Reducing regional variations in treatment rates for pancreatic cancer requires an inclusive, standardised approach and cooperation
The successful treatment of pancreatic adenocarcinoma with curative intent depends on a number of factors: the patient must present to a medical service for investigation, the appropriate investigations for diagnosing and staging the disease must be undertaken, and curative surgery and adjuvant therapy must then be considered in an appropriate setting.
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- 1. Burmeister E, Waterhouse M, Jordan S, et al. Determinants of survival and attempted resection in patients with non-metastatic pancreatic cancer: an Australian population-based study. Pancreatology 2016; doi: 10.1016/j.pan.2016.06.010 [Epub ahead of print].
- 2. Melo SA, Luecke LB, Kahlert C, et al. Glypican-1 identifies cancer exosomes and detects early pancreatic cancer. Nature 2015; 523: 177-182.
- 3. Radon TP, Massat NJ, Jones R, et al. Identification of a three-biomarker panel in urine for early detection of pancreatic adenocarcinoma. Clin Cancer Res 2015; 21: 3512-3521.
- 4. Gandy RC, Barbour AP, Samra J, et al. Refining the care of patients with pancreatic cancer: the AGITG Pancreatic Cancer Workshop consensus. Med J Aust 2016; 204: 419-422. <MJA full text>
- 5. Creighton N, Walton R, Roder DM, et al. Pancreatectomy is underused in NSW regions with low surgical volumes: a population data linkage study. Med J Aust 2017; 206: 23-29.
- 6. Marlow N, Maddern G, Barraclough B, et al. Centralisation of selected surgical procedures: implications for Australia (Australian Safety and Efficacy Register of New Interventional Procedures – Surgical report no. 57). Adelaide: ASERNIP-S, 2007. https://www.surgeons.org/media/310845/Centralisation_systematicreview.pdf (accessed Aug 2016).
- 7. Burmeister EA, O’Connell DL, Beasley VL, et al. Describing patterns in pancreatic cancer: a population-based study. Pancreas 2015; 44: 1259-1265.
- 8. Finlayson SR, Birkmeyer JD, Tosteson AN, Nease RF. Patient preferences for location of care: implications for regionalization. Med Care 1999; 37: 204-209.
- 9. Gandy R, Ling A, Hook H, Haghighi KS. Reciprocal care arrangements in HPB cancer services; helping swallow the bitter pill of centralisation [abstract]. HPB 2016; 18 Suppl 1: e539.
- 10. Jackson K, Glasgow RE, Mone MC, et al. Does travel distance influence length of stay in elective pancreatic surgery? HPB (Oxford) 2014; 16: 543-549.
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