Epidemiology of Renal Cell Carcinoma: 2022 Update

We explored the global incidence and mortality of kidney cancer as well as its risk factors. We also highlight germline and somatic mutations that predispose to kidney cancer development. The data provide an insight into the complexity of kidney cancer epidemiology and germline and somatic mutations...

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Published in:European urology Vol. 82; no. 5; pp. 529 - 542
Main Authors: Bukavina, Laura, Bensalah, Karim, Bray, Freddie, Carlo, Maria, Challacombe, Ben, Karam, Jose A., Kassouf, Wassim, Mitchell, Thomas, Montironi, Rodolfo, O'Brien, Tim, Panebianco, Valeria, Scelo, Ghislaine, Shuch, Brian, van Poppel, Hein, Blosser, Christopher D., Psutka, Sarah P.
Format: Journal Article
Language:English
Published: Switzerland Elsevier B.V 01.11.2022
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ISSN:0302-2838, 1873-7560, 1873-7560
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Abstract We explored the global incidence and mortality of kidney cancer as well as its risk factors. We also highlight germline and somatic mutations that predispose to kidney cancer development. The data provide an insight into the complexity of kidney cancer epidemiology and germline and somatic mutations in patients at risk of developing kidney cancer. International variations in the rates of kidney cancer (KC) are considerable. An understanding of the risk factors for KC development is necessary to generate opportunities to reduce its incidence through prevention and surveillance. To retrieve and summarize global incidence and mortality rates of KC and risk factors associated with its development, and to describe known familial syndromes and genetic alterations that represent biologic risk factors. A systematic review was conducted via Medline (PubMed) and Scopus to include meta-analyses, reviews, and original studies regarding renal cell carcinoma, epidemiology, and risk factors. Our narrative review provides a detailed analysis of KC incidence and mortality, with significant variations across time, geography, and sex. In particular, while KC incidence has continued to increase, mortality models have leveled off. Among the many risk factors, hypertension, obesity, and smoking are the most well established. The emergence of new genetic data coupled with observational data allows for integrated management and surveillance strategies for KC care. KC incidence and mortality rates vary significantly by geography, sex, and age. Associations of the development of KC with modifiable and fixed risk factors such as obesity, hypertension, smoking, and chronic kidney disease (CKD)/end-stage kidney disease (ESKD) are well described. Recent advances in the genetic characterization of these cancers have led to a better understanding of the germline and somatic mutations that predispose patients to KC development, with potential for identification of therapeutic targets that may improve outcomes for these at-risk patients. We reviewed evidence on the occurrence of kidney cancer (KC) around the world. Currently, the main avoidable causes are smoking, obesity, and high blood pressure. Although other risk factors also contribute, prevention and treatment of these three factors provide the best opportunities to reduce the risk of developing KC at present.
AbstractList International variations in the rates of kidney cancer (KC) are considerable. An understanding of the risk factors for KC development is necessary to generate opportunities to reduce its incidence through prevention and surveillance. To retrieve and summarize global incidence and mortality rates of KC and risk factors associated with its development, and to describe known familial syndromes and genetic alterations that represent biologic risk factors. A systematic review was conducted via Medline (PubMed) and Scopus to include meta-analyses, reviews, and original studies regarding renal cell carcinoma, epidemiology, and risk factors. Our narrative review provides a detailed analysis of KC incidence and mortality, with significant variations across time, geography, and sex. In particular, while KC incidence has continued to increase, mortality models have leveled off. Among the many risk factors, hypertension, obesity, and smoking are the most well established. The emergence of new genetic data coupled with observational data allows for integrated management and surveillance strategies for KC care. KC incidence and mortality rates vary significantly by geography, sex, and age. Associations of the development of KC with modifiable and fixed risk factors such as obesity, hypertension, smoking, and chronic kidney disease (CKD)/end-stage kidney disease (ESKD) are well described. Recent advances in the genetic characterization of these cancers have led to a better understanding of the germline and somatic mutations that predispose patients to KC development, with potential for identification of therapeutic targets that may improve outcomes for these at-risk patients. We reviewed evidence on the occurrence of kidney cancer (KC) around the world. Currently, the main avoidable causes are smoking, obesity, and high blood pressure. Although other risk factors also contribute, prevention and treatment of these three factors provide the best opportunities to reduce the risk of developing KC at present.
