Evidence map›Paper›PMID 42164697›Full record

ArticleGland surgery2026

Circulating inflammatory indices refine prognostic stratification and complication risk in pancreatic cancer following radical surgery.

Jiayue Zou, Yizhang Zhu, Daobin Wang, Xiaofeng Xue, Junyi Qiu

Abstract read
In one paragraph

Article in Gland surgery, 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

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Jiayue Zou *Division of Hepatobiliary and Pancreatic Surgery, Department of General Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.ORCID https://orcid.org/0000-0001-8491-6486
Yizhang Zhu *Pancreatic Diseases Center, The First Affiliated Hospital of Soochow University, Suzhou, China.
Daobin Wang *Pancreatic Diseases Center, The First Affiliated Hospital of Soochow University, Suzhou, China.
Xiaofeng XuePancreatic Diseases Center, The First Affiliated Hospital of Soochow University, Suzhou, China.
Junyi QiuDivision of Hepatobiliary and Pancreatic Surgery, Department of General Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.ORCID https://orcid.org/0009-0002-2070-1034

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Systemic inflammatory biomarkers offer accessible and dynamic prognostic information in pancreatic ductal adenocarcinoma (PDAC). This study explores how circulating inflammatory indices enhance risk stratification and outcome prediction for PDAC patients undergoing radical resection. Methods: We analyzed 368 PDAC patients categorized by clinically relevant postoperative pancreatic fistula, resectability status, and Clavien-Dindo complication scores. Blood-based inflammatory indices were used to establish clinical risk profiles. Optimal cutoff values were determined using Youden's index. A prognostic nomogram was developed through multivariable regression and the least absolute shrinkage and selection operator (LASSO) regression analysis, and its predictive performance was evaluated using time-dependent receiver operating characteristic (ROC) curves against conventional staging systems. Results: Patients with borderline resectable (BR) PDAC and those with severe postoperative complications showed significantly elevated inflammatory indices. Those with inflammatory markers above optimal cutoff points had significantly poorer survival. A nomogram incorporating C-reactive protein (CRP), cancer antigen 199 (CA19-9) >500 U/mL, radiological resectability, and tumor size demonstrated superior prognostic accuracy over traditional staging systems and improved clinical decision-making. Conclusions: Circulating inflammatory biomarkers significantly improve prognostic assessment in patients with PDAC and can reflect the risk of surgical complications. Our findings support incorporating accessible blood-based inflammatory indices into multimodal risk stratification frameworks to guide personalized treatment strategies.

Indexed as

borderline resectable (BR)Inflammatory indicesnomogrampancreatic ductal adenocarcinoma (PDAC)prognosis

Identifiers

PMID42164697
PMCPMC13184186

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