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. 2020 Mar 2;2020(3):CD005004. doi: 10.1002/14651858.CD005004.pub3

5. Detailed summary results of included nonexperimental cohort studies.

References Detailed summary results The Newcastle‐Ottawa Scale (NOS)
Allen 2004 Reference category: lowest exposure
Prostate cancer
Intermediate exposure: RR 1.03 (95% CI 0.69‐1.55)
Highest exposure: RR 1.29 (95% CI 0.84‐1.98)
Low risk:
Selection: 3/4 stars since the exposed population is a highly selected group (survivors of the atomic bomb).
Comparability: 1/2 stars, since the study did not control for smoking habits.
Outcome: 3/3 stars, low risk
Total score: 7/9 stars, moderate quality.
Chyou 1993 Urinary tract cancer
Reference category: lowest exposure
Highest exposure: RR 1.34 (95% CI 0.79‐2.27)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Dai 2010 Reference category: lowest exposure
Breast cancer
Exposure assessment A: intake of green tea
Highest exposure: HR 1.04 (95% CI 0.88‐1.26)
Exposure assessment B: dosage of green tea:
Intermediate exposure 1: HR 1.07 (95% CI 0.81‐1.42)
Intermediate exposure 2: HR 0.98 (95% CI 0.75‐1.29)
Intermediate exposure 3: HR 1.00 (95% CI 0.68‐1.48)
Highest exposure: HR 1.18 (95% CI 0.86‐1.61)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 2/3 stars, follow‐up < 5 years
Total score: 8/9 stars, moderate quality.
Galanis 1998 Stomach cancer
Reference category: lowest exposure
All
Intermediate exposure: HR 1.3 (95% CI 0.7‐2.1)
Highest exposure: HR 1.5 (95% CI 0.9‐2.3)
Men
Intermediate exposure: HR 1.2 (95% CI 0.6‐2.5)
Highest exposure: HR 1.6 (95% CI 0.9‐2.9)
Women
Intermediate exposure: HR 1.3 (95% CI 0.6‐2.9)
Highest exposure: HR 1.3 (95% CI 0.6‐2.6)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 1/2 stars, the study did not control for smoking in the overall analysis, only in men
Outcome: 2/3 stars, follow‐up < 5 years, low risk
Total score: 7/9 stars, moderate quality.
Ide 2007 Reference category: lowest exposure
Oral cancer
All participants
Intermediate exposure 1: HR 0.65 (95% CI 0.22‐1.94)
Intermediate exposure 2: HR 0.69 (95% CI 0.28‐1.71)
Highest exposure: HR 0.44 (95% CI 0.19‐1.04)
Men
Intermediate exposure 1: HR 0.79 (95% CI 0.18‐3.57)
Intermediate exposure 2: HR 0.81 (95% CI 0.22‐3.03)
Highest exposure HR 0.61 (95% CI 0.18‐2.06)
Women
Intermediate exposure 1: HR 0.51 (95% CI 0.10‐2.68)
Intermediate exposure 2: HR 0.60 (95% CI 0.17‐2.10)
Highest exposure: HR 0.31 (95% CI 0.09‐1.07)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Inoue 2009a Reference category: lowest exposure
Stomach cancer
Men
All cohorts
Intermediate exposure 1: HR 0.97 (95% CI 0.83‐1.12)
Intermediate exposure 2: HR 0.93 (95% CI 0.81‐1.08)
Highest exposure: HR 1.06 (95% CI 0.86‐1.30)
JPHC‐I
Intermediate exposure 1: HR 0.85 (95% CI 0.62‐1.17)
Intermediate exposure 2: HR 0.87 (95% CI 0.65‐1.16)
Highest exposure: HR 0.97 (95% CI 0.73‐1.28)
JPHC‐II
Intermediate exposure 1: HR 1.11 (95% CI 0.82‐1.52)
Intermediate exposure 2: HR 1.08 (95% CI 0.80‐1.45)
Highest exposure: HR 1.06 (95% CI 0.78‐1.43)
JACC
Intermediate exposure 1: HR 0.80 (95% CI 0.59‐1.08)
Intermediate exposure 2: HR 0.75 (95% CI 0.57‐1.00)
Highest exposure: HR 0.81 (95% CI 0.63‐1.05)
MIYAGI
Intermediate exposure 1: HR 0.90 (95% CI 0.67‐1.20)
Intermediate exposure 2: HR 0.87 (95% CI 0.65‐1.17)
Highest exposure: HR 0.88 (95% CI 0.67‐1.15)
3‐pref MIYAGI
Intermediate exposure 1: HR 1.28 (95% CI 0.84‐1.94)
Intermediate exposure 2: HR 1.20 (95% CI 0.79‐1.80)
Highest exposure: HR 1.55 (95% CI 1.09‐2.20)
3‐pref AICHI
Intermediate exposure 1: HR 1.27 (95% CI 0.74‐2.21)
Intermediate exposure 2: HR 1.22 (95% CI 0.73‐2.03)
Highest exposure: HR 1.60 (95% CI 0.97‐2.63)
Women:
All cohorts:
Intermediate exposure 1: HR 0.90 (95% CI 0.73‐1.10)
Intermediate exposure 2: HR 0.92 (95% CI 0.76‐1.11)
Highest exposure: HR 0.79 (95% CI 0.65‐0.96)
JPHC‐I
Intermediate exposure 1: HR 0.75 (95% CI 0.45‐1.25)
Intermediate exposure 2: HR 0.90 (95% CI 0.58‐1.42)
Highest exposure: HR 0.58 (95% CI 0.36‐0.95)
JPHC‐II
Intermediate exposure 1: HR 0.93 (95% CI 0.56‐1.56)
Intermediate exposure 2: HR 1.18 (95% CI 0.74‐1.86)
Highest exposure: HR 0.74 (95% CI 0.45‐1.20)
JACC
Intermediate exposure 1: HR 1.04 (95% CI 0.71‐1.53)
