International variations in the incidence of childhood renal tumours
1990

International Variations in Childhood Renal Tumours

Sample size: 50 publication Evidence: moderate

Author Information

Author(s): C.A. Stiller, D.M. Parkin

Primary Institution: University of Oxford

Hypothesis

The study investigates the variations in the incidence of childhood renal tumours across different regions and ethnic groups.

Conclusion

The incidence of Wilms' tumour varies significantly by ethnicity, with the highest rates found in Black populations and the lowest in East Asian populations.

Supporting Evidence

  • Wilm's tumour was the most common malignant kidney tumour in all regions studied.
  • There is a threefold difference in incidence rates between Black populations in the US and Nigeria compared to East Asian populations.
  • In White Caucasian populations, Wilms' tumour accounted for 5-7% of all childhood cancers.

Takeaway

This study shows that some groups of children get kidney cancer more than others, and it might be because of their genes.

Methodology

Data were collected from population-based registries and diagnostic groups defined according to histology, focusing on cases of childhood renal tumours.

Potential Biases

Potential underreporting in regions with incomplete data collection.

Limitations

Data from some regions, particularly in Africa and Asia, were based on hospital or histopathology-based registries, which may not be complete.

Participant Demographics

Data included children from over 50 countries, with variations noted among Black, White, and East Asian populations.

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