Risk factors for kidney cancer and socio-occupational category: significant impact of chlorinated solvents (UroCCR 111)
Introduction The rising incidence of renal cell carcinoma (RCC) is a significant concern in cancer research. This study analyses the characteristics of RCC patients based on their socio-professional category and explores the role of chlorinated solvents as a risk factor. Materials and methods A mult...
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| Veröffentlicht in: | World journal of urology 2024-11, Vol.42 (1), p.642, Article 642 |
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| creator | Ferragu, Matthieu Bernhard, Jean-Christophe Fontenil, Alexis Guillotreau, Julien Panthier, Frédéric Branger, Nicolas Belas, Olivier Patard, Jean-Jacques Audenet, François Surlemont, Louis Mallet, Richard Waeckel, Thibaut Bigot, Pierre |
| description | Introduction
The rising incidence of renal cell carcinoma (RCC) is a significant concern in cancer research. This study analyses the characteristics of RCC patients based on their socio-professional category and explores the role of chlorinated solvents as a risk factor.
Materials and methods
A multicentre, descriptive epidemiological study was conducted using the UroCCR database. All patients from participating centres who had been diagnosed with RCC between July 2021 and February 2023, as well as those seen for follow-up consultation during this period, were included. Patients were categorised into 5 socio-professional groups based on INSEE’s Profession and Social Categories classification. The characteristics and risk factors of RCC for each group were compared. Binary logistic regression was used to study the exposure to chlorinated solvents and risk factors for clear cell RCC (ccRCC).
Results
A total of 1252 patients were included. Males made up 69.6% of the population. The median age was 64 years, and 87% of the patients had at least one RCC risk factor. ccRCC, papillary, and chromophobe types accounted for 78%, 14.9%, and 8.5% of the population, respectively. The median tumor size was 4.5 cm (SD = 3.3). Farmers had a higher prevalence of ccRCC (91.3%;
p
= 0.05) and larger tumors (median = 6 cm SD = 3.23;
p
= 0.038) than patients from other populations. Smoking and obesity rates were lower (10.1%;
p
|
| doi_str_mv | 10.1007/s00345-024-05356-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11582165</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3131500957</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-da5e84f0b5bf0904730098681d44d52a24faa9a1feb45b448d39e115735272b3</originalsourceid><addsrcrecordid>eNp9kctOHDEQRa2IKJAhP8ACWWJDFk3Kr36wQWiUl4QUaUTWltttD4Yee7C7QfP3GBomkAUrW6pTt27VReiAwAkBqL4lAMZFAZQXIJgoi-YD2iOcsaKuaLnz6r-LPqd0DUCqEsQntMsaUQGrYQ_dL1y6wVbpIcSEbYj4xnXebLBWXpuIle9wCtqFImg9rtXggld9rg5mGeLmFCe39M66jA_YrdZZCAeL9VUfovOZemzv74wfEj7-G8N8vsCEkK_76KNVfTJfnt8Zuvzx_XL-q7j48_P3_Pyi0HmhoeiUMDW30IrWQgO8YgBNXdak47wTVFFulWoUsablouW87lhjCBEVE7SiLZuhs0l2PbYr0-nsI6perqNbqbiRQTn5tuLdlVyGO5k1akpKkRWOnxViuB1NGuTKJW36XnkTxiQZYURkU3nkDB39h16HMeZzTVRZ0opApuhE6RhSisZu3RCQj7nKKVeZc5VPucomNx2-3mPb8hJkBtgEpFzySxP_zX5H9gFTRq53</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3131662710</pqid></control><display><type>article</type><title>Risk factors for kidney cancer and socio-occupational category: significant impact of chlorinated solvents (UroCCR 111)</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Ferragu, Matthieu ; Bernhard, Jean-Christophe ; Fontenil, Alexis ; Guillotreau, Julien ; Panthier, Frédéric ; Branger, Nicolas ; Belas, Olivier ; Patard, Jean-Jacques ; Audenet, François ; Surlemont, Louis ; Mallet, Richard ; Waeckel, Thibaut ; Bigot, Pierre</creator><creatorcontrib>Ferragu, Matthieu ; Bernhard, Jean-Christophe ; Fontenil, Alexis ; Guillotreau, Julien ; Panthier, Frédéric ; Branger, Nicolas ; Belas, Olivier ; Patard, Jean-Jacques ; Audenet, François ; Surlemont, Louis ; Mallet, Richard ; Waeckel, Thibaut ; Bigot, Pierre</creatorcontrib><description>Introduction
The rising incidence of renal cell carcinoma (RCC) is a significant concern in cancer research. This study analyses the characteristics of RCC patients based on their socio-professional category and explores the role of chlorinated solvents as a risk factor.
