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Table 1  Characteristic of included studies

From: Investigation on factors associated with ovarian cancer: an umbrella review of systematic review and meta-analyses

No.

Author

Year

No. of Articles

No. of Patient (total)

No. of Cases

No. of Control

Evaluated Factors

1

Yan Qiao

2018

21

309

-

-

Aspirin

2

Hongmei Chen

2017

14

11,690

4448

7242

VDR rs2228570

3

Li-Hui Yan

2018

46

84,772

36,298

48,474

BRCA2 N372H

4

Jie Ruan

2018

24

1217

-

-

P16INK4a

5

liang Tang

2018

13

13,064

5461

7603

HER2 and ESR2 polymorphisms

6

Ross Penninkilampi

2018

27

-

14,311

-

Talc Use

7

Chao-Huan Xu

2017

7

3016

1,345

1,671

Genetic polymorphisms

8

Xu-Ming Zhu

2017

10

4621

1930

2464

Genetic polymorphisms

9

JieNa Li

2017

9

4024

1333

2691

ERCC2 rs13181

10

Jing Li

2017

7

-

1898

-

C-reactive protein

11

Dongyu Zhang

2017

14

2,342,245

4184

‬‬

Diabetes mellitus

12

Xingxing Song

2017

15

493,415

7453

485,962

Calcium Intake

13

Wera Berge

2016

27

34,176

15,154

19,022

Talc Use

14

Xin Zhan

2017

18

701,857

8,683

693,174

Tea consumption

15

A Darelius

2017

11

-

-

-

Hysterectomy

16

Zhiyi Zhou

2017

13

2,951,539

13,616

2,937,923

Pelvic inflammatory disease

17

Yang Deng

2017

8

14,014

6613

7401

Androgen receptor gene

18

Bamia Christina

2016

32

-

11,411

-

Coffee Intake

19

Lihua Wang

2017

13

3,708,313

5534

3,702,779

Diabetes mellitus

20

lilin he

2017

8

45,624

19,260

26,364

MTHFR C677T

21

Chunpeng Wang

2016

38

409,061

40,609

368,452

Endometriosis, Tubal Ligation, Hysterectomy

22

Chunyan Shen

2016

12

1235

806

429

Adenomatous polyposis coli (APC) gene

23

Xiyue Xiao

2016

12

901

612

289

P16INK4a

24

Fangfang Zeng

2016

7

33,456

2011

31,445

Inflammatory markers

25

Dongyu Zhang

2016

23

499,950

15,163

484,787

Aspirin

26

Wenlong Qiu

2016

25

900,000

6612

893,388

Dietary fat intake

27

Qiang Wang

2016

9

740

485

255

CDH1 promoter

28

Xiaoli Hua

2016

12

2,361,494

6,275

2,355,219

Dietary Flavonoids

29

Li-feng Shi

2015

12

2,353,945

8896

2,345,049

Hormone therapy

30

Christos Iavazzo

2016

4

725

385

340

Hypodontia

31

Sang-Hee Yoon

2016

3

5,659,211

3509

5,655,702

salpingectomy

32

Wei Liu

2016

35

42,650

19,527

23,123

A1298C POLYMORPHISM

33

Vida Mohammadi

2019

7

381,810

3653

378,157

flavonoids

34

Lifeng Li

2016

9

-

-

-

Metformin

35

Arefe Parvaresh

2019

13

-

-

-

Quercetin

36

Xiaowei Yu

2016

14

11,471

3796

7675

ERCC2 rs13181 - XRCC2 rs3218536

37

Rui Hou

2015

20

1,117,992

12,046

1,105,946

Dietary fat

38

Zhen Liu

2015

26

34,817

12,963

21 854

overweight, obesity

39

N. Keum

2015

18

-

2636

-

Egg intake

40

Liangxiang Su

2015

4

12,016

2344

9672

BRCA2 N372H

41

Sai-tian Zeng

2014

12

629,453

3728

625,725

Egg intake

42

Xiaolian Zhang

2015

5

4233

1791

2,196

Vascular Endothelial Polymorphisms

43

Li-Ping Feng

2014

19

469,095

9438

