Review articlePancreatic cancer

Pancreatic cancer epidemiology: understanding the role of lifestyle and inherited risk factors

Nat Rev Gastroenterol Hepatol · 2021Not applicable (review article)
Klein AP. Nat Rev Gastroenterol Hepatol. 2021. 18:493-502
Study type
Review article
Design
Review article
Sample size
Not applicable (review article)
Source
Nat Rev Gastroenterol Hepatol · 2021

In plain words

Pancreatic cancer is one of the leading causes of cancer death worldwide, and the number of cases has more than doubled over the past 25 years. Part of the risk comes from habits that can be changed, such as smoking, obesity, diabetes and drinking alcohol. Another part comes from genes passed down in families. Knowing about these genes can help find the disease earlier in people at high risk.

Key results

More than doubled over the past 25 years
Global burden of pancreatic cancer
Pancreatic cancer is one of the leading causes of cancer death worldwide
North America, Europe and Australia
Regions with the highest incidence
Smoking, obesity, diabetes and alcohol consumption
Modifiable risk factors
Pathogenic variants in hereditary cancer genes, genes associated with hereditary pancreatitis, and common variants identified in genome-wide association studies (GWAS)
Genetic risk factors

Study population

This is a review article and no specific patients were enrolled. The subject of the review is the modifiable and inherited risk factors for pancreatic cancer.

Endpoints

The aim of the paper is to provide an up-to-date review of the known modifiable and inherited risk factors for pancreatic cancer.

Safety and side effects

Not applicable (review article).

Clinical significance and place in guidelines

This review emphasises prevention through modification of risk factors (stopping smoking, controlling weight and diabetes, avoiding alcohol) and highlights the role of identifying inherited genetic factors in guiding early detection strategies. The abstract gives no specific clinical recommendation or guideline; the status of screening and genetic testing guidelines should be checked in separate sources.

Limitations

This paper is a narrative review and presents no new primary data or quantitative analysis. The abstract does not report the literature search method or exact relative risk figures. The relative contribution of risk factors varies between regions of the world.

This summary was prepared by the editorial team from the published paper; the original paper is the final reference. Read the original abstract on PubMed.