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Differences in Pancreatic Cancer Incidence Rates and Temporal Trends Across Asian Subpopulations in California (1988–2015)
Open accessAbstract
Objective: Ethnic disparities in pancreatic cancer (PanCan) incidence exist, but little is known about incidence trends in heterogeneous Asian Americans. We examined PanCan incidence and temporal patterns among detailed ethnic populations, including Asian American subgroups. Methods: A total of 71,099 invasive exocrine PanCan cases were identified using the California Cancer Registry between 1988 and 2015. Cases were grouped into mutually exclusive groups of non-Hispanic (NH) white, NH black, Hispanic, NH Asian/Pacific Islander (API), and NH American Indian/Alaska Native (AIAN). Asians were further identified by specific ethnicity. Results: The age-adjusted incidence rates (AAIRs, per 100,000) of PanCan varied significantly across racial/ethnic groups, ranging from the highest of 10.4 in NH blacks to 7.6 in NH whites, 7.1 in Hispanics, 6.2 in NH APIs, and to the lowest of 5.2 in NH AIAN. Despite the relatively low rate in the NH APIs, the rates across Asian subgroups varied significantly, with rates similar to NH whites in Japanese (8.1) and Koreans (7.5) to the low rate in South Asians (4.4). Conclusions: Significant heterogeneity of PanCan incidence in disaggregated Asian Americans is a novel finding. These results fill a gap regarding PanCan burden in Asian Americans and underscore the importance of disaggregating ethnic populations in cancer research.
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Several studies show that the probability PDAC development can be further increased by including additional factors such as weight change, ethnicity, and lifestyle factors that are commonly contained in electronic medical records.
“Of note, several studies show that the probability PDAC development can be further increased by including additional factors such as weight change, ethnicity, and lifestyle factors that are commonly contained in electronic medical records.171–178”
From Artificial Intelligence and Early Detection of Pancreatic Cancer: 2020 Summative Review (2021) · cites this paper as [175]
The Results (page unavailable) report significant differences in pancreatic cancer incidence across racial and ethnic groups, supporting ethnicity as relevant to risk. The paper does not show that adding ethnicity, weight change, or lifestyle factors increases the predicted probability of PDAC development, nor does it assess an electronic-medical-records prediction model. (LLM, conf=0.85)
Experimental — accuracy not yet measuredSurgery is the only therapy to date associated with a durable long-term outcome.
“This result is based on the findings that surgery is the only therapy to date associated with a durable long-term outcome.”
From Artificial Intelligence and Early Detection of Pancreatic Cancer: 2020 Summative Review (2021) · cites this paper as [166]
The Conclusions discuss pancreatic cancer incidence and trends across Asian subgroups, not treatment outcomes (page unavailable in our copy). Searches for the quoted assertion and for surgical resection and long-term survival found no passage saying surgery is the only therapy associated with a durable long-term outcome. (LLM, conf=0.76)
Experimental — accuracy not yet measuredThe Chronic Pancreatitis, Diabetes, and Pancreatic Cancer group seeks to understand the clinical, epidemiological, and biological characteristics of patients with chronic pancreatitis and NOD, including the subsequent risk of pancreatic cancer.
“Chronic Pancreatitis, Diabetes, and Pancreatic Cancer (https://cpdpc.mdanderson.org/) seeks to understand the clinical, epidemiological, and biological characteristics of patients with chronic pancreatitis and NOD, including the subsequent risk of pancreatic cancer.166”
From Artificial Intelligence and Early Detection of Pancreatic Cancer: 2020 Summative Review (2021) · cites this paper as [166]
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Artificial Intelligence and Early Detection of Pancreatic Cancer: 2020 Summative Review
Kenner, B., Chari, S. T., Kelsen, D., Klimstra, D. S., Pandol, S. J., Rosenthal, M., Rustgi, A. K., Taylor, J. A., Yala, A., Abul-Husn, N., et al. (2021) · Pancreas · doi:10.1097/mpa.0000000000001762 · Cited by 158
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Metadata
- Authors
- Liu, L., Zhang, J., Deapen, D., Stern, M. C., Sipin, A., Pandol, S. J., & Setiawan, V. W.
- Affiliations
- University of Southern California (US)
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California;
- Cedars-Sinai Medical Center (US)
- Corresponding author
- Liu, Lihua
- Zhang, Juanjuan
- Deapen, Dennis
- Stern, Mariana C.
- Setiawan, Veronica Wendy
- ORCID
- Venue
- Pancreas
- Published
- 2019-06-10
- Volume
- 48
- Issue
- 7
- Pages
- 931-933
- ISSN
- 0885-3177 (ISSN-L)
- 1536-4828
- PMC
- PMC6629494
- OpenAlex
- W2950903274
- Cited by
- 18
- References
- 0
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 4
- FWCI
- 1.15
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pancreas (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (HHSN261201000034 C, HHSN261201000035C, HHSN261201000140C, HHSN261201000035I, U54CA233396, U54CA233444, U54CA233465)
- National Center for Chronic Disease Prevention and Health Promotion (U58 DP003862)
- Topics
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Health Sciences › Medicine › Surgery › Pancreatitis Pathology and Treatment
- Keywords
- pancreatic cancer, cancer incidence, ethnic disparities, Asian Americans, Asian subgroups, temporal trends, racial and ethnic disparities, Japanese Americans, Korean Americans, South Asian Americans, Pacific Islanders, American Indians and Alaska Natives, Hispanic population, California
- MeSH terms
- Adult, Aged, Asian, Black or African American, California, Hispanic or Latino, Humans, Middle Aged, Pancreatic Neoplasms, Registries, Incidence, White People, Native Hawaiian or Other Pacific Islander, Native Hawaiian or Pacific Islander, Pancreas, Exocrine
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