Abstract

Pancreatic cancer presents a critical health issue characterized by low survival rates. Identifying risk factors in specific populations, such as those with diabetes, is crucial for early detection and improved outcomes. This study aimed to identify risk factors for pancreatic cancer in diabetic patients using a longitudinal cohort from the Shizuoka Kokuho database, spanning April 2012 to September 2021. Diabetic patients were identified and monitored for the onset of pancreatic cancer. Factors analyzed included age, sex, the Elixhauser comorbidity index, and specific comorbidities. Statistical analyses involved univariate and multivariate Cox proportional hazards regression. The study identified 212,775 as diabetic patients and 1755 developed pancreatic cancer during the period. The annual incidence rate of pancreatic cancer in this group was 166.7 cases per 100,000 person-years. The study identified older age, male sex, a history of liver disease, chronic pancreatitis, and pancreatic cystic lesions as significant risk factors for pancreatic cancer in diabetic patients. The study also highlighted the absence of a significant association between diabetes type or diabetic complications and the onset of pancreatic cancer. These findings may aid in the early diagnosis of pancreatic cancer in diabetic patients and may inform revisions in screening practices in diabetic patients.

Details

Title
Pancreatic cancer risk in diabetic patients using the Japanese Regional Insurance Claims
Author
Satoh, Tatsunori 1 ; Nakatani, Eiji 2 ; Ariyasu, Hiroyuki 3 ; Kawaguchi, Shinya 4 ; Ohno, Kazuya 4 ; Itoh, Hiroshi 5 ; Hayashi, Kaori 6 ; Usui, Takeshi 7 

 Keio University School of Medicine, Division of Endocrinology, Metabolism and Nephrology, Department of Internal Medicine, Tokyo, Japan (GRID:grid.26091.3c) (ISNI:0000 0004 1936 9959); Shizuoka General Hospital, Department of Gastroenterology, Shizuoka, Japan (GRID:grid.415804.c) (ISNI:0000 0004 1763 9927); Shizuoka Graduate University of Public Health, Graduate School of Public Health, Shizuoka, Japan (GRID:grid.518453.e) (ISNI:0000 0004 9216 2874) 
 Shizuoka Graduate University of Public Health, Graduate School of Public Health, Shizuoka, Japan (GRID:grid.518453.e) (ISNI:0000 0004 9216 2874) 
 Shizuoka General Hospital, Department of Diabetes and Endocrinology, Shizuoka, Japan (GRID:grid.415804.c) (ISNI:0000 0004 1763 9927) 
 Shizuoka General Hospital, Department of Gastroenterology, Shizuoka, Japan (GRID:grid.415804.c) (ISNI:0000 0004 1763 9927) 
 Keio University, Center for Preventive Medicine, Tokyo, Japan (GRID:grid.26091.3c) (ISNI:0000 0004 1936 9959) 
 Keio University School of Medicine, Division of Endocrinology, Metabolism and Nephrology, Department of Internal Medicine, Tokyo, Japan (GRID:grid.26091.3c) (ISNI:0000 0004 1936 9959) 
 Shizuoka Graduate University of Public Health, Graduate School of Public Health, Shizuoka, Japan (GRID:grid.518453.e) (ISNI:0000 0004 9216 2874); Shizuoka General Hospital, Research Support Center, Shizuoka, Japan (GRID:grid.415804.c) (ISNI:0000 0004 1763 9927) 
Pages
16958
Publication year
2024
Publication date
2024
Publisher
Nature Publishing Group
e-ISSN
20452322
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3083766057
Copyright
© The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.