Intermediate exposure 2: HR 0.85 (95% CI 0.60‐1.19)
Highest exposure: HR 0.88 (95% CI 0.64‐1.21)
MIYAGI
Intermediate exposure 1: HR 0.81 (95% CI 0.53‐1.26)
Intermediate exposure 2: HR 0.89 (95% CI 0.59‐1.35)
Highest exposure: HR 0.67 (95% CI 0.44‐1.02)
3‐pref MIYAGI
Intermediate exposure 1: HR 0.82 (95% CI 0.45‐1.49)
Intermediate exposure 2: HR 0.72 (95% CI 0.41‐1.27)
Highest exposure: HR 0.83 (95% CI 0.51‐1.35)
3‐pref AICHI
Intermediate exposure 1: HR 1.20 (95% CI 0.49‐2.95)
Intermediate exposure 2: HR 1.29 (95% CI 0.59‐2.80)
Highest exposure: HR 1.54 (95% CI 0.72‐3.28)
Stratified data available by sex and further stratified by smoking status (never smokers and current smokers)
Stratified data available by subsite (proximal and distal stomach cancer)
Previous reports
Fujino 2002
Stomach cancer mortality
Reference category: lowest exposure
Men
Intermediate exposure: RR 0.82 (95% CI 0.41‐1.64)
Highest exposure: RR 1.11 (95% CI 0.75‐1.63)
Women
Intermediate exposure: RR 1.74 (95% CI 0.71‐4.26)
Highest exposure: RR 1.43 (95% CI 0.78‐2.62)
Hoshiyama 2002
Reference category: lowest exposure
Stomach cancer mortality
Men
Intermediate exposure 1: RR 1.6 (95% CI 0.9‐2.9)
Intermediate exposure 2: RR 1.1 (95% CI 0.6‐1.9)
Intermediate exposure 3: RR 1.0 (95% CI 0.5‐2.5)
Highest exposure: RR 1.0 (95% CI 0.5‐2.0)
Women
Intermediate exposure 1: RR 1.1 (95% CI 0.5‐2.5)
Intermediate exposure 2: RR 1.0 (95% CI 0.5‐2.5)
Intermediate exposure 3: RR 0.8 (95% CI 0.4‐1.6)
Highest exposure: RR 0.7 (95% CI 0.3‐2.1)
Hoshiyama 2004
Reference category: lowest exposure
Stomach cancer
Intermediate exposure 1: RR 1.3 (95% CI 0.6‐2.8)
Intermediate exposure 2: RR 1.0 (95% CI 0.5‐1.9)
Intermediate exposure 3: RR 0.8 (95% CI 0.4‐1.6)
Highest exposure: RR 1.2 (95% CI 0.6‐2.5)
Koizumi 2003
Stomach cancer
Intermediate exposure 1: HR 1.01 (95% CI 0.80‐1.27)
Intermediate exposure 2: HR 0.89 (95% CI 0.70–1.13)
Highest exposure: HR 1.06 (95% CI 0.86–1.30)
Stratified data available by histological subtype (differentiated and nondifferentiated)
Stratified data available by subsite (cardia, body and antrum)
Tsubono 2001
Stomach cancer
All participants
Intermediate exposure 1: RR 1.2 (95% CI 0.8‐1.8)
Intermediate exposure 2: RR 1.0 (95% CI 0.7–1.5)
Highest exposure: RR 1.4 (95% CI 1.0‐1.9)
Men
Intermediate exposure 1: RR 1.2 (95% CI 0.7‐1.9)
Intermediate exposure 2: RR 1.2 (95% CI 0.7‐1.9)
Highest exposure: RR 1.5 (95% CI 1.0‐2.3)
Women
Intermediate exposure 1: RR 1.2 (95% CI 0.6‐2.3)
Intermediate exposure 2: RR 0.7 (95% CI 0.4‐1.5)
Highest exposure: RR 1.1 (95% CI 0.6‐2.0)
Sasazuki 2004
Reference category: lowest exposure
Men
Stomach cancer
Intermediate exposure 1: RR 0.95 (95% CI 0.74–1.21)
Intermediate exposure 2: RR 0.89 (95% CI 0.71–1.13)
Highest exposure: RR 0.97 (95% CI 0.77–1.22)
Subsite
Upper‐third including cardia cancer
Intermediate exposure 1: RR 1.07 (95% CI 0.53–2.17)
Intermediate exposure 2: RR 0.88 (95% CI 0.44–1.75)
Highest exposure: RR 1.24 (95% CI 0.65–2.35)
Distal cancer
Intermediate exposure 1: RR 0.88 (95% CI 0.65–1.17)
Intermediate exposure 2: RR 0.85 (95% CI 0.64–1.12)
Highest exposure: RR 0.88 (95% CI 0.67–1.16)
Women
Stomach cancer
Intermediate exposure 1: RR 0.93 (95% CI 0.61–1.41)
Intermediate exposure 2: RR 1.10 (95% CI 0.75–1.60)
Highest exposure: RR 0.70 (95% CI 0.47–1.05)
Subsite:
Upper‐third including cardia cancer
Intermediate exposure 1: RR 2.28 (95% CI 0.56–9.33)
Intermediate exposure 2: RR 0.70 (95% CI 0.13–3.62)
Highest exposure: RR 1.74 (95% CI 0.44–6.86)
Distal cancer
Intermediate exposure 1: RR 0.92 (95% CI 0.58–1.47)
Intermediate exposure 2: RR 1.05 (95% CI 0.69–1.60)
Highest exposure: RR 0.53 (95% CI 0.33–0.85)
Low risk:
Inoue 2009a
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Fujino 2002
Selection: 4/4 stars, low risk
Comparability: 1/2 stars, the study did not control for smoking
Outcome: 2/3 stars, follow‐up < 90%.
Total score: 8/9 stars, moderate quality.
Hoshiyama 2002
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 2/3 stars, follow‐up < 90%
Total score: 8/9 stars, moderate quality.
Hoshiyama 2004
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 2/3 stars, follow‐up < 90%.
Total score: 8/9 stars, moderate quality.