459,657

Breastfeeding

44

collaborative Group

2015

52

12,110

-

-

Menopausal hormone use

45

Huang Yan-Hong

2015

13

1,996,841

5857

1,990,984

alcohol consumption

46

Jiyi Hu

2015

8

305,338

3555

301,783

cruciferous vegetables

47

Jing Liao

2014

21

3117

2842

4305

progesterone receptor Polymorphisms

48

Xingzhong Hu

2015

5

5884

2336

3548

RAD51 Gene 135G/C

49

Jing Liu

2014

19

-

-

-

Milk, Yogurt, and Lactose Intake

50

Jun Qin

2014

62

92,857

42,315

50,542

STK15 polymorphisms

51

Luliang Liu

2015

15

14,798

7,450

7,348

MMP-12-82 A/G polymorphism

52

X.Y. Shi

2015

3

7026

-

-

MTHFR A1298C polymorphism

53

M. Zhai

2015

4

10,169

3565

6604

Arg188His polymorphism

54

Yue-Dong Wang

2014

15

1653

822

831

serum levels of osteopontin

55

John A. Barry

2014

3

72,973

919

72,054

polycystic ovary syndrome

56

Xinli Li

2014

10

72,054

6127

65,927

dietary lycopene intake

57

Xue Qin

2014

4

1133

474

659

Asn680Ser polymorphism

58

Shujing Shi

2014

13

16,230

5,927

10,303

RAD51 135 G>C and XRCC2 G>A (rs3218536)

59

M. A. Alqumber

2014

12

2257

993

1264

72 Arg.Pro Polymorphism

60

Pei-yue Jiang

2014

15

889,033

6,087

882,946

Fish Intake

61

Danhua Pu

2014

7

7356

3493

3863

MTHFR Polymorphism

62

Xinwei Pan

2013

8

7724

3,723

4,001

Ala222Val

63

Yulan Yan

2013

4

9108

3,635

5,473

XRCC3 Thr241Met polymorphism

64

Tracy E. Crane

2013

24

519,431

2091

517,340

Dietary Intake

65

Su Li

2014

14

10,964

-

-

VDR rs2228570

66

Dan Cheng

2014

22

15,343

6836

8507

RAD51 Gene 135G/C polymorphism

67

Bo Han

2014

11

379,868

4,306

375,562

Cruciferous vegetables

68

Xin-Lan Qu

2014

10

297,892

4392

293,500

Phytoestrogen Intake

69

Jin-Ze Du

2014

8

3940

1,293

2,647

COMT rs4680 Polymorphism

70

Li-Yuan Han

2014

10

6001

2578

3423

GST Genetic Polymorphisms

71

Da-Peng Li

2014

40

415,949

17,139

398,810

Breastfeeding

72

Yong-Jun Ma

2014

6

3839

1,766

2,073

Rs11615 (C>T)

73

Jalal Poorolajal

2014

19

-

-

-

BMI

74

Li-Min Zhou

2014

6

435,398

2983

432,415

Recreational Physical Activity

75

Piyemeth Dilokthornsakul

2013

4

-

-

-

Metformin

76

Chenglin Li

2013

18

227,859

5677

222,182

Folate intake and MTHFR polymorphism C677T

77

Susan J. Jordan

2013

22

-

-

-

hysterectomy

78

Nan-Nan Luan

2013

35

720,617

14,465

706,152

Breastfeeding

79

Xue Qin

2013

7

4,809

1977

2832

VDR

80

Laura J. Havrilesky

2013

55

31,056

10,031

21,025

Oral Contraceptive

81

Ting-Ting Gong

2012

27

1,020,516

9859

1,010,657

Age at menarche

82

Yanling Liu

2013

6

10,768

4,107

6,661

VDR

83

Louise Baandrup

2012

21

563,976

11,759

552,217

NSAIDs

84

Jung-Yun Lee

2012

19

-

-

-

Diabetes Mellitus

85

Chengbin Ma

2013

10

18, 628

5, 932

12,696

MTHFR C677T polymorphism

86

Ying-Yu Ma

2013

6

3745

1534

2211

MDM2 309T.G Polymorphism

87

Gwan Gyu Song

2013

12

8775

3716

5059

VDR

88

Ketan Gajjar

2012

5

3795

1199

2596

Cytochrome P1B1 (CYP1B1)