Materials and methods
A multicentre, descriptive epidemiological study was conducted using the UroCCR database. All patients from participating centres who had been diagnosed with RCC between July 2021 and February 2023, as well as those seen for follow-up consultation during this period, were included. Patients were categorised into 5 socio-professional groups based on INSEE’s Profession and Social Categories classification. The characteristics and risk factors of RCC for each group were compared. Binary logistic regression was used to study the exposure to chlorinated solvents and risk factors for clear cell RCC (ccRCC).
Results
A total of 1252 patients were included. Males made up 69.6% of the population. The median age was 64 years, and 87% of the patients had at least one RCC risk factor. ccRCC, papillary, and chromophobe types accounted for 78%, 14.9%, and 8.5% of the population, respectively. The median tumor size was 4.5 cm (SD = 3.3). Farmers had a higher prevalence of ccRCC (91.3%;
p
= 0.05) and larger tumors (median = 6 cm SD = 3.23;
p
= 0.038) than patients from other populations. Smoking and obesity rates were lower (10.1%;
p
< 0.001; 15.9%,
p
= 0.018, respectively), but exposure to chlorinated solvents was higher (50.7%;
p
< 0.001). Exposure to chlorinated solvents was independently associated with higher TNM stages (
p
= 0.044, OR = 1.41 CI (1.01; 1.96)). Obesity and exposure to chlorinated solvents were independent risk factors for ccRCC (
p
= 0.006, OR = 1.6 CI (1.1;2.2) and
p
= 0.028, OR = 1.6 CI (1.1;2.6), respectively).
Conclusion
This study shows the influence of socio-professional categories on exposure to RCC risk factors and tumor characteristics. In particular, farmers stood out from the rest of the study population. Their significant exposure to chlorinated solvents could be an interesting factor to investigate.
Patient summary
The report examines the risk factor and characteristics of kidney cancer in a French kidney cancer population. Farmers had larger tumors, a higher proportion of clear cell renal carcinoma (ccRCC), and significant exposure to chlorinated solvents. Exposure to chlorinated solvents could be associated with advanced stages. Obesity and exposure to chlorinated solvents could be independent risk factors for ccRCC.</description><identifier>ISSN: 1433-8726</identifier><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-024-05356-9</identifier><identifier>PMID: 39570380</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Carcinoma, Renal Cell - chemically induced ; Carcinoma, Renal Cell - epidemiology ; Clear cell-type renal cell carcinoma ; Epidemiology ; Female ; Humans ; Hydrocarbons, Chlorinated - adverse effects ; Kidney cancer ; Kidney Neoplasms - chemically induced ; Kidney Neoplasms - epidemiology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrology ; Obesity ; Occupational Exposure - adverse effects ; Oncology ; Population studies ; Risk Factors ; Solvents ; Solvents - adverse effects ; Tumors ; Urology</subject><ispartof>World journal of urology, 2024-11, Vol.42 (1), p.642, Article 642</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c356t-da5e84f0b5bf0904730098681d44d52a24faa9a1feb45b448d39e115735272b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-024-05356-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-024-05356-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39570380$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferragu, Matthieu</creatorcontrib><creatorcontrib>Bernhard, Jean-Christophe</creatorcontrib><creatorcontrib>Fontenil, Alexis</creatorcontrib><creatorcontrib>Guillotreau, Julien</creatorcontrib><creatorcontrib>Panthier, Frédéric</creatorcontrib><creatorcontrib>Branger, Nicolas</creatorcontrib><creatorcontrib>Belas, Olivier</creatorcontrib><creatorcontrib>Patard, Jean-Jacques</creatorcontrib><creatorcontrib>Audenet, François</creatorcontrib><creatorcontrib>Surlemont, Louis</creatorcontrib><creatorcontrib>Mallet, Richard</creatorcontrib><creatorcontrib>Waeckel, Thibaut</creatorcontrib><creatorcontrib>Bigot, Pierre</creatorcontrib><title>Risk factors for kidney cancer and socio-occupational category: significant impact of chlorinated solvents (UroCCR 111)</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Introduction
The rising incidence of renal cell carcinoma (RCC) is a significant concern in cancer research. This study analyses the characteristics of RCC patients based on their socio-professional category and explores the role of chlorinated solvents as a risk factor.
