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Diabetes and pancreatic cancer survival: a prospective cohort-based study.


ABSTRACT:

Background

Diabetes is a risk factor for pancreatic cancer but its association with survival from pancreatic cancer is poorly understood. Our objective was to investigate the association of diabetes with survival among pancreatic cancer patients in a prospective cohort-based study where diabetes history was ascertained before pancreatic cancer diagnosis.

Methods

We evaluated survival by baseline (1993-2001) self-reported diabetes history (n=62) among 504 participants that developed exocrine pancreatic cancer within the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial. Hazard ratios (HRs) and 95% confidence intervals (CIs) for mortality were estimated using Cox proportional hazards model, adjusted for age, sex, body mass index, race, smoking, and tumour stage (local, locally advanced, and metastatic).

Results

The multivariable-adjusted HR for mortality comparing participants with diabetes to those without was 1.52 (95% CI=1.14-2.04, P-value <0.01). After excluding those diagnosed with pancreatic cancer within 3 years of study enrolment, HR for mortality among those with diabetes was 1.45 (95% CI=1.06-2.00, P-value=0.02).

Conclusions

Using prospectively collected data, our findings indicate that diabetes is associated with worse survival among patients with pancreatic cancer.

SUBMITTER: Toriola AT 

PROVIDER: S-EPMC4090724 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature

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Publications

Diabetes and pancreatic cancer survival: a prospective cohort-based study.

Toriola A T AT   Stolzenberg-Solomon R R   Dalidowitz L L   Linehan D D   Colditz G G  

British journal of cancer 20140501 1


<h4>Background</h4>Diabetes is a risk factor for pancreatic cancer but its association with survival from pancreatic cancer is poorly understood. Our objective was to investigate the association of diabetes with survival among pancreatic cancer patients in a prospective cohort-based study where diabetes history was ascertained before pancreatic cancer diagnosis.<h4>Methods</h4>We evaluated survival by baseline (1993-2001) self-reported diabetes history (n=62) among 504 participants that develope  ...[more]

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