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. |