Materials and methods
A multicentre, descriptive epidemiological study was conducted using the UroCCR database. All patients from participating centres who had been diagnosed with RCC between July 2021 and February 2023, as well as those seen for follow-up consultation during this period, were included. Patients were categorised into 5 socio-professional groups based on INSEE’s Profession and Social Categories classification. The characteristics and risk factors of RCC for each group were compared. Binary logistic regression was used to study the exposure to chlorinated solvents and risk factors for clear cell RCC (ccRCC).
Results
A total of 1252 patients were included. Males made up 69.6% of the population. The median age was 64 years, and 87% of the patients had at least one RCC risk factor. ccRCC, papillary, and chromophobe types accounted for 78%, 14.9%, and 8.5% of the population, respectively. The median tumor size was 4.5 cm (SD = 3.3). Farmers had a higher prevalence of ccRCC (91.3%;
p
= 0.05) and larger tumors (median = 6 cm SD = 3.23;
p
= 0.038) than patients from other populations. Smoking and obesity rates were lower (10.1%;
p
< 0.001; 15.9%,
p
= 0.018, respectively), but exposure to chlorinated solvents was higher (50.7%;
p
< 0.001). Exposure to chlorinated solvents was independently associated with higher TNM stages (
p
= 0.044, OR = 1.41 CI (1.01; 1.96)). Obesity and exposure to chlorinated solvents were independent risk factors for ccRCC (
p
= 0.006, OR = 1.6 CI (1.1;2.2) and
p
= 0.028, OR = 1.6 CI (1.1;2.6), respectively).
Conclusion
This study shows the influence of socio-professional categories on exposure to RCC risk factors and tumor characteristics. In particular, farmers stood out from the rest of the study population. Their significant exposure to chlorinated solvents could be an interesting factor to investigate.