We explored the global incidence and mortality of kidney cancer as well as its risk factors. We also highlight germline and somatic mutations that predispose to kidney cancer development. The data provide an insight into the complexity of kidney cancer epidemiology and germline and somatic mutations in patients at risk of developing kidney cancer. International variations in the rates of kidney cancer (KC) are considerable. An understanding of the risk factors for KC development is necessary to generate opportunities to reduce its incidence through prevention and surveillance. To retrieve and summarize global incidence and mortality rates of KC and risk factors associated with its development, and to describe known familial syndromes and genetic alterations that represent biologic risk factors. A systematic review was conducted via Medline (PubMed) and Scopus to include meta-analyses, reviews, and original studies regarding renal cell carcinoma, epidemiology, and risk factors. Our narrative review provides a detailed analysis of KC incidence and mortality, with significant variations across time, geography, and sex. In particular, while KC incidence has continued to increase, mortality models have leveled off. Among the many risk factors, hypertension, obesity, and smoking are the most well established. The emergence of new genetic data coupled with observational data allows for integrated management and surveillance strategies for KC care. KC incidence and mortality rates vary significantly by geography, sex, and age. Associations of the development of KC with modifiable and fixed risk factors such as obesity, hypertension, smoking, and chronic kidney disease (CKD)/end-stage kidney disease (ESKD) are well described. Recent advances in the genetic characterization of these cancers have led to a better understanding of the germline and somatic mutations that predispose patients to KC development, with potential for identification of therapeutic targets that may improve outcomes for these at-risk patients. We reviewed evidence on the occurrence of kidney cancer (KC) around the world. Currently, the main avoidable causes are smoking, obesity, and high blood pressure. Although other risk factors also contribute, prevention and treatment of these three factors provide the best opportunities to reduce the risk of developing KC at present.
International variations in the rates of kidney cancer (KC) are considerable. An understanding of the risk factors for KC development is necessary to generate opportunities to reduce its incidence through prevention and surveillance.CONTEXTInternational variations in the rates of kidney cancer (KC) are considerable. An understanding of the risk factors for KC development is necessary to generate opportunities to reduce its incidence through prevention and surveillance.To retrieve and summarize global incidence and mortality rates of KC and risk factors associated with its development, and to describe known familial syndromes and genetic alterations that represent biologic risk factors.OBJECTIVETo retrieve and summarize global incidence and mortality rates of KC and risk factors associated with its development, and to describe known familial syndromes and genetic alterations that represent biologic risk factors.A systematic review was conducted via Medline (PubMed) and Scopus to include meta-analyses, reviews, and original studies regarding renal cell carcinoma, epidemiology, and risk factors.EVIDENCE ACQUISITIONA systematic review was conducted via Medline (PubMed) and Scopus to include meta-analyses, reviews, and original studies regarding renal cell carcinoma, epidemiology, and risk factors.Our narrative review provides a detailed analysis of KC incidence and mortality, with significant variations across time, geography, and sex. In particular, while KC incidence has continued to increase, mortality models have leveled off. Among the many risk factors, hypertension, obesity, and smoking are the most well established. The emergence of new genetic data coupled with observational data allows for integrated management and surveillance strategies for KC care.EVIDENCE SYNTHESISOur narrative review provides a detailed analysis of KC incidence and mortality, with significant variations across time, geography, and sex. In particular, while KC incidence has continued to increase, mortality models have leveled off. Among the many risk factors, hypertension, obesity, and smoking are the most well established. The emergence of new genetic data coupled with observational data allows for integrated management and surveillance strategies for KC care.KC incidence and mortality rates vary significantly by geography, sex, and age. Associations of the development of KC with modifiable and fixed risk factors such as obesity, hypertension, smoking, and chronic kidney disease (CKD)/end-stage kidney disease (ESKD) are well described. Recent advances in the genetic characterization of these cancers have led to a better understanding of the germline and somatic mutations that predispose patients to KC development, with potential for identification of therapeutic targets that may improve outcomes for these at-risk patients.CONCLUSIONSKC incidence and mortality rates vary significantly by geography, sex, and age. Associations of the development of KC with modifiable and fixed risk factors such as obesity, hypertension, smoking, and chronic kidney disease (CKD)/end-stage kidney disease (ESKD) are well described. Recent advances in the genetic characterization of these cancers have led to a better understanding of the germline and somatic mutations that predispose patients to KC development, with potential for identification of therapeutic targets that may improve outcomes for these at-risk patients.We reviewed evidence on the occurrence of kidney cancer (KC) around the world. Currently, the main avoidable causes are smoking, obesity, and high blood pressure. Although other risk factors also contribute, prevention and treatment of these three factors provide the best opportunities to reduce the risk of developing KC at present.PATIENT SUMMARYWe reviewed evidence on the occurrence of kidney cancer (KC) around the world. Currently, the main avoidable causes are smoking, obesity, and high blood pressure. Although other risk factors also contribute, prevention and treatment of these three factors provide the best opportunities to reduce the risk of developing KC at present.