89

Xiaojian Ni

2012

17

193,424

10 373

183,051

NSAIDs

90

Lu Liu

2012

4

7127

3,496

3,631

C677T and A1298C polymorphism

91

T.N. Sergentanis

2012

11

5025

1,680

3345

MspI and Ile462-Val and Thr461Asn

92

Collaborative Group

2012

51

123,056

28 114

94,942

Smoking

93

Megan S Rice

2012

30

18,929

-

-

Tubal ligation and Hysterectomy

94

Matteo Rota

2012

27

15,762,134

16,554

15,745,580

Alcohol drinking

95

Collaborative Group

2012

47

106,468

25,157

81,313

Body Size

96

Su-Qin Shen

2012

18

7368

2,193

5,175

TP53 Arg72Pro

97

Xiao-Ping Ding

2012

8

7457

3,379

4,078

MTHFR C677T Polymorphism

98

M.G.M. Braem

2011

150

-

-

-

Genetic variants

99

M. Constanza Camargo

2011

18

21,973

117

22,090

Asbestos

100

David Cibula

2011

3

-

-

-

Oral contraceptives

101

Sarah J. Oppeneer

2011

16

-

7234

-

Tea Consumption

102

Lu Yin

2011

10

157,292

-

-

Circulating vitamin D

103

A Wallin

2011

8

754 836

2349

752,487

Red and processed meat consumption

104

D. Cibula

2011

13

-

-

-

Tubal ligation

105

Ru-Yan Liao

2010

4

15,104

5532

9572

TGFBR1*6A/9A polymorphism

106

Linda S. Cook

2010

20

-

-

-

vitamin D

107

K. P. Economopoulos (2010)

2010

2

4240

2049

2191

Meat, fish

108

Hee Seung Kim

2010

10

135,871

65,578

70,293

Wine

109

S-K Myung

2009

7

169 051

3516

165 535

Soy intake

110

BG Chittenden

2009

1

4547

476

4071

Polycystic ovary syndrome

111

Bo Zhou

2008

27

1,584,610

12,955

1,571,655

Hormone replacement therapy

112

HG Mulholland

2008

2

-

-

-

Dietary glycemic index

113

Catherine M. Olsen

2007

12

2778

1269

1509

Recreational Physical Activity

114

J Steevens

2007

21

-

280

-

Tea and coffee drinking

115

C. M. Greiser

2007

42

48,153

12 238

‬‬

Menopausal hormone therapy

116

Catherine M. Olsen

2007

28

1,640,615

53,182

1,587,433

Obesity

117

S. J. Jordan

2006

9

6474

910

5564

smoking

118

Stefanos Bonovas

2005

8

746,293

‬‬

741,888

Paracetamol

119

Susanna C. Larsson

2006

21

-

-

-

Milk, milk products and lactose intake

120

Grimes DA

2009

3

500

-

-

Oral contraceptives

121

Stefanos Bonovas

2005

10

320,544

3803

316,741

Nonsteroidal anti-inflammatory drugs

122

L-Q Qin

2005

22

134,406

8372

126,034

Milk/dairy products consumption

123

Sonya Kashyap

2004

10

13,480

3624

9856

Assisted Reproductive Technology

124

M. Huncharek

2003

16

11,933

-

-

Cosmetic talc

125

V Bagnardi

2001

235

117 471

235

‬‬

Alcohol drinking

126

Michael Huncharek

2009

8

6,689

2529

4160

Dietary Fat Intake

127

S. S. Coughlin

2000

15

-

-

-

Estrogen replacement therapy

128

Pushkal P. Garg

1998

9

259,794

4392

255,402

Hormone replacement therapy

129

John F. Stratton

1998

15

-

6077

-

Family history

130

Bowen Zheng

2018

13

142,189

5777

136,412

Dietary fiber intake

131

Hai-Fang Wang

2017

22

1,485,988

-

-

Empirically derived dietary patterns

132

Hui Xu

2018

19

567,742

-

-

Dietary fiber intake

133

Dongyu Zhang

2018

14

180,833

7500

‬‬

Non-herbal tea consumption

134

Yun-Long Huo

2018

6

81,791

7878

73,913

antidepressant medication

135

Massimiliano Berretta

2018

9

787,076

3,541

‬‬

Coffee consumption

136

Jiaqi Li

2018

7

65,754

-

-

vitamin D receptor

137

Xianling Zeng

2018

11

9987

4097

5890

RAD51 135 G/C polymorphism

138

Marieke GM Braem

2012

3

330,849

1244

329,605

Coffee and tea consumption

139

Shanliang Zhong

2014

19

730,703

9,459

‬‬

Nonoccupational physical activity

140

Xiumin Huang

2018

17

149,177

7609

73,168

dietary fiber intake

141

Ting Liu

2013

17

16,363

6,365

9,998

Progesterone receptor PROGINS

142

Yanyang Pang

2018

10

2354

-

-

Dietary protein intake

143

Ke Wei Foong

2017

43

3,491,943

-

-

Obesity

144

Lingling Zhou

2015

2

774

389

385

SNP rs763110

145

Rizzuto I

2013

25

182,972

-

-

ovarian stimulating drugs for infertility

146

Yanqiong Liu

2014

5

624

-

-

Statin

147

Ahmad Sayasneh

2011

8

-

653

-

Endometriosis

148

Jia li

2018

25

957,152

-

-

Endometriosis

149

Ho Kyung Sung

2016

32

530,950

7639

523,311

Breastfeeding

150

Mahdieh Kamali

2017

17

10,817

4464

6353

XRCC2 rs3218536

151

Menelaos Zafrakas

2014

16

-

17,445

-

Endometriosis

152

Dagfinn Aune

2015

28

-

-

-

Anthropometric factors

153

QIAO WANG

2015

4

1985

627

1358

circulating insulin

154

Yihua Yin

2013

11

6192

2,673

3519

glutathione S-transferase

155

Ximena Gianuzzi

2016

14

8130

1,149

6981

Insulin growth factor (IGF)

