Pancreatectomy for non-pancreatic malignancies results in improved survival after R0 resection
2007

Improved Survival After Pancreatectomy for Non-Pancreatic Cancers

Sample size: 29 publication Evidence: moderate

Author Information

Author(s): Kimberly A Varker, Peter Muscarella, Kristian Wall, Christopher Ellison, Mark Bloomston

Primary Institution: The Ohio State University Medical Center

Hypothesis

The study aims to determine outcomes and identify predictors of survival for patients undergoing pancreatectomy for non-pancreatic malignancies.

Conclusion

Pancreatic resection for non-pancreatic malignancies can be completed with minimal mortality, but incomplete resection results in poor overall survival.

Supporting Evidence

  • R0 resection was achieved in 17 patients (59%).
  • Median overall survival was 12 months with a 1-year survival rate of 48%.
  • Only R0 resection was predictive of long-term survival by multivariate analysis.

Takeaway

Doctors can help some patients with cancers that spread to the pancreas live longer by removing the pancreas, but it's important to remove all the cancer.

Methodology

The study reviewed patient records and used survival curves and statistical analysis to identify predictors of survival.

Limitations

The study is limited by its small sample size and retrospective design.

Participant Demographics

The study included 29 patients (18 male, 11 female) with a mean age of 59.9 years.

Statistical Information

P-Value

0.035

Confidence Interval

95% CI 6.4, 17.6

Statistical Significance

p = 0.035

Digital Object Identifier (DOI)

10.1186/1477-7819-5-145

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