Journal
CANCER LETTERS
Volume 520, Issue -, Pages 1-11Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.canlet.2021.06.027
Keywords
Pancreatic cancer; Trend; Screening; Prediction model; Biomarker
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Pancreatic cancer has poor prognosis and high mortality rates, leading to increased research on its epidemiology. Advances in the field include trends, risk factors, prediction models, screening methods, and prognosis. Risk factors are related to individual characteristics, lifestyle, environment, and disease status. Prediction models have been developed for populations with new-onset diabetes or family history of pancreatic cancer, but require further validation. Despite progress in screening, more studies are needed to identify high-risk populations and develop effective screening methods.
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.
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