Pancreatic Cancer Recurrence in the Netherlands
Study Details
Study Description
Brief Summary
The aim of this nationwide, observational cohort study is to evaluate current surveillance strategies after primary resection of pancreatic ductal adenocarcinoma (PDAC) in the Netherlands, with regard to the detection, treatment and survival of PDAC recurrence.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Outcome Measures
Primary Outcome Measures
- Incidence of PDAC recurrence [Within a follow-up period up to 5 years]
Incidence of PDAC recurrence within the Netherlands; PDAC recurrence is either pathologically proven, or suspected through cross-sectional imaging, preferably confirmed by consensus during a multidisciplinary meeting.
- Patterns of PDAC recurrence [Within a follow-up period up to 5 years]
Asymptomatic vs. symptomatic: Symptomatic recurrence is defined as the presence of symptoms suggestive for PDAC recurrence at recurrence diagnosis. If PDAC recurrence is detected in absence of suspected symptoms, disease recurrence was defined as asymptomatic. First site of recurrence: isolated local recurrence, liver-only, lung-only, multiple-site, other isolated distant Early vs. late recurrence: disease-free survival ≥12 months vs. <12 months
- Treatment of PDAC recurrence [Within a follow-up period up to 5 years]
Either systemic and/or local treatment or best-supportive-care
- Survival [Within a follow-up period up to 5 years]
Overall survival (from the time of resection), disease-free survival (from the time of resection), post-recurrence survival (from the time of recurrence diagnosis)
Secondary Outcome Measures
- Presence of symptoms at time of (suspected) recurrence [Within a follow-up period up to 5 years]
Which symptoms are associated with PDAC recurrence?
- Performance score at time of recurrence detection [Within a follow-up period up to 5 years]
What is the ECOG performance score of patients at time of recurrence diagnosis?
- Use of imaging procedures during follow-up [Within a follow-up period up to 5 years]
How much imaging procedures are performed during postoperative follow-up for the detection of PDAC recurrence? Are these procedures routinely performed?
- Number of histologically confirmed recurrences [Within a follow-up period up to 5 years]
How often is PDAC recurrence histologically confirmed?
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients undergoing a pancreatic resection (PPPD, Whipple, distal pancreatectomy or total pancreatectomy) for histologically proven PDAC in one of the 16 Dutch centers for pancreatic surgery
Exclusion Criteria:
- Patients with 30-day postoperative mortality
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | UMC Utrecht | Utrecht | Netherlands | 3584 CX |
Sponsors and Collaborators
- UMC Utrecht
- Amsterdam UMC, location VUmc
- Erasmus Medical Center
- Catharina Ziekenhuis Eindhoven
- Radboud University Medical Center
- University Medical Center Groningen
- Jeroen Bosch Ziekenhuis
- Leiden University Medical Center
- Maastricht University Medical Center
- Maasstad Hospital
- Amphia Hospital
- Onze Lieve Vrouwe Gasthuis
- Reinier de Graaf Groep
- Isala
- St. Antonius Hospital
Investigators
- Principal Investigator: I. Quintus Molenaar, MD, PhD, UMC Utrecht
Study Documents (Full-Text)
More Information
Publications
None provided.- 18-036/C