Advances in the epidemiology of pancreatic cancer: Trends, risk factors, screening, and prognosis

Pancreatic cancer is a malignancy with poor prognosis and high mortality. The recent increase in pancreatic cancer incidence and mortality has resulted in an increased number of studies on its epidemiology. This comprehensive and systematic literature review summarizes the advances in the epidemiolo...

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Vydáno v:Cancer letters Ročník 520; s. 1 - 11
Hlavní autoři: Cai, Jie, Chen, Hongda, Lu, Ming, Zhang, Yuhan, Lu, Bin, You, Lei, Zhang, Taiping, Dai, Min, Zhao, Yupei
Médium: Journal Article
Jazyk:angličtina
Vydáno: Ireland Elsevier B.V 01.11.2021
Elsevier Limited
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ISSN:0304-3835, 1872-7980, 1872-7980
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Abstract Pancreatic cancer is a malignancy with poor prognosis and high mortality. The recent increase in pancreatic cancer incidence and mortality has resulted in an increased number of studies on its epidemiology. This comprehensive and systematic literature review summarizes the advances in the epidemiology of pancreatic cancer, including its epidemiological trends, risk factors, risk prediction models, screening modalities, and prognosis. The risk factors for pancreatic cancers can be categorized as those related to individual characteristics, lifestyle and environment, and disease status. Several prediction models for pancreatic cancer have been developed in populations with new-onset diabetes or a family history of pancreatic cancer; however, these models require further validation. Despite recent progress in pancreatic cancer screening, the quantity and quality of related studies are also unsatisfactory, especially with respect to the identification of high-risk populations and development of effective screening modality. Apart from the populations with familial genetic risk and those at a high risk of sporadic pancreatic cancer, risk factors such as new-onset diabetes may be a new direction for timely intervention. We hope this work will provide new ideas for further prevention and treatment of pancreatic cancer. •Both incidence and mortality rate of pancreatic cancer has increased in recent years.•Risk factors for PDAC include individual characteristics, lifestyle and environment, and disease status.•The current established modality for effective early detection of PDAC is lacking.•Development of effective biomarkers predicting the prognosis are in high demand.
AbstractList Pancreatic cancer is a malignancy with poor prognosis and high mortality. The recent increase in pancreatic cancer incidence and mortality has resulted in an increased number of studies on its epidemiology. This comprehensive and systematic literature review summarizes the advances in the epidemiology of pancreatic cancer, including its epidemiological trends, risk factors, risk prediction models, screening modalities, and prognosis. The risk factors for pancreatic cancers can be categorized as those related to individual characteristics, lifestyle and environment, and disease status. Several prediction models for pancreatic cancer have been developed in populations with new-onset diabetes or a family history of pancreatic cancer; however, these models require further validation. Despite recent progress in pancreatic cancer screening, the quantity and quality of related studies are also unsatisfactory, especially with respect to the identification of high-risk populations and development of effective screening modality. Apart from the populations with familial genetic risk and those at a high risk of sporadic pancreatic cancer, risk factors such as new-onset diabetes may be a new direction for timely intervention. We hope this work will provide new ideas for further prevention and treatment of pancreatic cancer. •Both incidence and mortality rate of pancreatic cancer has increased in recent years.•Risk factors for PDAC include individual characteristics, lifestyle and environment, and disease status.•The current established modality for effective early detection of PDAC is lacking.•Development of effective biomarkers predicting the prognosis are in high demand.
Pancreatic cancer is a malignancy with poor prognosis and high mortality. The recent increase in pancreatic cancer incidence and mortality has resulted in an increased number of studies on its epidemiology. This comprehensive and systematic literature review summarizes the advances in the epidemiology of pancreatic cancer, including its epidemiological trends, risk factors, risk prediction models, screening modalities, and prognosis. The risk factors for pancreatic cancers can be categorized as those related to individual characteristics, lifestyle and environment, and disease status. Several prediction models for pancreatic cancer have been developed in populations with new-onset diabetes or a family history of pancreatic cancer; however, these models require further validation. Despite recent progress in pancreatic cancer screening, the quantity and quality of related studies are also unsatisfactory, especially with respect to the identification of high-risk populations and development of effective screening modality. Apart from the populations with familial genetic risk and those at a high risk of sporadic pancreatic cancer, risk factors such as new-onset diabetes may be a new direction for timely intervention. We hope this work will provide new ideas for further prevention and treatment of pancreatic cancer.Pancreatic cancer is a malignancy with poor prognosis and high mortality. The recent increase in pancreatic cancer incidence and mortality has resulted in an increased number of studies on its epidemiology. This comprehensive and systematic literature review summarizes the advances in the epidemiology of pancreatic cancer, including its epidemiological trends, risk factors, risk prediction models, screening modalities, and prognosis. The risk factors for pancreatic cancers can be categorized as those related to individual characteristics, lifestyle and environment, and disease status. Several prediction models for pancreatic cancer have been developed in populations with new-onset diabetes or a family history of pancreatic cancer; however, these models require further validation. Despite recent progress in pancreatic cancer screening, the quantity and quality of related studies are also unsatisfactory, especially with respect to the identification of high-risk populations and development of effective screening modality. Apart from the populations with familial genetic risk and those at a high risk of sporadic pancreatic cancer, risk factors such as new-onset diabetes may be a new direction for timely intervention. We hope this work will provide new ideas for further prevention and treatment of pancreatic cancer.
