Evidence map›Paper›PMID 18395079›Full record

ArticleGastroenterology2008

Prevalence and clinical profile of pancreatic cancer-associated diabetes mellitus.

Rahul Pannala, Jeffery B Leirness, William R Bamlet, Ananda Basu, Gloria M Petersen, Suresh T Chari

2 registry-linked trialsAbstract readComparative StudyMulticenter Study
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 2 registered trials, which are not on this map. Cited by 275 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
275citing papers in PubMed, 7 pooled it
8.5field-weighted citation impact, top 2% of its field
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
NCT05132244 narecruitingnot on this mapstarted 2024, after this paper: background citation

Pancreatic Cancer Glucose Assessment and Regulation Study

TypeinterventionalSponsorBritish Columbia Cancer AgencyRan2024 to 2027Enrolled50ConditionsPancreatic Cancer, PDAC - Pancreatic Ductal Adenocarcinoma, HyperglycemiaArmsEndocrinologist-directed target blood glucose level 4-10 mmol/L using data from a continuous glucose monitor (CGM), Standard Care
3 · Its place in the literature

Who cites it

275 citing papers in PubMed, 7 syntheses or guidelines pooled it, 607 citations in OpenAlex.

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  15. 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
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  19. Decision support tools for pancreatic cancer detection: external validation in Australian primary care - a retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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215 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Rahul PannalaDivision of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, Minnesota.
Jeffery B Leirness
William R Bamlet
Ananda Basu
Gloria M Petersen
Suresh T Chari
Mayo Clinic · US

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 &

aimsInformation on the clinical profile of pancreatic cancer (PaC) associated diabetes (DM) is limited. We compared the prevalence and clinical characteristics of DM in subjects with and without PaC.

methodsWe prospectively recruited 512 newly diagnosed PaC cases and 933 controls of similar age, who completed demographic and clinical questionnaires and had fasting blood glucose (FBG) levels measured at recruitment and after pancreaticoduodenectomy (n = 105). Subjects with a FBG level >126 mg/dL or who were on antidiabetic treatment were classified as having DM.

resultsDM was more prevalent (47% vs 7%; P < .001) and predominantly of new onset (<2-year duration) (74% vs 53%; P = .002) among cases compared with controls. Among PaC cases, those with DM (n = 243) were older (68 +/- 10 vs 64 +/- 12 years; P < .001), reported higher usual adult body mass index (30 +/- 6 vs 27 +/- 5 kg/m(2); P < .001), and had a greater frequency of family history of DM (47% vs 31%; P < .001) compared with those without DM (n = 269). After pancreaticoduodenectomy, while DM resolved in 17 of 30 patients (57%) with new-onset DM, its prevalence was unchanged in patients with long-standing DM (n = 11) (P = .009).

conclusionsPaC is a powerful diabetogenic state; DM associated with PaC is often new-onset, resolves following cancer resection, and appears to be associated with conventional risk factors for DM. New-onset DM in patients with PaC is likely induced by the tumor.

Indexed as

AgedBlood GlucoseDiabetes MellitusDisease ProgressionFemaleHumansMaleNeoplasm StagingPancreatic NeoplasmsPancreaticoduodenectomyPrevalenceProspective StudiesRisk FactorsSurveys and QuestionnairesUnited StatesBlood Glucose

Identifiers

PMID18395079
PMCPMC2323514
OpenAlexW1998608669

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.