Table 2.

Section II results: prediagnostic

	Median (IQR)	Agreement (%)	Result
5. The primary care physician is usually the first to contact the patient with symptoms or signs due to pancreatic cancer. It is crucial that PC physicians exercise a high degree of suspicion to achieve a faster diagnosis of the disease	8 (6–9)	73.0	First round agreement
6. A smaller proportion of patients with symptoms or signs due to pancreatic cancer are initially diagnosed by gastroenterologists, surgeons or internists (without primary care) after obstructive jaundice or acute pancreatitis, often with other symptoms like weight loss	8 (5–9)	71.9	First round agreement
7. In general, the initial symptoms are nonspecific, not very striking or may also be due to other very diverse, sometimes banal pathologies. Even in these suspected cases, the diagnosis is difficult and it may take several months until the first consultation with the doctor and several more months before the diagnosis is established	8 (8–9)	95.5	First round agreement
8. The onset of diabetes without metabolic syndrome (especially in individuals older than 50 years), non-specific gastrointestinal symptoms or involuntary weight loss are findings that may facilitate suspicion of PC	8 (7–9)	79.8	First round agreement
9. In primary care, the presence of jaundice in a patient aged over 40 years should be a reason to refer the patient to the emergency room. In patients aged over 60 years, weight loss associated with other gastrointestinal changes (especially abdominal pain and diarrhea), back pain or new-onset diabetes should be a reason for referral to the specialist within 15 days	8 (8–9)	93.3	First round agreement

IQR interquartile range