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. Author manuscript; available in PMC: 2011 Feb 1.
Published in final edited form as: Gastroenterology. 2009 Oct 8;138(2):531–540. doi: 10.1053/j.gastro.2009.10.001

Table 4.

Sensitivity Analysis for a 65 year old with <1cm presumed Branch-Duct (BD) IPMN.

Variable Base Case Estimate 65 year-old Threshold 75 year-old Threshold 85 year-old Threshold Explanation
Annual probability of incident cancer in a <1cm BD-IMPN 0.1% 1% 2.0% 3% If the annual rate of malignant transformation of a benign IPMN exceeds threshold then surgery is superior to surveillance
Baseline probability of prevalent cancer in a <1cm BD-IPMN 1% 4.5% 6.0% 7.5% Once the prevalent rate of cancer exceeds threshold surgery is superior to surveillance
Annual death rate from untreated malignant IPMN 60% 65% 69% 73% If the annual mortality rate for an untreated malignant IPMN exceeds threshold then surgery is superior to surveillance
Perioperative mortality with pancreaticoduodenectomy 6.4% 6% 3.8% 2.0% When the mortality rate of a Pancreaticoduodenectomy is below threshold then a Pancreaticoduodenectomy is the superior strategy.
Peri-procedural mortality with EUS-FNA 0.01% 0.01% 0.01% 0.01% If the mortality rate with EUS-FNA increases above threshold then noninvasive surveillance becomes the superior strategy over invasive surveillance.