Evidence map›Paper›PMID 41973344›Full record

ArticleDigestive diseases and sciences2026

Assessing Surveillance Practices for Incidental Pancreatic Cystic Lesions in a Rural Community Healthcare Network.

Junaid Khan, Muhammad Jibran, David Uihwan Lee, Abdullah Ghuman, Mubasshar Shahid, Jerrold S Canakis, Robert L Joyner, Andrew Canakis

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Article in Digestive diseases and sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Junaid KhanDepartment of Internal Medicine, Tidal Health Peninsula Regional, 100 East Carroll Street, Salisbury, MD, 21801, USA. Junaid.akhanmd@gmail.com.
Muhammad JibranDepartment of Internal Medicine, Tidal Health Peninsula Regional, 100 East Carroll Street, Salisbury, MD, 21801, USA.
David Uihwan LeeDivision of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, MD, USA.
Abdullah GhumanDepartment of Internal Medicine, Tidal Health Peninsula Regional, 100 East Carroll Street, Salisbury, MD, 21801, USA.
Mubasshar ShahidDepartment of Internal Medicine, Tidal Health Peninsula Regional, 100 East Carroll Street, Salisbury, MD, 21801, USA.
Jerrold S CanakisDivision of Gastroenterology and Hepatology, Tidal Health Peninsula Regional Medical Center, Salisbury, MD, USA.
Robert L JoynerRichard A. Hanson Research Institute, TidalHealth Peninsula Regional, Salisbury, MD, USA.
Andrew CanakisDivision of Gastroenterology and Hepatology, Tidal Health Peninsula Regional Medical Center, Salisbury, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncidental pancreatic cystic lesions (PCLs) are increasingly being detected due to the widespread use of high-resolution imaging. Certain PCL subtypes, including intraductal papillary mucinous neoplasms (IPMN) and mucinous cystic neoplasms (MCN), carry malignant potential and require guideline-directed surveillance strategies. However, real-world adherence to follow-up recommendations in community healthcare settings remains poorly defined. In this context, we aimed to describe surveillance adherence rates for incidentally detected PCLs.

methodsThis was a single-center retrospective study of consecutive adult patients who were found to have an incidental PCL between June 2017 and January 2024. The primary outcome was adherence to follow-up recommendations. Follow-up was defined as completion of repeat imaging based on radiology recommendations.

resultsA total of 108 patients were included. The mean age was 74 ± 10 years, 59% were female, and the majority were White (84%) and retired (79%). Branch-duct IPMN was the most common cyst type (42%). Most patients had a single cyst (68%) with a mean size of 19 ± 12 mm. A history of pancreatitis was uncommon (15%), while obesity (BMI ≥ 30) was present in 49% and 56% were never smokers. Cysts were primarily detected in the outpatient setting (64%), most commonly via computed tomography (70%). Overall, 98% of patients completed surveillance imaging, and 87% had gastroenterology follow-up.

conclusionThis study shows that the follow-up rate for incidentally discovered PCLs was exceptionally high. Having an established primary care provider and access to subspecialty gastroenterology services appear to be associated with higher follow-up completion.

Indexed as

Community Health ServicesIncidental FindingsPancreatic CystPancreatic Intraductal NeoplasmsPancreatic NeoplasmsRural Health ServicesAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesImagingIPMNMCNPancreatic cystic lesionsPancreatic cysts

Identifiers

PMID41973344

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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.