Pancreatic cancer is a malignancy with poor prognosis and high mortality. The recent increase in pancreatic cancer incidence and mortality has resulted in an increased number of studies on its epidemiology. This comprehensive and systematic literature review summarizes the advances in the epidemiology of pancreatic cancer, including its epidemiological trends, risk factors, risk prediction models, screening modalities, and prognosis. The risk factors for pancreatic cancers can be categorized as those related to individual characteristics, lifestyle and environment, and disease status. Several prediction models for pancreatic cancer have been developed in populations with new-onset diabetes or a family history of pancreatic cancer; however, these models require further validation. Despite recent progress in pancreatic cancer screening, the quantity and quality of related studies are also unsatisfactory, especially with respect to the identification of high-risk populations and development of effective screening modality. Apart from the populations with familial genetic risk and those at a high risk of sporadic pancreatic cancer, risk factors such as new-onset diabetes may be a new direction for timely intervention. We hope this work will provide new ideas for further prevention and treatment of pancreatic cancer.
Author Zhang, Yuhan
You, Lei
Cai, Jie
Zhang, Taiping
Lu, Bin
Dai, Min
Lu, Ming
Chen, Hongda
Zhao, Yupei
Author_xml – sequence: 1
  givenname: Jie
  orcidid: 0000-0002-2691-0411
  surname: Cai
  fullname: Cai, Jie
  organization: Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China
– sequence: 2
  givenname: Hongda
  surname: Chen
  fullname: Chen, Hongda
  organization: Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100021, China
– sequence: 3
  givenname: Ming
  surname: Lu
  fullname: Lu, Ming
  organization: Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100021, China
– sequence: 4
  givenname: Yuhan
  surname: Zhang
  fullname: Zhang, Yuhan
  organization: Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100021, China
– sequence: 5
  givenname: Bin
  surname: Lu
  fullname: Lu, Bin
  organization: Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100021, China
– sequence: 6
  givenname: Lei
  surname: You
  fullname: You, Lei
  organization: Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China
– sequence: 7
  givenname: Taiping
  surname: Zhang
  fullname: Zhang, Taiping
  organization: Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China
– sequence: 8
  givenname: Min
  surname: Dai
  fullname: Dai, Min
  email: daimin2002@hotmail.com
  organization: Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100021, China
– sequence: 9
  givenname: Yupei
  surname: Zhao
  fullname: Zhao, Yupei
  email: zhao8028@263.net
  organization: Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China
BackLink https://www.ncbi.nlm.nih.gov/pubmed/34216688$$D View this record in MEDLINE/PubMed
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Keywords Trend
Screening
Biomarker
Pancreatic cancer
Prediction model
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Snippet Pancreatic cancer is a malignancy with poor prognosis and high mortality. The recent increase in pancreatic cancer incidence and mortality has resulted in an...
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SubjectTerms Biomarker
Cancer screening
Diabetes mellitus
Early Detection of Cancer
Epidemiology
Gender differences
Humans
Literature reviews
Malignancy
Mathematical models
Medical prognosis
Mortality
Mutation
Pancreas - pathology
Pancreatic cancer
Pancreatic Neoplasms - diagnosis
Pancreatic Neoplasms - epidemiology
Pancreatic Neoplasms - genetics
Pancreatic Neoplasms - therapy
Population genetics
Prediction model
Prediction models
Prognosis
Risk Factors
Screening
Systematic review
Trend
Title Advances in the epidemiology of pancreatic cancer: Trends, risk factors, screening, and prognosis
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https://dx.doi.org/10.1016/j.canlet.2021.06.027
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