Author Bensalah, Karim
Bukavina, Laura
Montironi, Rodolfo
Scelo, Ghislaine
Blosser, Christopher D.
van Poppel, Hein
Mitchell, Thomas
O'Brien, Tim
Shuch, Brian
Karam, Jose A.
Carlo, Maria
Kassouf, Wassim
Panebianco, Valeria
Psutka, Sarah P.
Bray, Freddie
Challacombe, Ben
Author_xml – sequence: 1
  givenname: Laura
  surname: Bukavina
  fullname: Bukavina, Laura
  organization: Division of Urologic Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA
– sequence: 2
  givenname: Karim
  surname: Bensalah
  fullname: Bensalah, Karim
  organization: Department of Urology, University of Rennes, Rennes, France
– sequence: 3
  givenname: Freddie
  surname: Bray
  fullname: Bray, Freddie
  organization: Cancer Surveillance Section, International Agency for Research on Cancer, Lyon, France
– sequence: 4
  givenname: Maria
  surname: Carlo
  fullname: Carlo, Maria
  organization: Department of Medical Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
– sequence: 5
  givenname: Ben
  surname: Challacombe
  fullname: Challacombe, Ben
  organization: Department of Urology, Guy’s and St. Thomas Hospitals, London, UK
– sequence: 6
  givenname: Jose A.
  surname: Karam
  fullname: Karam, Jose A.
  organization: Departments of Urology and Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
– sequence: 7
  givenname: Wassim
  surname: Kassouf
  fullname: Kassouf, Wassim
  organization: Division of Adult Urology, McGill University, Montreal, Canada
– sequence: 8
  givenname: Thomas
  surname: Mitchell
  fullname: Mitchell, Thomas
  organization: Department of Urology, Wellcome Sanger Institute, Cambridge, UK
– sequence: 9
  givenname: Rodolfo
  surname: Montironi
  fullname: Montironi, Rodolfo
  organization: Molecular Medicine and Cell Therapy Foundation, Polytechnic University of the Marche Region, Ancona, Italy
– sequence: 10
  givenname: Tim
  surname: O'Brien
  fullname: O'Brien, Tim
  organization: Department of Urology, Guy’s and St. Thomas Hospitals, London, UK
– sequence: 11
  givenname: Valeria
  surname: Panebianco
  fullname: Panebianco, Valeria
  organization: Department of Radiology, Sapienza University of Roma, Rome, Italy
– sequence: 12
  givenname: Ghislaine
  surname: Scelo
  fullname: Scelo, Ghislaine
  organization: International Agency for Research on Cancer, Lyon, France
– sequence: 13
  givenname: Brian
  surname: Shuch
  fullname: Shuch, Brian
  organization: Department of Urology, University of California-Los Angeles, Los Angeles, CA, USA
– sequence: 14
  givenname: Hein
  surname: van Poppel
  fullname: van Poppel, Hein
  organization: Department of Urology, Catholic University of Leuven, Leuven, Belgium
– sequence: 15
  givenname: Christopher D.
  surname: Blosser
  fullname: Blosser, Christopher D.
  organization: Department of Medicine, University of Washington and Seattle Children’s Hospital, Seattle, WA, USA
– sequence: 16
  givenname: Sarah P.
  surname: Psutka
  fullname: Psutka, Sarah P.
  email: spsutka@uw.edu
  organization: Department of Medicine, University of Washington and Seattle Children’s Hospital, Seattle, WA, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/36100483$$D View this record in MEDLINE/PubMed
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Keywords Tumors of the kidney
Renal cell carcinoma
Epidemiology
Risk factors
Kidney cancer
Language English
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Snippet We explored the global incidence and mortality of kidney cancer as well as its risk factors. We also highlight germline and somatic mutations that predispose...
International variations in the rates of kidney cancer (KC) are considerable. An understanding of the risk factors for KC development is necessary to generate...
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SubjectTerms Biological Products
Carcinoma, Renal Cell - epidemiology
Carcinoma, Renal Cell - genetics
Epidemiology
Humans
Hypertension - complications
Kidney cancer
Kidney Neoplasms - epidemiology
Kidney Neoplasms - genetics
Obesity - epidemiology
Renal cell carcinoma
Risk factors
Tumors of the kidney
Title Epidemiology of Renal Cell Carcinoma: 2022 Update
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0302283822026094
https://dx.doi.org/10.1016/j.eururo.2022.08.019
https://www.ncbi.nlm.nih.gov/pubmed/36100483
https://www.proquest.com/docview/2714390958
Volume 82
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