Sasazuki 2004
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Tsubono 2001
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Inoue 2009b Reference category: lowest exposure
Liver cancer
Men
Intermediate exposure: HR 1.20 (95% CI 0.64‐2.23)
Highest exposure: HR 1.18 (95% CI 0.63‐2.20)
Women
Intermediate exposure: HR 2.58 (95% CI 1.01‐6.59)
Highest exposure: HR 1.48 (95% CI 0.54‐4.08)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Ishikawa 2006 Reference category: lowest exposure
Oesophageal cancer
Cohort 1 + cohort 2
Intermediate exposure 1: HR 1.03 (95% CI 0.46‐2.28)
Intermediate exposure 2: HR 1.13 (95% CI 0.53‐2.42)
Highest exposure: HR 1.67 (95% CI 0.89‐3.16)
Cohort 1
Intermediate exposure 1: HR 0.69 (95% CI 0.17‐2.91)
Intermediate exposure 2: HR 1.58 (95% CI 0.52‐4.76)
Highest exposure: HR 1.78 (95% CI 0.66‐4.82)
Cohort 2
Intermediate exposure 1: HR 1.22 (95% CI 0.47‐3.19)
Intermediate exposure 2: HR 0.85 (95% CI 0.30‐2.40)
Highest exposure: HR 1.61 (95% CI 0.71‐3.66)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 2/3 stars, follow‐up rate < 90%
Total score: 8/9 stars, moderate quality.
Iwai 2002 Reference category: lowest exposure
Total cancer mortality
Intermediate exposure: HR 0.93 (95% CI 0.51‐1.70)
Highest exposure: HR 0.92 (95% CI 0.49‐1.73)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 1/2 stars, the study did not control for smoking
Outcome: 3/3 stars, low risk
Total score: 8/9 stars, moderate quality.
Iwasaki 2010a Reference category: lowest exposure
Breast cancer
Iwasaki 2010a
Intermediate exposure: HR 1.19 (95% CI 0.80‐1.76)
Intermediate exposure 2: HR 1.13 (95% CI 0.72‐1.75)
Intermediate exposure 3: HR 1.13 (95% CI 0.81‐1.58)
Intermediate exposure 4: HR 1.17 (95% CI 0.85‐1.62)
Highest exposure: HR 1.12 (95% CI 0.81‐1.56)
Iwasaki 2010b
Highest exposure: OR 1.02 (95% CI 0.62‐1.65)
Low risk:
Iwasaki 2010a:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Iwasaki 2010b
Selection: 4/4 stars, low risk
Comparability: 1/2 stars, the study did not control for smoking
Outcome: 3/3 stars, low risk
Total score: 8/9 stars, moderate quality.
Key 1999 Reference category: lowest exposure
Breast cancer
Intermediate exposure: RR 1.02 (95% CI 0.76‐1.36)
Highest exposure: RR 0.86 (95% CI 0.62‐1.21)
Low risk:
Selection: 3/4 stars, exposure based on self‐report not within a structured interview or questionnaire.
Comparability: 1/2 stars, the study did not control for smoking
Outcome: 3/3 stars, low risk
Total score: 7/9 stars, moderate quality.
Khan 2004 Reference category: lowest exposure
Men
Total cancer mortality
Highest exposure: RR 1.0 (955 CI 0.7‐1.6)
Lung cancer mortality
Highest exposure: RR 0.6 (95% CI 0.3‐1.2)
Stomach cancer mortality
Highest exposure: RR 1.1 (95% CI 0.4‐2.5)
Colorectal cancer mortality
Highest exposure: RR 1.3 (95% CI 0.3‐5.9)
Pancreatic cancer mortality
Highest exposure: RR not estimated
Women
Total cancer mortality
Highest exposure: RR 1.0 (955 CI 0.6‐1.6)
Lung cancer mortality
Highest exposure: RR 0.7 (95% CI 0.2‐2.9)
Stomach cancer mortality
Highest exposure: RR 0.7 (95% CI 0.2‐1.9)
Colorectal cancer mortality
Highest exposure: RR 1.2 (95% CI 0.3‐4.4)
Pancreatic cancer mortality
Highest exposure: RR 0.5 (95% CI 0.2‐1.6)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Kikuchi 2006 Reference category: lowest exposure
Prostate cancer
Intermediate exposure 1: HR 0.77 (95% CI 0.42‐1.40)
Intermediate exposure 2: HR 1.15 (95% CI 0.69‐1.94)
Highest exposure: HR 0.85 (95% CI 0.50‐1.43)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Kurahashi 2007 Reference category: lowest exposure
Prostate cancer
Intermediate exposure 1: RR 0.96 (95% CI 0.68‐1.35)
Intermediate exposure 2: RR 0.94 (95% CI 0.68‐1.30)
Highest exposure: RR 0.89 (95% CI 0.65‐1.21)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Kurahashi 2009 Reference category: lowest exposure
Bladder cancer
Men
Intermediate exposure 1: HR 1.18 (95% CI 0.73‐1.91)
Intermediate exposure 2: HR 0.71 (95% CI 0.43‐1.18)
Highest exposure: HR 0.90 (95% CI 0.56‐1.45)
Women
Intermediate exposure: HR 1.22 (95% CI 0.49‐3.00)
Highest exposure: HR 2.29 (95% CI 1.06‐4.92)
Analysis also available stratified by smoking status
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Kuriyama 2006 Reference category: lowest exposure
All participants
Total cancer mortality
Intermediate exposure 1: HR 1.11 (95% CI 0.93‐1.34)
Intermediate exposure 2: HR 1.16 (95% CI 0.97‐1.38)
Highest exposure: HR 1.11 (95% CI 0.94‐1.31)
Stomach cancer mortality
Intermediate exposure 1: HR 1.33 (95% CI 0.86‐2.04)
Intermediate exposure 2: HR 1.00 (95% CI 0.64‐1.58)
Highest exposure: HR 1.17 (95% CI 0.78‐1.76)
Lung cancer mortality
Intermediate exposure 1: HR 1.03 (95% CI 0.67‐1.58)
Intermediate exposure 2: HR 1.05 (95% CI 0.69‐1.59)
Highest exposure: HR 1.18 (95% CI 0.81‐1.72)
Colorectal cancer mortality
Intermediate exposure 1: HR 1.04 (95% CI 0.59‐1.82)
