An estimate of the heritable fraction of childhood cancer
1991

Estimating Genetic Causes of Childhood Cancer

Sample size: 16564 publication Evidence: moderate

Author Information

Author(s): S.A. Narod, C. Stiller, G.M. Lenoir

Primary Institution: International Agency for Research on Cancer

Hypothesis

What proportion of childhood cancers is due to inherited genetic mutations?

Conclusion

A small percentage of childhood cancers, about 4.2%, are estimated to have a genetic basis.

Supporting Evidence

  • 3.07% of childhood cancer cases had an underlying genetic condition.
  • Bilateral retinoblastoma accounted for one-third of the genetic total.
  • The highest hereditary fractions were seen for retinoblastoma (37.2%) and kidney cancers (7.2%).
  • Down syndrome was the second most frequently cited condition associated with childhood cancer.

Takeaway

Some childhood cancers are caused by genes passed down from parents, but most are not. This study looked at many cases to find out how many are genetic.

Methodology

The study reviewed 16,564 cases of childhood cancer diagnosed from 1971 to 1983 for genetic conditions.

Potential Biases

Potential under-reporting of genetic conditions by physicians could bias the results.

Limitations

The analysis may underestimate the hereditary fraction due to incomplete documentation of genetic conditions.

Participant Demographics

Children diagnosed with cancer in Great Britain from 1971 to 1983.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI, 13.1 to 20.0

Statistical Significance

p<0.001

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