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Table 4 Risk factors for concomitant PDAC with 439 Patients with IPMN

From: Long-standing diabetes mellitus increases concomitant pancreatic cancer risk in patients with intraductal papillary mucinous neoplasms

 

Concomitant PDAC

(N = 14)

Exception of Concomitant PDAC

(N = 425)

Univariate Analysis

(P - value)

Multivariate Analysis

Odds ratio

(95% CI)

P-value

Follow-up Period, median (range), months

44.5 (14-119)

57 (13-177)

0.24

  

Sex, M:F

7:7

162:263

0.41

  

Age at Cyst Diagnosis, median (range), years

73 (56-80)

71 (35-93)

1.00

  

Age at Cyst Diagnosis ≥ 65 years old

12:2

307:118

0.37

1.41 (0.29-6.88)

0.67

Age at Final Observation, median (range), years

76.5 (60-86)

77 (39-99)

1.00

  

Age at Final Observation ≥70 years old

12:2

324:101

0.6

  

Cyst Number (1,2, ≥3)

2:4:8

139:105:181

   

Cyst Number (1, ≥2)

2:12

139:286

0.24

  

Cyst Diameter, median (range), mm

17.0 (6.4-27.6)

14.9 (5-56.3)

0.17

  

Cyst Diameter (mm) ≥15.2, <15.2

10:4

209:216

0.11

1.80 (0.54-6.03)

0.34

Diameter of MPD, median (range), mm

3.1 (1-7.7)

2.5 (1-9.8)

0.10

  

MPD (mm) ≥2.5, <2.5

11:3

230:197

0.10

2.57 (0.67-9.87)

0.17

Diabetes Mellitus at Cyst Diagnosis, yes : no

9:5

86:339

<0.001

5.40 (1.69-17.22)

<0.01

Hypertension at Cyst Diagnosis, yes : no

9:5

189:236

0.18

  

Hyperlipidemia at Cyst Diagnosis, yes : no

7:7

105:320

0.05

2.02 (0.66-6.24)

0.22

Cancer History, yes : no

2:12

117:308

0.37

  

Usual Alcohol Consumption (ethanol ≥20g/day)

5:9

124:304

0.56

  

Smoking (BI ≥400), yes : no

3:11

116:309

0.77

  

Family History of Pancreatic Cancer ( ≤ 1nd grade ), yes : no

1:12

31:392

1.00

  

BMI (kg/m2) ≥25, yes : no

1:13

86:339

0.32

  
  1. PDAC Pancreatic ductal adenocarcinoma, CI Confidence interval, M male, F female, MPD main pancreatic duct, IPMN intraductal papillary mucinous neoplasm, BMI body mass index
  2. 15.2mm in cyst diameter and 2.5mm in MPD diameter were overall median
  3. There were 4 data deficiencies in family history of pancreatic cancer