Intermediate exposure 2: HR 1.45 (95% CI 0.87‐2.42)
Highest exposure: HR 1.10 (95% CI 0.67‐1.82)
Men
Total cancer mortality
Intermediate exposure 1: HR 1.02 (95% CI 0.82‐1.28)
Intermediate exposure 2: HR 1.18 (95% CI 0.95‐1.46)
Highest exposure: HR 1.11 (95% CI 0.90‐1.36)
Stomach cancer mortality
Intermediate exposure 1: HR 1.29 (95% CI 0.78‐2.16)
Intermediate exposure 2: HR 1.19 (95% CI 0.71‐2.00)
Highest exposure: HR 1.20 (95% CI 0.74‐1.95)
Lung cancer mortality
Intermediate exposure 1: HR 0.88 (95% CI 0.54‐1.42)
Intermediate exposure 2: HR 0.97 (95% CI 0.61‐1.54)
Highest exposure: HR 1.14 (95% CI 0.75‐1.73)
Colorectal cancer mortality
Intermediate exposure 1: HR 1.09 (95% CI 0.57‐2.09)
Intermediate exposure 2: HR 1.23 (95% CI 0.66‐2.29)
Highest exposure: HR 0.88 (95% CI 0.47‐1.63)
Women
Total cancer mortality
Intermediate exposure 1: HR 1.27 (95% CI 0.93‐1.74)
Intermediate exposure 2: HR 1.09 (95% CI 0.79‐1.49)
Highest exposure: HR 1.07 (95% CI 0.80‐1.44)
Stomach cancer mortality
Intermediate exposure 1: HR 1.32 (95% CI 0.59‐2.94)
Intermediate exposure 2: HR 0.64 (95% CI 0.26‐1.63)
Highest exposure: HR 1.08 (95% CI 0.50‐2.33)
Lung cancer mortality
Intermediate exposure 1: HR 1.83 (95% CI 0.68‐4.96)
Intermediate exposure 2: HR 1.46 (95% CI 0.54‐3.95)
Highest exposure: HR 1.59 (95% CI 0.63‐4.05)
Colorectal cancer mortality
Intermediate exposure 1: HR 0.98 (95% CI 0.32‐2.97)
Intermediate exposure 2: HR 1.96 (95% CI 0.78‐4.95)
Highest exposure: HR 1.49 (95% CI 0.60‐3.71)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Lee 2007 Reference category: lowest exposure
Men
Colorectal cancer
Intermediate exposure 1: RR 0.80 (95% CI 0.57‐1.06)
Intermediate exposure 2: RR 1.00 (95% CI 0.73‐1.35)
Intermediate exposure 3: RR 1.04 (95% CI 0.78‐1.40)
Highest exposure: RR 0.96 (95% CI 0.71‐1.29)
Colon cancer
Intermediate exposure 1: RR 0.73 (95% CI 0.47‐1.14)
Intermediate exposure 2: RR 1.09 (95% CI 0.75‐1.59)
Intermediate exposure 3: RR 1.06 (95% CI 0.74‐1.53)
Highest exposure: RR 0.92 (95% CI 0.63‐1.33)
Rectal cancer
Intermediate exposure 1: RR 0.93 (95% CI 0.53‐1.67)
Intermediate exposure 2: RR 0.81 (95% CI 0.47‐1.39)
Intermediate exposure 3: RR 1.01 (95% CI 0.60‐1.67)
Highest exposure: RR 1.04 (95% CI 0.63‐1.72)
Women
Colorectal cancer
Intermediate exposure 1: RR 1.01 (95% CI 0.67‐1.52)
Intermediate exposure 2: RR 0.81 (95% CI 0.55‐1.22)
Intermediate exposure 3: RR 0.96 (95% CI 0.66‐1.40)
Highest exposure: RR 1.02 (95% CI 0.70‐1.47)
Colon cancer
Intermediate exposure 1: RR 0.97 (95% CI 0.57‐1.63)
Intermediate exposure 2: RR 0.81 (95% CI 0.49‐1.35)
Intermediate exposure 3: RR 0.99 (95% CI 0.62‐1.57)
Highest exposure: RR 1.10 (95% CI 0.70‐1.73)
Rectal cancer
Intermediate exposure 1: RR 1.09 (95% CI 0.56‐2.13)
Intermediate exposure 2: RR 0.81 (95% CI 0.42‐1.57)
Intermediate exposure 3: RR 0.92 (95% CI 0.49‐1.71)
Highest exposure: RR 0.85 (95% CI 0.45‐1.61)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Li 2008 Reference category: lowest exposure
Lung cancer
All participants
Intermediate exposure 1: HR 1.14 (95% CI 0.80‐1.62)
Intermediate exposure 2: HR 1.18 (95% CI 0.83‐1.66)
Highest exposure: HR 1.17 (95% CI 0.85‐1.61)
Men
Intermediate exposure 1: HR 1.05 (95% CI 0.70‐1.57)
Intermediate exposure 2: HR 1.21 (95% CI 0.82‐1.79)
Highest exposure: HR 1.17 (95% CI 0.82‐1.68)
Women
Intermediate exposure 1: HR 1.48 (95% CI 0.71‐3.10)
Intermediate exposure 2: HR 1.11 (95% CI 0.52‐2.37)
Highest exposure: HR 1.30 (95% CI 0.65‐2.60)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Li 2018 Reference category: lowest exposure
Lung cancer
Highest exposure: HR 1.88 (95% CI 0.93‐3.77)
Low risk:
Selection: 3/4 stars, exposure based on self‐report not within a structured interview or questionnaire.
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 8/9 stars, moderate quality.
Lin 2008 Reference category: lowest exposure
Pancreatic cancer mortality
All participants
Intermediate exposure 1: RR 1.04 (95% CI 0.67‐1.60)
Intermediate exposure 2: RR 1.14 (95% CI 0.80‐1.63)
Intermediate exposure 3: RR 0.99 (95% CI 0.69‐1.42)
Highest exposure: RR 1.23 (95% CI 0.84‐1.80)
Men
Intermediate exposure 1: RR 0.79 (95% CI 0.42‐1.51)
Intermediate exposure 2: RR 1.09 (95% CI 0.65‐1.83)
Intermediate exposure 3: RR 0.88 (95% CI 0.53‐1.48)
Highest exposure: RR 0.95 (95% CI 0.5‐1.65)
Women
Intermediate exposure 1: RR 1.32 (95% CI 0.73‐2.38)
Intermediate exposure 2: RR 1.20 (95% CI 0.73‐1.97)
Intermediate exposure 3: RR 1.08 (95% CI 0.66‐1.78)
Highest exposure: RR 1.54 (95% CI 0.91‐2.60)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Liu 2016 Reference category: highest exposure
Total cancer mortality
Intermediate exposure 1: HR 0.93 (95% CI 0.85‐1.01)
Intermediate exposure 2: HR 0.91 (95% CI 0.85‐0.98)
Lowest exposure: HR 0.86 (95%CI 0.79‐0.93)
Available also stratified analysis by smoking status, alcohol drinking, rural and urban locality
Low risk:
Selection: 4/4 stars, low risk.