156

Li-Ling Liu

2014

4

2675

1073

1602

transforming growth factor b receptor

157

Yong-qiang Wang

2012

4

580,581

2444

578,137

TGFBR1 Polymorphisms

158

Dongyang Li

2018

44

1,082,092

48,345

1,033,747

Dietary inflammatory index

159

Si Huang

2018

10

4605

2394

2211

miR-502-binding site

160

Eileen Deuster

2017

200

-

-

-

VDR

161

Ru Chen

2017

28

3362

2,171

1191

MGMT Promoter

162

Joanna Kruk

2017

26

-

-

-

Dietary alkylresorcinols

163

Xue-Feng Li

2017

11

33,209

14,030

19,179

lncRNA H19 polymorphisms

164

Yan Jiang

2017

1

285

165

120

ARLTS1 polymorphism

165

Qiuyan Li

2017

7

-

-

-

BRCA2 rs144848 polymorphism

166

Mohamed Hosny Osman

2017

1

2,116,029

7124

2,108,905

Cardiac glycosides

167

Erjiang Zhao

2017

4

-

-

-

Glutathione S-transferase

168

Giuseppe Grosso

2017

4

-

-

-

Diet

169

Limin Miao

2017

6

6027

2156

3871

BRCA1 P871L polymorphism

170

Na-Na Yang

2017

4

2110

944

1166

XRCC1 polymorphism

171

Giuseppe Grosso

2016

53

-

-

-

Dietary flavonoid

172

Juan Enrique Schwarze

2017

4

-

-

-

Reproduction technologies

173

Rosanne M. Kho

2016

10

-

-

-

Hysterectomy

174

K Robinson

2016

11

-

-

-

Bisexual

175

Hong-Bae Kim

2016

6

1937

-

-

Benzodiazepine

176

Chuanjie Zhang

2017

3

2628

1276

1352

NFκB1-94ins/del ATTG

177

Minjie Chu

2016

2

18,540

6,857

11,683

H19 lncRNA

178

Duan Wang

2016

4

3036

1463

1573

NFKB1 −94 ins/del ATTG

179

Jun Wang

2016

19

3,87,71,388

13,116

38,758,272

BMI

180

Yun-Feng Zhang

2015

1

549

229

320

IL-27 Genes

181

Ping Wang

2016

2

-

-

-

MDM2 SNP285

182

Wenkai Xia

2015

4

1248

497

751

ESR2

183

Lei Chen

2016

2

-

-

-

L55M polymorphism

184

Davide Serrano

2015

3

5456

2313

3143

VDR

185

Ranadip Chowdhury

2015

41

-

-

-

Breastfeeding

186

Zhi-Ming Dai

2015

3

3530

1475

2055

VDR

187

Claudio Pelucchi

2014

4

-

2,010

-

Dietary acrylamide

188

Yu-Fei Zhang

2015

6

619 714

2933

‬‬

Tea consumption

189

Jin-Lin Cao

2015

2

9245

3102

6143

TERT Genetic Polymorphism

190

Myung-Jin Muna

2015

6

‬‬

4107

6661

VDR

191

NaNa Keum

2015

6

-

-

-

Weight Gain

192

Sheng-Song Chen

2015

2

1185

556

629

MMP-12 82 A/G polymorphism

193

Bei-bei Zhang

2014

45

57,328

28,956

28,372

Genetic 135G/C polymorphism

194

Sara Raimondi

2014

5

97,275

45,218

52,057

BsmI polymorphism

195

Shang Xie

2014

15

11,644

5873

5771

LIG4 gene polymorphisms

196

Wen-Qiong Xue

2014

4

‬‬

36,299

48,483

BRCA2 N372H

197

Patrizia Gnagnarella

2014

6

10,588

4051

6537

VDR