Patient summary
The report examines the risk factor and characteristics of kidney cancer in a French kidney cancer population. Farmers had larger tumors, a higher proportion of clear cell renal carcinoma (ccRCC), and significant exposure to chlorinated solvents. Exposure to chlorinated solvents could be associated with advanced stages. Obesity and exposure to chlorinated solvents could be independent risk factors for ccRCC.</description><subject>Adult</subject><subject>Aged</subject><subject>Carcinoma, Renal Cell - chemically induced</subject><subject>Carcinoma, Renal Cell - epidemiology</subject><subject>Clear cell-type renal cell carcinoma</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Hydrocarbons, Chlorinated - adverse effects</subject><subject>Kidney cancer</subject><subject>Kidney Neoplasms - chemically induced</subject><subject>Kidney Neoplasms - epidemiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Obesity</subject><subject>Occupational Exposure - adverse effects</subject><subject>Oncology</subject><subject>Population studies</subject><subject>Risk Factors</subject><subject>Solvents</subject><subject>Solvents - adverse effects</subject><subject>Tumors</subject><subject>Urology</subject><issn>1433-8726</issn><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kctOHDEQRa2IKJAhP8ACWWJDFk3Kr36wQWiUl4QUaUTWltttD4Yee7C7QfP3GBomkAUrW6pTt27VReiAwAkBqL4lAMZFAZQXIJgoi-YD2iOcsaKuaLnz6r-LPqd0DUCqEsQntMsaUQGrYQ_dL1y6wVbpIcSEbYj4xnXebLBWXpuIle9wCtqFImg9rtXggld9rg5mGeLmFCe39M66jA_YrdZZCAeL9VUfovOZemzv74wfEj7-G8N8vsCEkK_76KNVfTJfnt8Zuvzx_XL-q7j48_P3_Pyi0HmhoeiUMDW30IrWQgO8YgBNXdak47wTVFFulWoUsablouW87lhjCBEVE7SiLZuhs0l2PbYr0-nsI6perqNbqbiRQTn5tuLdlVyGO5k1akpKkRWOnxViuB1NGuTKJW36XnkTxiQZYURkU3nkDB39h16HMeZzTVRZ0opApuhE6RhSisZu3RCQj7nKKVeZc5VPucomNx2-3mPb8hJkBtgEpFzySxP_zX5H9gFTRq53</recordid><startdate>20241121</startdate><enddate>20241121</enddate><creator>Ferragu, Matthieu</creator><creator>Bernhard, Jean-Christophe</creator><creator>Fontenil, Alexis</creator><creator>Guillotreau, Julien</creator><creator>Panthier, Frédéric</creator><creator>Branger, Nicolas</creator><creator>Belas, Olivier</creator><creator>Patard, Jean-Jacques</creator><creator>Audenet, François</creator><creator>Surlemont, Louis</creator><creator>Mallet, Richard</creator><creator>Waeckel, Thibaut</creator><creator>Bigot, Pierre</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20241121</creationdate><title>Risk factors for kidney cancer and socio-occupational category: significant impact of chlorinated solvents (UroCCR 111)</title><author>Ferragu, Matthieu ; Bernhard, Jean-Christophe ; Fontenil, Alexis ; Guillotreau, Julien ; Panthier, Frédéric ; Branger, Nicolas ; Belas, Olivier ; Patard, Jean-Jacques ; Audenet, François ; Surlemont, Louis ; Mallet, Richard ; Waeckel, Thibaut ; Bigot, Pierre</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-da5e84f0b5bf0904730098681d44d52a24faa9a1feb45b448d39e115735272b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Carcinoma, Renal Cell - chemically induced</topic><topic>Carcinoma, Renal Cell - epidemiology</topic><topic>Clear cell-type renal cell carcinoma</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Hydrocarbons, Chlorinated - adverse effects</topic><topic>Kidney cancer</topic><topic>Kidney Neoplasms - chemically induced</topic><topic>Kidney Neoplasms - epidemiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Obesity</topic><topic>Occupational Exposure - adverse effects</topic><topic>Oncology</topic><topic>Population studies</topic><topic>Risk Factors</topic><topic>Solvents</topic><topic>Solvents - adverse effects</topic><topic>Tumors</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferragu, Matthieu</creatorcontrib><creatorcontrib>Bernhard, Jean-Christophe</creatorcontrib><creatorcontrib>Fontenil, Alexis</creatorcontrib><creatorcontrib>Guillotreau, Julien</creatorcontrib><creatorcontrib>Panthier, Frédéric</creatorcontrib><creatorcontrib>Branger, Nicolas</creatorcontrib><creatorcontrib>Belas, Olivier</creatorcontrib><creatorcontrib>Patard, Jean-Jacques</creatorcontrib><creatorcontrib>Audenet, François</creatorcontrib><creatorcontrib>Surlemont, Louis</creatorcontrib><creatorcontrib>Mallet, Richard</creatorcontrib><creatorcontrib>Waeckel, Thibaut</creatorcontrib><creatorcontrib>Bigot, Pierre</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferragu, Matthieu</au><au>Bernhard, Jean-Christophe</au><au>Fontenil, Alexis</au><au>Guillotreau, Julien</au><au>Panthier, Frédéric</au><au>Branger, Nicolas</au><au>Belas, Olivier</au><au>Patard, Jean-Jacques</au><au>Audenet, François</au><au>Surlemont, Louis</au><au>Mallet, Richard</au><au>Waeckel, Thibaut</au><au>Bigot, Pierre</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for kidney cancer and socio-occupational category: significant impact of chlorinated solvents (UroCCR 111)</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2024-11-21</date><risdate>2024</risdate><volume>42</volume><issue>1</issue><spage>642</spage><pages>642-</pages><artnum>642</artnum><issn>1433-8726</issn><issn>0724-4983</issn><eissn>1433-8726</eissn><abstract>Introduction
The rising incidence of renal cell carcinoma (RCC) is a significant concern in cancer research. This study analyses the characteristics of RCC patients based on their socio-professional category and explores the role of chlorinated solvents as a risk factor.
