Conversely, age over 60 years, being or having been a smoker, presence of a tumor at RRT initiation (p<0.001), hemoglobin <10g/dl (p = 0.008), serum albumin <30g/dl (p = 0.017) and some French regions (Auvergne, Basse-Normandie, Bourgogne, Bretagne, Haute Normandie, Languedoc-Roussillon, Limousin, Lorraine, Midi-Pyrenees and Nord Pas de Calais) were all significantly associated with increased risk of death by cancer after taking into account the competing risks (Tables 2 and 3). This evidence concerns the gene ALB and neoplasm.