198

Peter Boyle

2014

2

-

-

-

Sweetened carbonated beverage consumption

199

Tara M. Friebel

2014

5

-

-

-

BRCA1 and BRCA2

200

Xin Wang

2014

41

42,121

17,814

24,307

FAS rs2234767G/A Polymorphism

201

Yeqiong Xu

2013

7

11,009

4210

6799

VDR

202

H S Kim

2014

35

444 255

-

-

Endometriosis

203

Yazhou He

2014

7

69,524

30,868

38,656

XRCC2 Arg188His Polymorphismc

204

Weifeng Tang

2014

14

27,269

11,245

16,024

Aurora-A V57I (rs1047972) Polymorphism

205

Yeqiong Xu

2014

3

937

457

480

Polymorphisms

206

Mengmeng Zhao

2014

42

39,505

19,142

20,363

Rad51 G135C

207

Xiao Yang

2014

21

‬‬

6127

9238

NFKB1 −94ins/del ATTG Promoter

208

Bai-Lin Zhang

2014

7

-

9956

-

Blood Groups

209

Ursula Schwab

2014

-

-

-

-

Dietary fat on cardiometabolic

210

Tie-Jun Liang

2013

21

8720

3,498

5,222

137G>C polymorphism

211

Wei Wang

2013

39

41,698

19,068

22,630

RAD51 135 G.C Polymorphism

212

Lei Xu

2013

47

43,295

19,810

23,485

FASL rs763110 Polymorphism

213

Jingxiang Chen

2013

19

48,670

14,814

33,856

TCF7L2 Gene Polymorphism

214

Monica Franciosi

2013

53

1,050,984

-

-

Metformin

215

Zhou Zhong-Xing

2013

41

42,169

17,858

24,311

FAS-1377 G/A (rs2234767) Polymorphism

216

Zhibin Yu

2013

73

38,278

15,942

22,336

Interleukin 10 - 819 C/T Polymorphism

217

Shangqian Wang

2013

2

1706

794

912

PAI-1 4G/5G Polymorphism

218

Li Li Li

2013

8

746,455

-

-

Fertilization

219

XIN XU

2012

21

17,623

8,415

9,208

PAI-1 promoter

220

Dominique Trudel

2012

22

-

-

-

Green tea

221

Tian-Biao Zhou

2012

6

2,658

1,461

1,197

Gene Polymorphism

222

Xin-Min Pan

2011

17

27,759

13 691

14 068

MLH1 -93 G>A polymorphism

223

Jane Green

2011

-

-

4830

-

Height

224

C. Pelucchi

2011

3

-

1594

-

Acrylamide

225

Bo Peng

2010

4

1240

443

797

Polymorphisms

226

Bahi Takkouche

2009

10

-

-

-

Hairdressers

227

Bahi Takkouche

2005

2

556

238

318

Hair Dyes

228

V. G. Kaklamani

2003

1

907

659

248

TGFBR1*6A

229

Song Mao

2018

3

-

-

-

klotho expression

230

Mukete Franklin Sona

2018

15

1 915 179

31 893

1,911,045

Type 1 diabetes mellitus

231

Christine Schwarz

2018

4

-

-

-

Night shift work

232

Xiaoqing Shi

2018

-

1208

604

604

NME1 polymorphisms

233

H.J. van der Rhee

2006

2

-

-

-

Sunlight

234

Nadin Younes

2018

44

-

805

-

Polymorphisms

235

Yue Xu

2016

1

-

-

-

BHMT gene rs3733890

236

Zhong Tian

2013

46

51,413

22,993

28,420

CYP1A2*1F polymorphism

237

Yu Wang

2018

1

79,988

-

-

Renal transplants

238

T. O. Yang

