WHITLEY, Adam, Petr KOCIAN, Andrej NIKOV, Denisa KREJČÍ, Lucie KŮSOVÁ, Milan BLAHA, Ladislav DUŠEK and Robert GURLICH. Early-onset pancreatic cancer: A national cancer registry study from the Czech Republic and review of the literature. JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES. Hoboken: WILEY, 2023, vol. 30, No 12, p. 1324-1333. ISSN 1868-6974. Available from: https://dx.doi.org/10.1002/jhbp.1359.
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Basic information
Original name Early-onset pancreatic cancer: A national cancer registry study from the Czech Republic and review of the literature
Authors WHITLEY, Adam, Petr KOCIAN (203 Czech Republic, guarantor), Andrej NIKOV, Denisa KREJČÍ (203 Czech Republic, belonging to the institution), Lucie KŮSOVÁ (203 Czech Republic, belonging to the institution), Milan BLAHA (203 Czech Republic, belonging to the institution), Ladislav DUŠEK (203 Czech Republic, belonging to the institution) and Robert GURLICH (203 Czech Republic).
Edition JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, Hoboken, WILEY, 2023, 1868-6974.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30219 Gastroenterology and hepatology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.000 in 2022
RIV identification code RIV/00216224:14110/23:00133339
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1002/jhbp.1359
UT WoS 001073545100001
Keywords in English adult; pancreatic neoplasms; population register; survival; young adult
Tags 14119612, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 5/4/2024 09:23.
Abstract
Background: The aim of this study was to compare trends in mortality and incidence, clinicopathological features and survival of patients diagnosed with pancreatic ductal adenocarcinoma under 50 years of age (early-onset pancreatic cancer [EOPC]) with patients diagnosed over 50 years of age (late-onset pancreatic cancer [LOPC]).Methods: The national oncological registry of the Czech Republic was reviewed to identify all patients with histologically confirmed pancreatic ductal adenocarcinoma diagnosed between the years 1985 and 2015. Incidence, mortality, clinicopathological and survival data were analyzed and compared between patients with EOPC and LOPC.Results: From a total of 18 888 patients included in the study, 1324 patients were under the age of 50 years (7.0%). The average annual percentage changes (AAPC) in incidence of all patients with EOPC was -1.0%. The APPC for male patients with EOPC was -2.0% and for female patients was +0.6%. The AAPC in incidence for LOPC was +1.3%. There were no differences in tumor stage, grade or location between EOPC and LOPC. Young patients were more frequently male (64.4% vs. 52.9%), more frequently underwent treatment and had better overall survival. The median survival interval for EOPC was 5.9 months and for LOPC was 4.5 months (p < .001).Conclusions: The clinicopathological features of pancreatic ductal adenocarcinoma were similar in patients under and over the age of 50 years. Patients with EOPC survived longer than patients with LOPC. Continued efforts should be made to diagnose early and treat young patients aggressively.
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