Comparability: 2/2 stars, low risk.
Outcome: 3/3 stars, low risk.
Total score: 9/9 stars, high quality.
Luo 2007 Reference category: lowest exposure
Pancreatic cancer
All participants
Intermediate exposure 1: HR 1.1 (95% CI 0.6‐1.9)
Intermediate exposure 2: HR 1.1 (95% CI 0.7‐1.9)
Intermediate exposure 3: HR 1.2 (95% CI 0.7‐2.0)
Highest exposure: HR 1.2 (95% CI 0.7‐1.9)
Men
Intermediate exposure 1: HR 1.3 (95% CI 0.6‐2.9)
Intermediate exposure 2: HR 1.4 (95% CI 0.7‐2.9)
Intermediate exposure 3: HR 1.5 (95% CI 0.7‐3.1)
Highest exposure: HR 1.4 (95% CI 0.7‐2.8)
Women
Intermediate exposure 1: HR 0.9 (95% CI 0.4‐2.1)
Intermediate exposure 2: HR 0.9 (95% CI 0.4‐1.8)
Intermediate exposure 3: HR 0.9 (95% CI 0.5‐1.9)
Highest exposure: HR 1.0 (95% CI 0.5‐2.0)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Makiuchi 2016 Reference category: lowest exposure
Biliary tract cancer
All participants
Intermediate exposure 1: HR 0.74 (95% CI 0.52‐1.04)
Intermediate exposure 2: HR 0.86 (95% CI 0.62‐1.21)
Highest exposure: HR 0.67 (95% CI 0.46‐0.97)
Men
Intermediate exposure 1: HR 0.74 (95% CI 0.48‐1.15)
Intermediate exposure 2: HR 0.89 (95% CI 0.58‐1.37)
Highest exposure: HR 0.66 (95% CI 0.40‐1.08)
Women
Intermediate exposure 1: HR 0.74 (95% CI 0.42‐1.29)
Intermediate exposure 2: HR 0.84 (95% CI 0.49‐1.44)
Highest exposure: HR 0.66 (95% CI 0.37‐1.20)
Gallbladder
Intermediate exposure 1: HR 0.56 (95% CI 0.32‐0.97)
Intermediate exposure 2: HR 0.88 (95% CI 0.54‐1.45)
Highest exposure: HR 0.57 (95% CI 0.32‐1.01)
Extrahepatic bile duct cancer
Intermediate exposure 1: HR 0.83 (95% CI 0.53‐1.31)
Intermediate exposure 2: HR 0.79 (95% CI 0.50‐1.26)
Highest exposure: HR 0.69 (95% CI 0.41‐1.15)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Michikawa 2011 Reference category: lowest exposure
Thyroid cancer
Men
Intermediate exposure 1: HR 1.13 (95% CI 0.39‐3.27)
Intermediate exposure 2: HR 0.95 (95% CI 0.33‐2.78)
Highest exposure: HR 0.71 (95% CI 0.22‐2.28)
Women
Intermediate exposure 1: HR 0.64 (95% CI 0.37‐1.14)
Intermediate exposure 2: HR 1.10 (95% CI 0.70‐1.75)
Highest exposure: HR 0.91 (95% CI 0.56‐1.48)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality
Montague 2012 Reference category: lowest exposure
Prostate cancer
Intermediate exposure 1: HR 1.07 (95% CI 0.73‐1.56)
Intermediate exposure 2: HR 1.09 (95% CI 0.80‐1.48)
Highest exposure: HR 1.08 (95% CI 0.79‐1.48)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Nagano 2001 Reference category: lowest exposure
Total cancer
Intermediate exposure: RR 1.0 (95% CI 0.93‐1.1)
Highest exposure: RR 0.98 (95% CI 0.89‐1.1)
Total solid cancer
Intermediate exposure: RR 1.0 (95% CI 0.92‐1.1)
Highest exposure: RR 0.98 (95% CI 0.88‐1.1)
Stomach cancer (also reported in Sauvaget 2005)
Intermediate exposure: RR 1.0 (95% CI 0.82‐1.2)
Highest exposure: RR 0.95 (95% CI 0.76‐1.2)
Colon cancer
Intermediate exposure: RR 1.0 (95% CI 0.76‐1.4)
Highest exposure: RR 1.0 (95% CI 0.76‐1.4)
Rectal cancer
Intermediate exposure: RR 1.3 (95% CI 0.80‐2.0)
Highest exposure: RR 1.3 (95% CI 0.77‐2.1)
Liver cancer
Intermediate exposure: RR 1.1 (95% CI 0.80‐1.4)
Highest exposure: RR 0.95 (95% CI 0.69‐1.3)
Gallbladder cancer
Intermediate exposure: RR 0.9 (95% CI 0.57‐1.7)
Highest exposure: RR 1.2 (95% CI 0.66‐2.2)
Pancreatic cancer
Intermediate exposure: RR 0.8 (95% CI 0.51‐1.4)
Highest exposure: RR 0.79 (95% CI 0.45‐1.4)
Lung cancer
Intermediate exposure: RR 0.78 (95% CI 0.60‐1.0)
Highest exposure: RR 0.79 (95% CI 0.59‐1.1)
Breast cancer
Intermediate exposure: RR 1.2 (95% CI 0.86‐1.8)
Highest exposure: RR 1.0 (95% CI 0.67‐1.6)
Bladder cancer
Intermediate exposure: RR 1.1 (95% CI 0.62‐2.0)
Highest exposure: RR 1.1 (95% CI 0.6‐2.1)
Haematopoietic cancer
Intermediate exposure: RR 1.2 (95% CI 0.75‐1.8)
Highest exposure: RR 0.99 (95% CI 0.61‐1.7)
Sauvaget 2005:
Reference category: lowest exposure
Stomach cancer:
Intermediate exposure: IRR 1.03 (95% C 0.89–1.19)
Highest exposure: IRR 1.06 (95% CI 0.89–1.25)
Low risk:
Nagano 2001
Selection: 3/4 stars, exposure based on self‐report not within a structured interview or questionnaire.
