Evidence map›Paper›PMID 39526476›Full record

ArticleCancer medicine2024

Predicting Pancreatic Cancer in New-Onset Diabetes Cohort Using a Novel Model With Integrated Clinical and Genetic Indicators: A Large-Scale Prospective Cohort Study.

Yongji Sun, Chaowen Hu, Sien Hu, Hongxia Xu, Jiali Gong, Yixuan Wu, Yiqun Fan, Changming Lv, Tianyu Song, Jianyao Lou and 4 more

Abstract read
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
  4. Review
  5. Review
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  8. Review
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

14 authors.

Yongji SunSecond Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Chaowen HuPolytechnic Institute, Zhejiang University, Hangzhou, Zhejiang, China.
Sien HuDepartment of General Surgery, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Zhejiang, Hangzhou, China.
Hongxia XuInnovation Institute for Artificial Intelligence in Medicine, Zhejiang University, Hangzhou, China.
Jiali GongSecond Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Yixuan WuDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Yiqun FanSecond Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Changming LvDepartment of Surgery, Fourth Affiliated Hospital, International Institutes of Medicine, Zhejiang University School of Medicine, Zhejiang, China.
Tianyu SongDepartment of Surgery, Fourth Affiliated Hospital, International Institutes of Medicine, Zhejiang University School of Medicine, Zhejiang, China.
Jianyao LouSecond Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Kai ZhangSchool of Public Health and Eye Center, The Second Affiliated Hospital, Zhejiang University, Hangzhou, China.
Jian WuSecond Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Xiawei LiSecond Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.ORCID https://orcid.org/0000-0002-2709-7020
Yulian WuSecond Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.ORCID https://orcid.org/0000-0002-4090-0551

Funding

National Key Research and Development Program of China 2023C03053National Natural Science Foundation of China 82272954Zhejiang Province Public Welfare Technology Application Research Project LGF20F020013
6 · The paper itself

Abstract

introductionIndividuals who develop new-onset diabetes have been identified as a high-risk cohort for pancreatic cancer (PC), exhibiting an incidence rate nearly 8 times higher than the general population. Hence, the targeted screening of this specific cohort presents a promising opportunity for early pancreatic cancer detection. We aimed to develop and validate a novel model capable of identifying high-risk individuals among those with new-onset diabetes.

methodsEmploying the UK Biobank cohort, we focused on those developing new-onset diabetes during follow-up. Genetic and clinical characteristics available at registration were considered as candidate predictors. We conducted univariate regression analysis to identify potential indicators and used a 5-fold cross-validation method to select optimal predictors for model development. Five machine learning algorithms were used for model development.

resultsAmong 12,735 patients with new-onset diabetes, 100 (0.8%) were diagnosed with PC within 2 years. The final model (area under the curve, 0.897; 95% confidence interval, 0.865-0.929) included 5 clinical predictors and 24 single nucleotide polymorphisms. Two threshold cut-offs were established: 1.28% and 5.26%. The recommended 1.28% cut-off, based on model performance, reduces definitive testing to 13% of the total population while capturing 76% of PC cases. The high-risk threshold is 5.26%. Utilizing this threshold, only 2% of the population needs definitive testing, capturing nearly half of PC cases.

conclusionsWe, for the first time, combined clinical and genetic data to develop and validate a model to determine the risk of pancreatic cancer in patients with new-onset diabetes using machine learning algorithms. By reducing the number of unnecessary tests while ensuring that a substantial proportion of high-risk patients are identified, this tool has the potential to improve patient outcomes and optimize healthcare sources.

Indexed as

Machine LearningPancreatic NeoplasmsAdultAgedDiabetes MellitusEarly Detection of CancerFemaleHumansMaleMiddle AgedPolymorphism, Single NucleotideProspective StudiesRisk AssessmentRisk FactorsUnited Kingdomearly detectionmachine learningpancreatic cancersingle nucleotide polymorphism

Identifiers

PMID39526476
PMCPMC11551786

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.