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December 8, 1999, Vol 282, No. 22 >

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Letters | December 8, 1999

Increasing Incidence of Renal Cell Cancer

Carlo La Vecchia, MD; Eva Negri, ScD; Fabio Levi, MD; Franca Lucchini, BSc
JAMA. 1999;282(22):2119-2121. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-22-jbk1208.
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To the Editor: Following the report of Dr Chow and colleagues1 of an increasing trend of renal cell cancer in the United States, we reexamined trends in mortality from kidney cancer in major European countries, which also have shown upward trends between 1955 and 1989, with an overall average increase of 17%.2

Official death certification data for 17 selected European countries were derived from the World Health Organization (WHO) database. Classification of kidney cancer deaths was recoded for all calendar periods and countries according to the International Classification of Diseases, Ninth Revision (code 189). No distinction was possible between renal cell carcinoma, which accounts for 80% to 85% of all malignant tumors of the kidney,3 and transitional cell carcinomas of the renal pelvis.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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