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 8/9 stars, moderate quality.
Sauvaget 2005
Selection: 3/4 stars, exposure based on self report not within a structured interview or questionnaire.
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 8/9 stars, moderate quality.
Naganuma 2009 Reference category: lowest exposure
All participants
Haematopoietic cancer
Intermediate exposure 1: HR 0.88 (95% CI 0.57‐1.38)
Intermediate exposure 2: HR 0.90 (95% CI 0.59‐1.39)
Highest exposure: HR 0.58 (95% CI 0.37‐0.89)
Lymphoid cancer
Intermediate exposure 1: HR 1.00 (95% CI 0.61‐1.65)
Intermediate exposure 2: HR 0.92 (95% CI 0.56‐1.52)
Highest exposure: HR 0.52 (95% CI 0.31‐1.87)
Myeloid cancer
Intermediate exposure 1: HR 0.57 (95% CI 0.20‐1.64)
Intermediate exposure 2: HR 0.91 (95% CI 0.37‐2.23)
Highest exposure: HR 0.76 (95% CI 0.32‐1.78)
Men
Hematopoietic cancer
Intermediate exposure 1: HR 0.75 (95% CI 0.41‐1.35)
Intermediate exposure 2: HR 0.82 (95% CI 0.47‐1.46)
Highest exposure: HR 0.57 (95% CI 0.32‐1.00)
Women
Hematopoietic cancer
Intermediate exposure 1: HR 1.09 (95% CI 0.55‐2.16)
Intermediate exposure 2: HR 1.01 (95% CI 0.52‐1.99)
Highest exposure: HR 0.58 (95% CI 0.29‐1.16)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Nakachi 2000 Reference category: lowest exposure
Total cancer
All participants
Intermediate exposure: RR 0.81 (95% CI 0.52‐1.27)
Highest exposure: RR 0.59 (95% CI 0.35‐0.98)
Men
Intermediate exposure: RR 1.00 (95% CI 0.50‐2.04)
Highest exposure: RR 0.54 (95% CI 0.22‐1.34)
Women
Intermediate exposure: RR 0.92 (95% CI 0.64‐1.31)
Highest exposure: RR 0.57 (95% CI 0.34‐0.98)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Nakamura 2011 Pancreatic cancer mortality
Reference category: lowest exposure
Men
Intermediate exposure: HR 2.02 (95% CI 0.61‐6.63)
Highest exposure: HR 1.77 (95% CI 0.78‐4.04)
Women
Intermediate exposure: HR 0.31 (95% CI 0.04‐2.59)
Highest exposure: HR 0.59 (95% CI 0.21‐1.61)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Nechuta 2012 Reference category: lowest exposure
Digestive system cancer
Highest exposure: HR 0.86 (95% CI 0.75‐1.00)
Stomach cancer
Highest exposure: HR 0.79 (95% CI 0.58‐1.07)
Stomach and oesophageal cancer
Highest exposure: HR 0.77 (95% CI 0.57‐1.03)
Colorectal cancer
Highest exposure: HR 0.91 (95% CI 0.74‐1.12)
Colon cancer
Highest exposure: HR 0.96 (95% CI 0.74‐1.24)
Rectal cancer
Highest exposure: HR 0.84 (95% CI 0.60‐1.17)
Liver cancer
Highest exposure: HR 0.89 (95% CI 0.58‐1.38)
Pancreatic cancer
Highest exposure: HR 0.96 (95% CI 0.62‐1.49)
Gallbladder and bile duct cancer
Highest exposure: HR 0.73 (95% CI 0.40‐1.35)
Yang 2007:
Colorectal cancer
Highest exposure: RR 0.63 (95% CI 0.45‐0.88)
Further divided in:
Highest exposure A: RR 0.70 (95% CI 0.47‐1.02)
Highest exposure B: RR 0.56 (95% CI 0.32‐0.98)
Low risk:
Nechuta 2012
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Yang 2007
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Oba 2006 Reference category: lowest exposure
Colon cancer
Men
Intermediate exposure: RR 0.99 (95% CI 0.61–1.63)
Highest exposure: RR 0.75 (95% CI 0.49–1.16)
Women
Intermediate exposure: RR 1.00 (95% CI 0.53–1.86)
Highest exposure: RR 1.08 (95% CI 0.67–1.76)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Odegaard 2015 Reference category: lowest exposure
Total cancer mortality
Intermediate exposure 1: HR 1.00 (95% CI 0.92‐1.08)
Intermediate exposure 2: HR 0.95 (95% CI 0.83‐1.09)
Highest exposure: HR 1.10 (95% CI 0.97‐1.25)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Ogawa 2016 Reference category: lowest exposure
Brain cancer
All participants
Intermediate exposure: HR 0.96 (95% CI 0.58‐1.59)
Highest exposure: HR 1.07 (95% CI 0.70‐1.62)
Men
Intermediate exposure: HR 1.19 (95% CI 0.59–2.40)
Highest exposure: HR 0.96 (95% CI 0.51–1.81)
Women
Intermediate exposure: HR 0.74 (95% CI 0.35–1.55)
Highest exposure: HR 1.17 (95% CI 0.66–2.06)
Glioma
Intermediate exposure: HR 1.12 (95% CI 0.51–2.43)
Highest exposure: HR 1.05 (95% CI 0.54–2.05)
Meningioma
Intermediate exposure: HR 0.89 (95% CI 0.38–2.12)
Highest exposure: HR 1.01 (95% CI 0.49–2.08)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Saito 2015 Reference category: lowest exposure
Total cancer mortality
Men
Intermediate exposure 1: HR 1.09 (95% CI 0.97‐1.22)
Intermediate exposure 2: HR 1.03 (95% CI 0.92‐1.16)
Highest exposure: HR 1.04 (95% CI 0.93‐1.17)
Women
Intermediate exposure 1: HR 0.86 (95% CI 0.73‐1.01)
Intermediate exposure 2: HR 0.93 (95% CI 0.80‐1.07)
Highest exposure: HR 0.87 (95% CI 0.75‐1.01)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Severson 1989 Prostate cancer
Reference category: lowest exposure
Highest exposure: RR 1.47 (95% CI 0.99‐2.19)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 1/2 stars, the study did not control for smoking
Outcome: 3/3 stars, low risk
Total score: 8/9 stars, moderate quality.
