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Table 1 Characteristics of the included studies

From: Associations of thiazide use with skin cancers: a systematic review and meta-analysis

First author, year (country)

Data sources

Study design

Case/exposed group (n)

Control/non-exposed group (n)

NOS score

S

C

E/Oa

Tiba, 2022 (Brazil) [38]

Brazilian Association of Dermatology

Case control

NMSC (31)

Unaffected population (58)

2

2

1

Habel, 2021 (USA) [36]

Kaiser Permanente Northern California

Case control

Melanoma (MM: 9176; SSM: 2241; NM: 477; LMM: 377)

Unaffected population (MM: 264,781; SSM: 63,396; NM: 14,322; LM: 12,352)

4

2

2

Adalsteinsson, 2021 (Iceland) [13]

National Register of Iceland

Case control

BCC (4700); SCC (1013)

Unaffected population (BCC:47,292; SCC:10,367)

4

1

3

León-Muñoz, 2021 (Spain) [37]

Information System for Research in Primary Care (SIDIAP)

Case control

KC (75,096); melanoma (8235)

Unaffected population (KC: 739,004); melanoma (79,843)

4

2

3

Base de Datos para la Investigación Farmacoepidemiológica en Atencion Primaria (BIFAP)

BCC (26,200); SCC (4863); melanoma (4661)

Unaffected population (BCC: 262,000; SCC: 48,630; melanoma: 46,610)

Daniels, 2020 (Australia) [14]

New South Wales Cancer Registry, Repatriation Pharmaceutical Benefits Scheme

Case control

Melanoma (MM: 659; SSM: 199; NM: 137; LMM: 134)

Unaffected population (MM:12,446; SSM:4197; NM:3050; LM:3044)

4

2

3

Morales, 2020 (UK) [40]

The Health Improvement Network

Case control

BCC (89,088); SCC (7560); melanoma (11,185)

Unaffected population (BCC: 1,781,712; SCC:151,194; melanoma: 223,700)

3

2

3

Yeon, 2020 (Korea) [43]

National Health Insurance claim data

Case control

NMSC (4098)

Unaffected population (6467)

3

1

3

Pedersen, 2019 (Denmark) [39]

Multi-registers and registration system b

Case control

MCC (97)

Unaffected population (1857)

4

2

3

Pottegård, 2019 (Taiwan) [11]

Taiwan’s National Health Insurance Research Database (NHIRD)

Case control

NMSC (23,703); melanoma (5192)

Unaffected population (NMSC: 237,030; melanoma: 51,920)

3

2

3

Pottegård, 2018 (Denmark) [6]

NA (letter)

Case control

Melanoma (MM: 19,273; SSM: 13,781; NM: 1695; LMM: 500)

Cancer-free population (MM: 192,730; SSM: 137,810; NM: 16,950; LM: 5000)

4

2

1

Pedersen, 2018 (Denmark) [7]

Multi-registers and registration systemb

Case control

BCC (71,553); SCC (8629)

Unaffected population (BCC: 1,430,883; SCC: 172,462)

4

2

3

de Vries, 2012 (Several countries c) [ 41]

Multi-centre records from 8 countries

Case control

BCC (94); SCC (99); melanoma (33)

Unrelated to skin cancer (136)

3

2

1

Jensen, 2008 (Denmark) [42]

Danish Cancer Registry, Civil Registration System

Case control

Melanoma (1010)

Unaffected population (4040)

4

1

3

de Haan-Du J, 2021 (Netherlands) [46]

Netherlands Cancer Registry, and the Dutch Personal Records Database

Cohort

Hydrochlorothiazide (11,165)

Other antihypertensive medicine users (59,329)

4

2

1

Eworuke, 2021 (USA) [45]

US Food and Drug Administration’s Sentinel System

Cohort

Hydrochlorothiazide

(5,211,321)

Other antihypertensive medicine users (ACEi, 5,211,321)

4

2

2

Schneider, 2021 (UK) [10]

UK-based Clinical Practice Research Datalink (CPRD)

Cohort

Hydrochlorothiazide, bendroflumethiazide, indapamide (271,154)

Other antihypertensive medicine users (CCB, 275,263)

4

2

2

Lee, 2020 (Korea) [12]

Observational Health Data Sciences (3 medical centres)d

Cohort

Hydrochlorothiazide (149,599)

Other antihypertensive medicine users (517,749)

4

2

1

Kaae, 2010 (Denmark) [44]

Danish Cancer Register, Civil Registration System

Cohort

Bendroflumethiazide (NA)

Never use of the bendroflumethiazide (NA)

2

2

2

  1. ACEi, angiotensin-converting enzyme inhibitors; BCC, basal cell carcinoma; C, comparability; CCB, calcium channel blocker; E, exposure; KC, keratinocyte carcinoma; LMM, lentigo maligna melanoma; MCC, Merkel cell carcinoma; MM, malignant melanoma; NA, not available; NM, nodular melanoma; NMSC, nonmelanoma skin cancer; NOS, Newcastle–Ottawa Scale score; S, selection; SCC, squamous cell carcinoma; SSM, superficial spreading melanoma
  2. aFor case-control studies, this domain was exposure (E); for cohort studies, this domain was outcome (O)
  3. bDanish Cancer Registry, National Prescription Registry, National Patient Registry, Danish Education Registers and Danish Civil Registration System
  4. cFinland, Germany, Greece, Italy, Malta, Poland, Scotland, and Spain
  5. dSeoul National University Hospital, Seoul National University Bundang Hospital, Asan Medical Center