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Real‑world treatment outcomes among patients with metastatic pancreatic cancer in Japan: The Tokushukai real‑world data project

  • Authors:
    • Rai Shimoyama
    • Yoshinori Imamura
    • Kiyoaki Uryu
    • Takahiro Mase
    • Yoshiaki Fujimura
    • Maki Hayashi
    • Megu Ohtaki
    • Keiko Ohtani
    • Nobuaki Shinozaki
    • Hironobu Minami
  • View Affiliations / Copyright

    Affiliations: Department of General Surgery, Shonan Kamakura General Hospital, Kamakura, Kanagawa 247‑8533, Japan, Department of Medical Oncology and Hematology, Kobe University Graduate School of Medicine, Kobe, Hyogo 650‑0017, Japan, Department of Medical Oncology, Yao Tokushukai General Hospital, Yao, Osaka 581‑0011, Japan, Department of Breast Surgery, Ogaki Tokushukai Hospital, Ogaki, Gifu 503‑0015, Japan, Tokushukai Information System, Inc., Osaka 530‑0001, Japan, Mirai Iryo Research Center Inc., Tokyo 102‑0074, Japan, deCult Co., Ltd., Hatsukaichi, Hiroshima 739‑0413, Japan
    Copyright: © Shimoyama et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 98
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    Published online on: October 25, 2023
       https://doi.org/10.3892/mco.2023.2694
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Abstract

The present study aimed to investigate temporal trends in treatment patterns and prognostic factors for overall survival (OS) among patients with metastatic pancreatic cancer. From the Tokushukai REAl‑world Data project, 1,093 patients with metastatic pancreatic cancer treated with gemcitabine, tegafur/gimeracil/oteracil (S‑1), gemcitabine plus S‑1, gemcitabine plus nab‑paclitaxel, or fluorouracil, folic acid, oxaliplatin and irinotecan (FOLFIRINOX) between April 2010 and March 2020 were identified. Stratified/conventional Cox regression analyses were conducted to examine associations between patient‑ and tumor‑related factors, study period, hospital volume, hospital type and first‑line chemotherapy regimens. Overall, 846 patients were selected (503 male patients; median age, 70 years) after excluding ineligible patients. Over a median follow‑up of 5.4 months, the median OS was 6.8 months (95% confidence interval, 6.3‑7.4). The median OS for gemcitabine, S‑1, gemcitabine plus S‑1, gemcitabine plus nab‑paclitaxel and FOLFIRINOX regimens was 5.9, 5.3, 7.7, 9.0 and 9.5 months, respectively. The median OS for 2010‑2013, 2014‑2017 and 2017‑2020 was 6.2, 7.1 and 7.8 months, respectively. Performance status, body mass index and first‑line chemotherapy regimens were identified to be significant prognostic factors. In summary, the real‑world data indicated that standard care, including chemotherapy, for metastatic pancreatic cancer was widely used in hospitals throughout Japan and verified the survival benefits of gemcitabine plus nab‑paclitaxel and FOLFIRINOX observed in prior clinical trials. This trial has been registered in the University Hospital Medical Information Network Clinical Trials Registry as UMIN000050590 on April 1, 2023.
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Copy and paste a formatted citation
Spandidos Publications style
Shimoyama R, Imamura Y, Uryu K, Mase T, Fujimura Y, Hayashi M, Ohtaki M, Ohtani K, Shinozaki N, Minami H, Minami H, et al: Real‑world treatment outcomes among patients with metastatic pancreatic cancer in Japan: The Tokushukai real‑world data project. Mol Clin Oncol 19: 98, 2023.
APA
Shimoyama, R., Imamura, Y., Uryu, K., Mase, T., Fujimura, Y., Hayashi, M. ... Minami, H. (2023). Real‑world treatment outcomes among patients with metastatic pancreatic cancer in Japan: The Tokushukai real‑world data project. Molecular and Clinical Oncology, 19, 98. https://doi.org/10.3892/mco.2023.2694
MLA
Shimoyama, R., Imamura, Y., Uryu, K., Mase, T., Fujimura, Y., Hayashi, M., Ohtaki, M., Ohtani, K., Shinozaki, N., Minami, H."Real‑world treatment outcomes among patients with metastatic pancreatic cancer in Japan: The Tokushukai real‑world data project". Molecular and Clinical Oncology 19.6 (2023): 98.
Chicago
Shimoyama, R., Imamura, Y., Uryu, K., Mase, T., Fujimura, Y., Hayashi, M., Ohtaki, M., Ohtani, K., Shinozaki, N., Minami, H."Real‑world treatment outcomes among patients with metastatic pancreatic cancer in Japan: The Tokushukai real‑world data project". Molecular and Clinical Oncology 19, no. 6 (2023): 98. https://doi.org/10.3892/mco.2023.2694
Copy and paste a formatted citation
x
Spandidos Publications style
Shimoyama R, Imamura Y, Uryu K, Mase T, Fujimura Y, Hayashi M, Ohtaki M, Ohtani K, Shinozaki N, Minami H, Minami H, et al: Real‑world treatment outcomes among patients with metastatic pancreatic cancer in Japan: The Tokushukai real‑world data project. Mol Clin Oncol 19: 98, 2023.
APA
Shimoyama, R., Imamura, Y., Uryu, K., Mase, T., Fujimura, Y., Hayashi, M. ... Minami, H. (2023). Real‑world treatment outcomes among patients with metastatic pancreatic cancer in Japan: The Tokushukai real‑world data project. Molecular and Clinical Oncology, 19, 98. https://doi.org/10.3892/mco.2023.2694
MLA
Shimoyama, R., Imamura, Y., Uryu, K., Mase, T., Fujimura, Y., Hayashi, M., Ohtaki, M., Ohtani, K., Shinozaki, N., Minami, H."Real‑world treatment outcomes among patients with metastatic pancreatic cancer in Japan: The Tokushukai real‑world data project". Molecular and Clinical Oncology 19.6 (2023): 98.
Chicago
Shimoyama, R., Imamura, Y., Uryu, K., Mase, T., Fujimura, Y., Hayashi, M., Ohtaki, M., Ohtani, K., Shinozaki, N., Minami, H."Real‑world treatment outcomes among patients with metastatic pancreatic cancer in Japan: The Tokushukai real‑world data project". Molecular and Clinical Oncology 19, no. 6 (2023): 98. https://doi.org/10.3892/mco.2023.2694
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