ArticleAnnals of epidemiology2016
Role of survivor bias in pancreatic cancer case-control studies.
Article in Annals of epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Chronic obstructive pulmonary disease as a systemic risk factor for cancer: a nationwide cohort study in Korea.BMJ open respiratory research · 2026Article
- Mental Health Trajectories Among US Survivors of Adolescent and Young Adult Cancer as They Age.JAMA network open · 2025Article
- Polygenic Risk Score Is Associated with Developing and Dying from Lung Cancer in the National Lung Screening Trial.Journal of clinical medicine · 2025Article
- Handgun purchasing characteristics and firearm suicide risk: a nested case-control study.Injury epidemiology · 2021Article
- Article
- The association between HLA and non-Hodgkin lymphoma subtypes, among a transplant-indicated population.Leukemia & lymphoma · 2019Article
- Vitamin D, cancer, and dysregulated phosphate metabolism.Endocrine · 2019Review
- Top ten errors of statistical analysis in observational studies for cancer research.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2018Review
- Collider scope: when selection bias can substantially influence observed associations.International journal of epidemiology · 2018Article
- Comparative performance of a modified landmark approach when no time of treatment data are available within oncological databases: exemplary cohort study among resected pancreatic cancer patients.Clinical epidemiology · 2018Article
- Tobacco and alcohol as risk factors for pancreatic cancer.Best practice & research. Clinical gastroenterology · 2017Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeThe purpose of this study was to evaluate the impact of survivor bias on pancreatic cancer case-control studies.
methodsThe authors constructed five case-loss scenarios based on the Iowa Women's Health Study cohort to reflect how case recruitment in population-based studies varies by case survival time. Risk factors for disease incidence included smoking, body mass index (BMI), waist circumference, diabetes, and alcohol consumption. Odds ratios (ORs) were estimated by conditional logistic regression and quantitatively compared by the interactions between risk factors and 3-month survival time. Additionally, Kaplan-Meier estimates for overall survival were compared within the subset cohort of pancreatic cancer cases.
resultsBMI and waist circumference showed a significant inverse relationship with survival time. Decreasing trends in ORs for BMI and waist circumference were observed with increasing case survival time. The interaction between BMI and survival time based on a cutpoint of 3 months was significant (P < .01) as was the interaction between waist circumference and survival time (P < .01).
conclusionsThe findings suggested that case losses could result in survivor bias causing underestimated odds ratios for both BMI and waist circumference, whereas other risk factors were not significantly affected by case losses.
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