Table 1 Trends in diagnostic procedures, stage and management of pancreatic cancers (%)
From: Management and prognosis of pancreatic cancer over a 30-year period
1976–1980 ( N =246) | 1981–1985 ( N =330) | 1986–1990 ( N =479) | 1991–1995 ( N =528) | 1996–2000 ( N =665) | 2001–2005 ( N =738) | |
|---|---|---|---|---|---|---|
Procedures used for diagnosis | ||||||
Surgical findings | 37.4 | 40.6 | 26.7 | 5.5 | 3.5 | 3.5 |
Cholangiographya | 10.0 | 5.1 | 10.4 | 8.8 | 6.7 | 3.2 |
Ultrasonography | 6.5 | 26.7 | 39.0 | 87.3 | 83.9 | 65.6 |
Computed tomography | 0.0 | 2.4 | 27.1 | 54.6 | 74.6 | 79.7 |
Magnetic resonance imaging | — | — | — | 1.1 | 10.5 | 9.1 |
Endoscopic ultrasonography | — | — | — | 8.9 | 11.1 | 28.5 |
Stage at diagnosis b | ||||||
I/II | 2.8 | 4.6 | 7.8 | 10.4 | 8.0 | 8.8 |
III | 2.0 | 1.2 | 2.5 | 4.8 | 6.3 | 5.7 |
Advancedc | 95.2 | 94.2 | 89.7 | 84.8 | 85.7 | 85.5 |
Treatment | ||||||
Resection for cure | 4.5 | 4.5 | 8.7 | 12.5 | 11.0 | 11.3 |
Palliative surgery | 57.2 | 65.9 | 55.7 | 48.5 | 53.3 | 48.8 |
Palliative chemotherapy | 1.7 | 3.5 | 4.4 | 10.4 | 28.5 | 41.8 |
Palliative radiotherapy | 0.0 | 7.7 | 4.2 | 4.8 | 12.5 | 8.8 |
Best supportive cared | 37.4 | 25.7 | 34.0 | 37.4 | 33.2 | 38.7 |
