Evidence map›Paper›PMID 42337963›Full record

ArticleANZ journal of surgery

Factors Associated With Pancreatectomy Among Australians With Pancreatic Cancer: A Population-Based Study.

Arrisonia C Doubatty, Sitwat Ali, Mary Waterhouse, Judi Adams, Christopher Baggoley, Karen Canfell, Michael Caruana, Daniel G Croagh, Benedict Devereaux, Paul Grogan and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in ANZ journal of surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

17 authors.

Arrisonia C DoubattyPopulation Health Program, QIMR Berghofer, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-2535-9277
Sitwat AliPopulation Health Program, QIMR Berghofer, Brisbane, Queensland, Australia.
Mary WaterhousePopulation Health Program, QIMR Berghofer, Brisbane, Queensland, Australia.
Judi AdamsCommunity Representative, Hobart, Australia.
Christopher BaggoleyCommunity Representative, Hobart, Australia.
Karen CanfellSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Michael CaruanaThe University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-5439-6552
Daniel G CroaghDepartment of Surgery, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.
Benedict DevereauxFaculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Paul GroganThe University of Sydney, Sydney, New South Wales, Australia.
Susan J JordanSchool of Public Health, The University of Queensland, Brisbane, Queensland, Australia.
Milton KirkwoodCommunity Representative, Hobart, Australia.
Andrew J MetzEpworth Hospital, Melbourne, Victoria, Australia.
Joel RheeDiscipline of General Practice, School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia.
John A WindsorSurgical and Translational Research Centre, University of Auckland, Auckland, New Zealand.
John ZalcbergDepartment of Medical Oncology, Alfred Health, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-6624-0782
Rachel E NealePopulation Health Program, QIMR Berghofer, Brisbane, Queensland, Australia.

Funding

National Health and Medical Research Council GNT2042139Pankind, The Australian Pancreatic Cancer Foundation
6 · The paper itself

Abstract

backgroundPancreatectomy offers a potential cure for pancreatic cancer but may not be accessible to all Australians. We aimed to explore sociodemographic, healthcare and patient factors associated with undergoing pancreatectomy.

methodsThis study used a nationally linked dataset from the Australian Institute of Health and Welfare, including people diagnosed with pancreatic cancer between July 2010 and December 2018 (excluding Western Australia and the Northern Territory). Pancreatectomy trends were analysed using Joinpoint regression, and associations with sociodemographic, clinical and healthcare factors were assessed using log-binomial regression, with causal mediation analysis assessing the extent to which private specialist visits mediated each association.

resultsAmong 22 739 individuals with pancreatic cancer (mean age 72.5 years; 51% male), 15% underwent pancreatectomy. Uptake increased over time, with an average six-monthly increase of 1.36% (95% confidence interval [CI] = 0.63-2.11). After adjustment for age, sex and comorbidities, older age was strongly associated with lower pancreatectomy prevalence (80+ years vs. 60-69 years: prevalence ratio [PR] = 0.16; 95% CI = 0.14-0.19). Lower prevalence was observed in remote areas (PR = 0.59; 95% CI = 0.43-0.77) and the most disadvantaged socioeconomic group (PR = 0.75; 95% CI = 0.68-0.82). Conversely, private specialist visits (PR = 1.60; 95% CI = 1.50-1.72) and general practitioner (GP) visits were associated with higher prevalence. Private specialist visits explained 61% of the regional-metropolitan difference and 41% of the high-low GP visits difference, and counteracted the negative effect of comorbidities.

conclusionsUndergoing pancreatectomy is associated with sociodemographic, clinical and healthcare factors. Understanding the reasons is crucial to improving equity.

Indexed as

PancreatectomyPancreatic NeoplasmsAgedAged, 80 and overAge FactorsAustralasian PeopleAustraliaFemaleHumansMaleMiddle Ageddelivery of health carehealthcare disparitiespancreatectomypancreatic neoplasmssocioeconomic factors

Identifiers

PMID42337963
PMCPMC13536213

What OpenQuestion holds

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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.