2014

-

453 023

2009

451,014

Birth weight

239

Lanhua Tang

2017

-

-

-

-

Night work

240

Steven M. Koehler

2012

8

-

-

-

BMP-2

241

Yan Zhang

2013

9

5632

2,331

3,301

VDR

242

Ivana Rizzuto

2013

25

182,972

-

-

Stimulating drugs for infertility

243

Xiao-san Zhang

2018

7

105,507

6783

98,724

Bisphosphonates

use

244

Yun Ye

2018

10

1045

-

-

B7-H4 expression

245

Junga Lee

2018

34

-

-

-

Physical activity

246

Huijun Yang

2019

26

1,174,527

11 410

1 163 117

Age at menarche

247

M. Kadry Taher

2019

27

214,447

15,303

199,144

Perineal use of talc powder

248

Yanjun Wu

2019

13

2,471,030

19,959

2,451,071

Age at last birth

249

A. Moazeni-Roodi

2019

19

37,036

13,562

23,474

MDM2 40 bp indel polymorphism

250

Fateme Shafiei (2018)

2019

22

40 140

8568

31,572

Caffeine

251

Lindsay J. Wheeler

2019

11

13,591

4,484

9,107

Intrauterine Device Use

252

Yuhang Long

2019

16

437,689

4,553

433,136

vitamin C intake

253

M. Arjmand (2020)

2019

16

4184

1106

3078

Circulating omentin levels

254

Claudia Santucci

2019

37

-

70,646

-

smoking

255

A. Salari-Moghaddam

2019

14

-

4434

-

Caffeine

256

M. Karimi-Zarchi

2019

11

12,720

4990

7730

MTHFR 677 C>T Polymorphism

257

Fan Yang

2019

2

445

-

-

ERCC1 gene polymorphisms

258

Tingting Yang

2019

3

-

-

-

Work Stress

259

Youxu Leng

2019

14

-

4597

-

vitamin E

260

Jalal Choupani

2019

4

9532

843

110

mir-196a-2 rs11614913

261

Xiaqin Huo

2019

18

-

14,440

-

Hysterectomy

262

A. Bodurtha Smith

2019

58

292,730

528

292,202

HIV

263

Alireza Sadeghia

2019

21

900,000

-

-

Dietary Fat Intake

264

Kui Zhang

2019

13

40,404

6449

33,955

Fermented dairy foods

265

Zohre Momenimovahed

2019

20

-

-

-

Fertility Drugs

266

Christina Bamia

2019

31

-

13,111

-

Coffee consumption

267

Boris Janssen

2019

115

-

-

-

predicted pathogenic PALB2

268

Yang Liu

2019

12

1,193,201

-

-

Menopausal Hormone Replacement

269

Javaid Iqbal

2018

2

5093

1114

3979

Hormone Levels

270

Sen Li

2019

12

12,933

5057

7876

Genetic polymorphism of MTHFR C677T

271

Guisheng He

2019

45

1,059,975

329,035

730,940

TERT rs10069690 polymorphism

272

Yizi Wang

2019

36

4, 229,061

-

-

Statin use

273

Jun Yu

2019

83

21,612

-

-

SFRP promoter hypermethylation

274

Qiao Wen

2019

7

1,710,080

-

-

Metformin

275

Suszynska M1

2019

5

3748

1919

1829

EPHX1 polymorphism rs1051740

276

Tian Xu1

2019

21

29,981

13,675

16,306

HOTAIR polymorphisms

277

Jinghua Shi

2018

13

901,287

-

-

Metformin