Evidence map›Paper›PMID 40439123›Full record

ArticleThe Journal of clinical endocrinology and metabolism2025

Pancreatic Cancer Screening in New-onset and Deteriorating Diabetes: Preliminary Results From the PANDOME Study.

Richard C Frank, Brian Shim, Tammy Lo, Deep Pandya, Thorsten L Krebs, Charles Ma, Daniel Labow, Jill Denowitz, Naveen Anand, Pramila Krumholtz and 6 more

Abstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Pancreatic Cancer and Diabetes: Insights, Hypotheses, and Next Steps.International journal of molecular sciences · 2025
    Review
  7. 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

16 authors.

Richard C FrankDepartment of Medicine, Division of Hematology/Oncology, Nuvance Health, Norwalk, CT 06856, USA.ORCID 0000-0002-5923-7171
Brian ShimDepartment of Radiology, Nuvance Health, Danbury, CT 06810, USA.
Tammy LoDepartment of Medicine, Division of Hematology/Oncology, Nuvance Health, Norwalk, CT 06856, USA.
Deep PandyaDepartment of Research & Innovation, Nuvance Health, Danbury, CT 06810, USA.
Thorsten L KrebsDepartment of Radiology, Nuvance Health, Danbury, CT 06810, USA.
Charles MaDepartment of Medicine, Division of Hematology/Oncology, Nuvance Health, Norwalk, CT 06856, USA.
Daniel LabowDepartment of Surgery, Nuvance Health, Danbury, CT 06810, USA.
Jill DenowitzDepartment of Medicine, Nuvance Health, Norwalk, CT 06856, USA.
Naveen AnandDepartment of Gastroenterology, Nuvance Health, Norwalk, CT 06856, USA.
Pramila KrumholtzDepartment of Medicine, Division of Hematology/Oncology, Nuvance Health, Norwalk, CT 06856, USA.
Kiyoe SullivanDepartment of Pathology, Nuvance Health, Norwalk, CT 06856, USA.
Mark SanchezDepartment of Research & Innovation, Nuvance Health, Danbury, CT 06810, USA.
Xiang Eric DongDepartment of Surgery, Nuvance Health, Danbury, CT 06810, USA.
Ramanathan SeshadriDepartment of Surgery, Nuvance Health, Danbury, CT 06810, USA.
Antolin TrinidadDepartment of Psychiatry, Nuvance Health, Danbury, CT 06810, USA.
Dugho JinDepartment of Radiology, Nuvance Health, Danbury, CT 06810, USA.

Funding

Glenn W. Bailey FoundationRallye for Pancreatic CancerTribute to Pamela/The Naughton Family Fund
6 · The paper itself

Abstract

objectivePancreatic cancer (PC) has a high mortality rate due to the lack of early-stage detection strategies and lethality of advanced stage presentations. New-onset diabetes (NOD) in individuals ≥50 years old increases the risk 6- to 8-fold, making this group a target of early detection studies. There is also evidence that deteriorating diabetes (DD) may be a risk factor. RESEARCH DESIGN AND

methodsThe study prospectively enrolled individuals ≥50 years with NOD or DD. Participants underwent magnetic resonance imaging/cholangiopancreatography, blood biobanking and anxiety/depression monitoring. Magnetic resonance imaging scans were scored as normal, benign-abnormal, suspicious, or incidental finding. Glycemic indices and physician referral patterns were captured.

resultsOver a 6-year period, 625 individuals were screened and 109 enrolled, 97 (89%) had NOD, and 12 (11%) had DD. Compared to the NOD cohort, the DD cohort was older, had higher hemoglobin A1c levels (P = .02), greater weight loss (P = .0038), and insulin requirements (P < .0001). Four pancreas biopsies were performed for suspicious findings (3.6%), with a stage 1 pancreatic ductal adenocarcinoma identified in the DD group, corresponding to an overall detection rate of 0.9% (1/109). The detection rates of benign pancreatic abnormalities and incidental findings revealed no safety signals. Endocrinologists were the main referral source for the DD cohort (P < .001).

conclusionResults from the PANDOME study thus far include the first reported screen-detected early-stage PC in a sporadic cohort. Our findings support the inclusion of a DD cohort in prospective PC screening studies in high-risk diabetes. Endocrinologists play an especially important role in the referral of individuals with DD.

Indexed as

Diabetes MellitusEarly Detection of CancerPancreatic NeoplasmsAgedDisease ProgressionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesRisk Factorsdeteriorating diabetesnew-onset diabetespancreatic cancer

Identifiers

PMID40439123
PMCPMC12712999

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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.