Shimazu 2008 Reference category: lowest exposure
Endometrial cancer
Intermediate exposure 1: HR 1.04 (95% CI 0.62‐1.74)
Intermediate exposure 2: HR 0.79 (95% CI 0.47‐1.35)
Higest exposure: HR 0.75 (95% CI 0.44‐1.30)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Sun 2007 Reference category: lowest exposure
Colorectal cancer
All participants
Exposure assessment A: green tea intake
Highest exposure: RR 1.12 (95% CI 0.97–1.29)
Exposure assessment B: green tea intake
Intermediate exposure 1: RR 1.05 (95% CI 0.84–1.31)
Intermediate exposure 2: RR 1.11 (95% CI 0.92–1.35)
Highest exposure: RR 1.18 (95% CI 0.97–1.45)
Men
Exposure assessment A: green tea intake
Highest exposure: RR 1.31 (95% CI 1.08–1.58)
Exposure assessment B: green tea intake
Intermediate exposure 1: RR 1.32 (95% CI 0.98–1.78)
Intermediate exposure 2: RR 1.25 (95% CI 0.98–1.61)
Highest exposure: RR 1.36 (95% CI 1.06–1.74)
Women
Exposure assessment A: green tea intake
Highest exposure: RR 0.89 (95% CI 0.71–1.12)
Exposure assessment B: green tea intake
Intermediate exposure 1: RR 0.79 (95% CI 0.56–1.13)
Intermediate exposure 2: RR 0.96 (95% CI 0.71–1.31)
Highest exposure: RR 0.91 (95% CI 0.63–1.32)
Reported stratified analysis in colon cancer and rectal cancer, only in men.
Reported stratified analysi by localised and advanced disease.
Reported nondrinkers vs. drinkers:
Men with colon cancer
Localised
Highest exposure: RR 1.23 (95% CI 0.81–1.87)
Advanced
Highest exposure: RR 1.75 (95% CI 1.24–2.46)
Men with rectal cancer:
Localised
Highest exposure: RR 1.17 (95% CI 0.75–1.81)
Advanced
Highest exposure: RR 1.32 (95% CI 0.90–1.91)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Suzuki 2004 Reference category: lowest exposure
Breast cancer
Intermediate exposure 1: RR 0.87 (95% CI 0.57‐1.32)
Intermediate exposure 2: RR 1.07 (95% CI 0.73‐1.57)
Highest exposure: RR 0.84 (95% CI 0.57‐1.24)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Suzuki 2005 Reference category: lowest exposure
All participants
Colon cancer
Intermediate exposure 1: RR 1.06 (95% CI 0.74‐1.52)
Intermediate exposure 2: RR 1.10 (95% CI 0.78‐1.55)
Highest exposure: RR 0.97 (95% CI 0.70‐1.35)
Rectal cancer
Intermediate exposure 1: RR 0.85 (95% CI 0.56‐1.29)
Intermediate exposure 2: RR 0.70 (95% CI 0.45‐1.08)
Highest exposure: RR 0.85 (95% CI 0.58‐1.23)
Men
Colon cancer
Intermediate exposure 1: RR 1.32 (95% CI 0.83‐2.10)
Intermediate exposure 2: RR 1.35 (95% CI 0.86‐2.12)
Highest exposure: RR 1.12 (95% CI 0.72‐1.74)
Rectal cancer
Intermediate exposure 1: RR 0.85 (95% CI 0.50‐1.45)
Intermediate exposure 2: RR 0.58 (95% CI 0.32‐1.04)
Highest exposure: RR 0.62 (95% CI 0.38‐1.02)
Women
Colon cancer
Intermediate exposure 1: RR 0.78 (95% CI 0.43‐1.40)
Intermediate exposure 2: RR 0.78 (95% CI 0.45‐1.35)
Highest exposure: RR 0.79 (95% CI 0.49‐1.29)
Rectal cancer
Intermediate exposure 1: RR 0.81 (95% CI 0.40‐1.66)
Intermediate exposure 2: RR 0.95 (95% CI 0.48‐1.89)
Highest exposure: RR 1.30 (95% CI 0.70‐2.42)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Suzuki 2009 Reference category: lowest exposure
All participants
Total cancer mortality
Intermediate exposure 1: RR 0.63 (95% CI 0.34–1.16)
Intermediate exposure 2: RR 0.76 (95% CI 0.42–1.37)
Highest exposure: RR 0.82 (95% CI 0.45–1.50)
Stomach cancer mortality
Intermediate exposure 1: RR 0.49 (95% CI 0.11–2.28)
Intermediate exposure 2: RR 0.78 (95% CI 0.19–3.30)
Highest exposure: RR 0.81 (95% CI 0.18–3.54)
Lung cancer mortality
Intermediate exposure 1: RR 0.85 (95% CI 0.19–3.74)
Intermediate exposure 2: RR 1.13 (95% CI 0.27–4.68)
Highest exposure: RR 1.24 (95% CI 0.29–5.25)
Colorectal cancer mortality
Intermediate exposure 1: RR 0.47 (95% CI 0.10–2.18)
Intermediate exposure 2: RR 0.35 (95% CI 0.08–1.55)
Highest exposure: RR 0.36 (95% CI 0.07–1.74)
Men
Total cancer mortality
Intermediate exposure 1: RR 0.61 (95% CI 0.32–1.17)
Intermediate exposure 2: RR 0.69 (95% CI 0.37–1.27)
Highest exposure: RR 0.82 (95% CI 0.44–1.55)
Women
Total cancer mortality
Intermediate exposure 1: RR 1.14 (95% CI 0.15–8.82)
Intermediate exposure 2: RR 1.85 (95% CI 0.25–13.57)
Highest exposure: RR 1.31 (95% CI 0.17–10.01)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Tamura 2018 Reference category: lowest quartile
Liver cancer
