | Cancer | 2 | 1176 | 1174 | FE | 1.136[0.888–1.454] | 1.015 | 0.310 | 1.823 | 0.177 | 45.135 |
| MCNP | Cancer | 2 | 1129 | 1436 | RE | 0.986[0.594–1.637] | 0.054 | 0.957 | 2.188 | 0.139 | 54.293 |
| Breast cancer | 2 | 1129 | 1436 | RE | 0.986[0.594–1.637] | 0.054 | 0.957 | 2.188 | 0.139 | 54.293 | |
| Total phthalates | Cancer | 3 | 272 | 2184 | FE | 0.905[0.587–1.397] | 0.449 | 0.653 | 1.320 | 0.517 | 0.000 |
| Breast cancer | 2 | 133 | 2045 | FE | 0.746[0.428–1.302] | 1.031 | 0.303 | 0.140 | 0.708 | 0.000 | |
RE, random-effects model; FE, fixed-effects model.