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Title: Improving outcomes for operable pancreatic cancer: is access to safer surgery the problem?
Authors: Chang DK
Merrett ND
Biankin AV
NSW Pancreatic Cancer Network (incl Sitas F)
Keywords: adverse effects; Health Services Accessibility; Humans; methods; mortality; Neoplasm Staging; Other; Pancreatectomy; Pancreatic Neoplasms; pathology; Patient Care Team; Attitude; Physician's Practice Patterns; Practice Guidelines as Topic; Precancerous Conditions; Quality of Health Care; Referral and Consultation; surgery; surgical management; survival; therapy; Treatment Outcome; Attitude of Health Personnel; Australia; cancer; Carcinoma in Situ; Decision Trees; Disease Progression; Guideline Adherence
Pub. Date: 2008
Journal Title: J Gastroenterol Hepatol
Volume: 23
Issue: 7 Pt 1
Page number start: 1036
Page number end: 1045
Abstract: Despite advances in the understanding and treatment of pancreatic cancer in the last two decades, there is a persisting nihilistic attitude among clinicians. An alarmingly high rate of under-utilization of surgical management for operable pancreatic cancer was recently reported in the USA, where more than half of patients with stage 1 operable disease and no other contraindications were not offered surgery as therapy, denying this group of patients a 20% chance of long-term survival. These data indicate that a nihilistic attitude among clinicians may be a significant and reversible cause of the persisting high mortality of patients with pancreatic cancer. This article examines the modern management of pancreatic cancer, in particular, the advances in surgical care that have reduced the mortality of pancreatectomy to almost that of colonic resection, and outlines a strategy for improving outcomes for patients with pancreatic cancer now and in the future
Programme: Health Services Research; Pancreatic Cancer Network
Division: Cancer Research Division
URI: http://researchpubs.cancercouncil.com.au/cancercounciljspui/handle/1/1467
Appears in Collections:Research Articles

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