Intermediate exposure 1: HR 1.36 (95% CI 0.86‐2.16)
Intermediate exposure 2: HR 1.08 (95% CI 0.60‐1.94)
Intermediate exposure 3: HR 0.75 (95% CI 0.51‐1.11)
Highest exposure: HR 1.25 (95% CI 0.77‐2.04)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Ugai 2017 Reference category: lowest exposure
Malignant lymphoma
All participants
Intermediate exposure 1: HR 0.84 (95% CI 0.53–1.31)
Intermediate exposure 2: HR 1.38 (95% CI 0.92–1.94)
Intermediate exposure 3: HR 1.10 (95% CI 0.76–1.59)
Highest exposure: HR 0.89 (95% CI 0.61–1.29)
Men
Intermediate exposure 1: HR 0.81 (95% CI 0.44–1.50)
Intermediate exposure 2: HR 1.45 (95% CI 0.87–2.39)
Intermediate exposure 3: HR 1.21 (95% CI 0.73–2.00)
Highest exposure: HR 1.08 (95% CI 0.65–1.79)
Women
Intermediate exposure 1: HR 0.87 (95% CI 0.45–1.69)
Intermediate exposure 2: HR 1.21 (95% CI 0.70–2.11)
Intermediate exposure 3: HR 0.96 (95% CI 0.56–1.67)
Highest exposure: HR 0.67 (95% CI 0.38–1.19)
Multiple myeloma
All participants
Intermediate exposure 1: HR 0.98 (95% CI 0.47–2.03)
Intermediate exposure 2: HR 0.84 (95% CI 0.43–1.66)
Intermediate exposure 3: HR 1.18 (95% CI 0.64–2.20)
Highest exposure: HR 0.74 (95% CI 0.38–1.41)
Men
Intermediate exposure 1: HR 0.81 (95% CI 0.29–2.28)
Intermediate exposure 2: HR 0.77 (95% CI 0.31–1.94)
Intermediate exposure 3: HR 1.13 (95% CI 0.49–2.61)
Highest exposure: HR 0.55 (95% CI 0.22–1.37)
Women
Intermediate exposure 1: HR 1.18 (95% CI 0.41–3.44)
Intermediate exposure 2: HR 0.93 (95% CI 0.34–2.53)
Intermediate exposure 3: HR 1.25 (95% CI 0.50–3.15)
Highest exposure: HR 0.92 (95% CI 0.36–2.38)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Ugai 2018 Reference category: lowest exposure
Acute myeloid leukaemia
All participants
Intermediate exposure 1: HR 0.91 (95% CI 0.44–1.90)
Intermediate exposure 2: HR 1.19 (95% CI 0.62–2.31)
Highest exposure: HR 1.20 (95% CI 0.62–2.32)
Men
Intermediate exposure 1: HR 0.66 (95% CI 0.24–1.76)
Intermediate exposure 2: HR 1.26 (95% CI 0.56–2.84)
Highest exposure: HR 0.86 (95% CI 0.36–2.06)
Women
Intermediate exposure 1: HR 1.53 (95% CI 0.50–4.69)
Intermediate exposure 2: HR 1.08 (95% CI 0.34–3.44)
Highest exposure: HR 1.96 (95% CI 0.68–5.67)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Ui 2009 Reference category: lowest exposure
Liver cancer
All participants
Intermediate exposure 1: HR 0.78 (95% CI 0.54–1.12)
Intermediate exposure 2: HR 0.98 (95% CI 0.69–1.37)
Highest exposure: HR 0.58 (95% CI 0.41–0.83)
Men
Intermediate exposure 1: HR 0.83 (95% CI 0.53–1.30)
Intermediate exposure 2: HR 1.11 (95% CI 0.73–1.68)
Highest exposure: HR 0.63 (95% CI 0.41–0.98)
Women
Intermediate exposure 1: HR 0.68 (95% CI 0.35–1.31)
Intermediate exposure 2: HR 0.79 (95% CI 0.44–1.44)
Highest exposure: HR 0.50 (95% CI 0.27–0.90)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Yang 2011a Reference category: lowest exposure
Exposure assessment A: intake of green tea
Colorectal cancer
Highest exposure: HR 0.77 (95% CI 0.59‐1.01)
Colon cancer
Highest exposure: HR 0.69 (95% CI 0.48‐0.98)
Rectal cancer
Highest exposure: HR 0.89 (95% CI 0.59‐1.34)
Exposure assessment B: consumption of green tea
Intermediate exposure: HR 0.66 (95% CI 0.46‐0.93)
Highest exposure: HR 0.85 (95% CI 0.62‐1.15)
Data also available stratified by smoking status (non‐smokers and smokers)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.
Zhao 2017 Reference category: lowest exposure
Total cancer mortality
All participants
Exposure assessment A: intake of green tea
Highest exposure: HR 1.01 (95% CI 0.93–1.10)
Exposure assessment B: consumption of green tea
Intermediate exposure: HR 0.98 (95% CI 0.87‐1.10)
Highest exposure: HR 1.04 (95% CI 0.95‐1.14)
Men
Exposure assessment A: intake of green tea
Highest exposure: HR 1.06 (95% CI 0.94‐1.19)
Exposure assessment B: consumption of green tea
Intermediate exposure: HR 1.06 (95% CI 0.92‐1.22)
Highest exposure: HR 1.06 (95% CI 0.93‐1.21)
Women
Exposure assessment A: intake of green tea
Highest exposure: HR 0.97 (95% CI 0.86–1.08)
Exposure assessment B: consumption of green tea
Intermediate exposure: HR 0.82 (95% CI 0.67‐1.01)
Highest exposure: HR 1.03 (95% CI 0.91‐1.17)
Low risk:
Selection: 4/4 stars, low risk
Comparability: 2/2 stars, low risk
Outcome: 3/3 stars, low risk
Total score: 9/9 stars, high quality.