TABLE 1.
Patient characteristics from training population and univariate analysis (n = 662). Patients with a history of jaundice (n = 58) were excluded from training set. Median (low–high) or N (%).
| Training set (n = 662)
|
||||||||
|---|---|---|---|---|---|---|---|---|
| Main duct and mixed-type (n = 281) | Branch duct (n = 381) | |||||||
|
| ||||||||
| Total (n) |
High-risk (n = 191) |
Low-risk (n = 90) |
P-value | Total (n) |
High-risk (n = 105) |
Low-risk (n = 276) |
P-value | |
|
|
||||||||
| Institution | ||||||||
| MSK | 99 (35%) |
71 (37%) |
28 (31%) |
0.331 | 129 (34%) |
40 (38%) |
89 (32%) |
0.569 |
| JHH | 93 (33%) |
65 (34%) |
28 (31%) |
152 (40%) |
39 (37%) |
113 (41%) |
||
| MGH | 89 (32%) |
55 (29%) |
34 (38%) |
100 (26%) |
26 (25%) |
74 (27%) |
||
| Age | 68 (18–92) |
67 (18–92) |
69 (30–89) |
0.244 | 67 (34–92) |
70 (41–92) |
66 (34–88) |
0.011a |
| Body Mass Index | 25.8 (15.5–46.1) |
25.9 (15.5–46.1) |
25.4 (17.5–38.1) |
0.922 | 26.0 (15.0–47.0) |
25.7 (17.6–47.0) |
26.3 (15.0–43.2) |
0.383 |
| Gender | ||||||||
| Male | 154 (55%) |
112 (59%) |
42 (47%) |
0.072 | 160 (42%) |
50 (48%) |
110 (40%) |
0.201a |
| Female | 127 (45%) |
79 (41%) |
48 (53%) |
221 (58%) |
55 (52%) |
166 (60%) |
||
| Diabetes | ||||||||
| Yes | 78 (28%) |
56 (29%) |
22 (24%) |
0.476 | 58 (15%) |
15 (14%) |
43 (16%) |
0.873 |
| No | 203 (72%) |
135 (71%) |
68 (76%) |
323 (85%) |
90 (86%) |
233 (84%) |
||
| Pancreatitis | ||||||||
| Yes | 91 (32%) |
62 (32%) |
29 (32%) |
1.000 | 81 (21%) |
25 (24%) |
56 (20%) |
0.484 |
| No | 190 (68%) |
129 (68%) |
61 (68%) |
300 (79%) |
80 (76%) |
220 (80%) |
||
| Personal history of cancer | ||||||||
| Yes | 64 (23%) |
39 (20%) |
25 (28%) |
0.174 | 68 (18%) |
20 (19%) |
48 (17%) |
0.765 |
| No | 217 (77%) |
152 (80%) |
65 (72%) |
313 (82%) |
85 (81%) |
228 (83%) |
||
| Family history of pancreatic cancer | ||||||||
| Yes | 31 (11%) |
20 (10%) |
11 (12%) |
0.686 | 64 (17%) |
7 (7%) |
57 (21%) |
<0.001 |
| No | 250 (89%) |
171 (90%) |
79 (88%) |
317 (83%) |
98 (93%) |
219 (79%) |
||
| Symptomatic | ||||||||
| Yes | 159 (57%) |
117 (61%) |
42 (47%) |
0.028a | 167 (44%) |
53 (50%) |
114 (41%) |
0.133a |
| No | 122 (43%) |
74 (39%) |
48 (53%) |
214 (56%) |
52 (50%) |
162 (59%) |
||
| Weight loss | ||||||||
| Yes | 93 (33%) |
73 (38%) |
20 (22%) |
0.010a | 51 (13%) |
16 (15%) |
35 (13%) |
0.505 |
| No | 188 (67%) |
118 (62%) |
70 (78%) |
330 (87%) |
89 (85%) |
241 (87%) |
||
| CA 19-9 (serum) > 40b | ||||||||
| Yes | 42 (23%) |
36 (29%) |
6 (10%) |
0.003 | 35 (16%) |
16 (28%) |
19 (12%) |
0.007 |
| No | 141 (77%) |
86 (71%) |
55 (90%) |
185 (84%) |
42 (72%) |
143 (88%) |
||
| Solid component/ mural nodulec | ||||||||
| Yes | 122 (43%) |
94 (49%) |
28 (31%) |
0.005a | 102 (27%) |
41 (39%) |
61 (22%) |
0.001a |
| No | 159 (57%) |
97 (51%) |
62 (69%) |
279 (73%) |
64 (61%) |
215 (78%) |
||
| Number of cysts | ||||||||
| 0 | 52 (19%) |
42 (22%) |
10 (11%) |
0.001a | N/A | N/A | N/A | 0.381 |
| 1 | 158 (56%) |
110 (58%) |
48 (53%) |
223 (60%) |
69 (66%) |
154 (58%) |
||
| 2 | 29 (10%) |
21 (11%) |
8 (9%) |
53 (14%) |
14 (13%) |
39 (15%) |
||
| 3 + | 42 (15%) |
18 (9%) |
24 (27%) |
94 (26%) |
22 (21%) |
72 (27%) |
||
| Largest cyst sized | ||||||||
| ≤ 3.0 cm | 113 (42%) |
63 (34%) |
50 (58%) |
<0.001a | 253 (67%) |
54 (52%) |
199 (72%) |
<0.001a |
| > 3.0 cm | 106 (39%) |
80 (43%) |
26 (30%) |
127 (33%) |
50 (48%) |
77 (28%) |
||
| None seen | 52 (19%) |
42 (23%) |
10 (12%) |
N/A | N/A | N/A | ||
| MPD size | ||||||||
| 0.5 cm < and ≤1.0 cm | 220 (78%) |
144 (75%) |
76 (84%) |
0.091a | N/A | N/A | N/A | N/A |
| > 1.0 cm | 61 (22%) |
47 (25%) |
14 (16%) |
N/A | N/A | N/A | ||
Variables used in subsequent multivariate analysis
Preoperative CA 19-9 was only available for 183/281 (65%) MD-IPMN and 220/381 (58%) BD-IPMN patients
Solid component, thickened or enhanced cyst, mural nodule, or concurrent lesion
Ten MD-IPMN patients and one BD-IPMN patient did not have cyst size information available.
MSK=Memorial Sloan Kettering, JHH=Johns Hopkins, MGH=Massachusetts General Hospital
MPD=Main pancreatic duct
IQR=Interquartile range