Evidence map›Paper›PMID 18061176›Full record

ArticleGastroenterology2008

Pancreatic cancer-associated diabetes mellitus: prevalence and temporal association with diagnosis of cancer.

Suresh T Chari, Cynthia L Leibson, Kari G Rabe, Lawrence J Timmons, Jeanine Ransom, Mariza de Andrade, Gloria M Petersen

Registry-linked trialAbstract read
In one paragraph

Article in Gastroenterology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02456051 (Role of Adrenomedullin in Early Diagnosis of Pancreatic Cancer in New Onset Diabetes Patients), which is not on this map. Cited by 210 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
210citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02456051 terminatednot on this mapstarted 2015, after this paper: background citation

Role of Adrenomedullin in Early Diagnosis of Pancreatic Cancer in New Onset Diabetes Patients

TypeobservationalSponsorUniversity of Roma La SapienzaRan2015 to 2017Enrolled21ConditionsDiabetes Mellitus, Adult-Onset, Diabetes Complications, Carcinoma, Pancreatic Ductal, Pancreatic Neoplasm
3 · Its place in the literature

Who cites it

210 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Prediagnostic prescription patterns in pancreatic cancer: a retrospective primary care cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  14. Article
  15. Review
  16. Article
  17. Approach to the Patient With Pancreatogenic Diabetes.The Journal of clinical endocrinology and metabolism · 2026
    Review
  18. Article
  19. Article
  20. Review

150 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Suresh T ChariDepartment of Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota, USA. chari.suresh@mayo.edu
Cynthia L Leibson
Kari G Rabe
Lawrence J Timmons
Jeanine Ransom
Mariza de Andrade
Gloria M Petersen

Funding

Tissue CoreP50CA102701 · NCI · MAYO CLINIC ROCHESTER · PI PETERSEN, GLORIA M. · 2004 to 2018
$32.7M
Does Hyperglycemia Predict Pancreatic Cancer Diagnosis?R01CA100685 · NCI · MAYO CLINIC ROCHESTER · PI CHARI, SURESH T. · 2003 to 2006
$965k
NCI NIH HHS P50 CA 10270NCI NIH HHS P50 CA102701NCI NIH HHS R01 CA 100685NCI NIH HHS R01 CA100685
6 · The paper itself

Abstract

BACKGROUND &

aimsThe temporal association between diabetes mellitus and pancreatic cancer is poorly understood. We compared temporal patterns in diabetes prevalence in pancreatic cancer and controls.

methodsWe reviewed the medical records of pancreatic cancer cases residing within 120 miles or less of Rochester, Minnesota, seen at the Mayo Clinic between January 15, 1981, and July 9, 2004, and approximately 2 matched controls/case residing locally. We abstracted all outpatient fasting blood glucose (FBG) levels for up to 60 months before index (ie, date of cancer diagnosis for cases) and grouped them into 12-month intervals; 736 cases and 1875 controls had 1 or more outpatient FBG levels in the medical record. Diabetes was defined as any FBG level of 126 mg/dL or greater or treatment for diabetes, and was defined as new onset when criteria for diabetes were first met 24 or fewer months before index, with at least 1 prior FBG level less than 126 mg/dL.

resultsA higher proportion of pancreatic cancer cases compared with controls met the criteria for diabetes at any time in the 60 months before index (40.2% vs 19.2%, P < .0001). The proportions were similar in the -60 to -48 (P = .76) and -48 to -36 (P = .06) month time periods; however, a greater proportion of cases than controls met criteria for diabetes in the -36 to -24 (P = .04), -24 to -12 (P < .001), and -12 to 0 (P < .001) month time periods. Diabetes was more often new onset in cases vs controls (52.3% vs 23.6%, P < .0001).

conclusionsDiabetes has a high (40%) prevalence in pancreatic cancer and frequently is new onset. Identification of a specific biomarker for pancreatic cancer-induced diabetes may allow screening for pancreatic cancer in new-onset diabetes.

Indexed as

AgedBlood GlucoseCase-Control StudiesDiabetes MellitusFemaleHumansMaleMiddle AgedPancreatic NeoplasmsPrevalenceRisk FactorsTime FactorsBlood Glucose

Identifiers

PMID18061176
PMCPMC2271041

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.