Materials and methods
A multicentre, descriptive epidemiological study was conducted using the UroCCR database. All patients from participating centres who had been diagnosed with RCC between July 2021 and February 2023, as well as those seen for follow-up consultation during this period, were included. Patients were categorised into 5 socio-professional groups based on INSEE’s Profession and Social Categories classification. The characteristics and risk factors of RCC for each group were compared. Binary logistic regression was used to study the exposure to chlorinated solvents and risk factors for clear cell RCC (ccRCC).
Results
A total of 1252 patients were included. Males made up 69.6% of the population. The median age was 64 years, and 87% of the patients had at least one RCC risk factor. ccRCC, papillary, and chromophobe types accounted for 78%, 14.9%, and 8.5% of the population, respectively. The median tumor size was 4.5 cm (SD = 3.3). Farmers had a higher prevalence of ccRCC (91.3%;
p
= 0.05) and larger tumors (median = 6 cm SD = 3.23;
p
= 0.038) than patients from other populations. Smoking and obesity rates were lower (10.1%;
p
< 0.001; 15.9%,
p
= 0.018, respectively), but exposure to chlorinated solvents was higher (50.7%;
p
< 0.001). Exposure to chlorinated solvents was independently associated with higher TNM stages (
p
= 0.044, OR = 1.41 CI (1.01; 1.96)). Obesity and exposure to chlorinated solvents were independent risk factors for ccRCC (
p
= 0.006, OR = 1.6 CI (1.1;2.2) and
p
= 0.028, OR = 1.6 CI (1.1;2.6), respectively).
Conclusion
This study shows the influence of socio-professional categories on exposure to RCC risk factors and tumor characteristics. In particular, farmers stood out from the rest of the study population. Their significant exposure to chlorinated solvents could be an interesting factor to investigate.
Patient summary
The report examines the risk factor and characteristics of kidney cancer in a French kidney cancer population. Farmers had larger tumors, a higher proportion of clear cell renal carcinoma (ccRCC), and significant exposure to chlorinated solvents. Exposure to chlorinated solvents could be associated with advanced stages. Obesity and exposure to chlorinated solvents could be independent risk factors for ccRCC.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39570380</pmid><doi>10.1007/s00345-024-05356-9</doi><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1433-8726 |
| ispartof | World journal of urology, 2024-11, Vol.42 (1), p.642, Article 642 |
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| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Aged Carcinoma, Renal Cell - chemically induced Carcinoma, Renal Cell - epidemiology Clear cell-type renal cell carcinoma Epidemiology Female Humans Hydrocarbons, Chlorinated - adverse effects Kidney cancer Kidney Neoplasms - chemically induced Kidney Neoplasms - epidemiology Male Medicine Medicine & Public Health Middle Aged Nephrology Obesity Occupational Exposure - adverse effects Oncology Population studies Risk Factors Solvents Solvents - adverse effects Tumors Urology |
| title | Risk factors for kidney cancer and socio-occupational category: significant impact of chlorinated solvents (UroCCR 111) |
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