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Record W4393148185 · doi:10.21037/jphe-2023-apru-ab012

AB012. Distributions, risk factors and epidemiological trends of pancreatic cancer in low- and middle-income countries: a comprehensive analysis

2024· article· en· W4393148185 on OpenAlexaff
Sofia Laila Wik, Mingjun Gao, Qinyao Yu, Fanyu Xue, Sze Chai Chan, Shui Hang Chow, Claire Chenwen Zhong, Don Eliseo Lucero‐Prisno, Martin C. S. Wong, Junjie Huang

Bibliographic record

VenueJournal of Public Health and Emergency · 2024
Typearticle
Languageen
FieldMedicine
TopicPancreatic and Hepatic Oncology Research
Canadian institutionsUniversity of Ottawa
Fundersnot available
KeywordsEpidemiologyPancreatic cancerLow and middle income countriesEnvironmental healthCancerMedicineEconomicsDeveloping countryEconomic growthInternal medicine

Abstract

fetched live from OpenAlex

Background: Pancreatic cancer is an emerging public health concern in low- and middle-income countries (LMICs). Late diagnosis resulting from a lack of effective screening tools contributes to its poor prognosis and high mortality rate. The study investigates risk factors associated with pancreatic cancer to identify potential targets for prevention and intervention. Methods: We assessed the burden of pancreatic cancer in LMICs by analyzing sex differences, age groups, trends over time, risk factors, and disability-adjusted life years (DALYs) using publicly available global databases, such as the Global Burden of Disease (GBD) Study from the Institute for Health Metrics and Evaluation (IHME). Results: The DALYs peaks occurred at 70–74 for upper-middle income (816.33 DALYs); 70–79 for lower-middle income (496.96 and 495.55 DALYs, respectively); and 70–74 for low income (424.26 DALYs). Females experienced greater increases in DALYs than males across all income groups, with increases of (from high income to low income) 12.23%, 31.76%, 90.26%, and 63.62% between 1990 and 2019. The corresponding values for males were 3.19%, 39.95%, 62.05%, and 31.96%. Behavioral risks were the most prominent risk factor for pancreatic cancer, with DALYs decreasing by 13.45% in high-income countries and increasing by 29.23% to 32.81% in lower-income countries. Incidence has increased by 16.86% in high income countries, 45.32% in upper middle-income countries, 79.21% in lower middle income countries, and 48.51% in low income countries. Conclusions: In conclusion, the data provided highlights the significant burden of pancreatic cancer across all income categories, with the highest rates observed in older age groups and in high-income countries. The burden is further exacerbated by differences in rates between males and females across income categories. This study emphasizes the need for targeted prevention and early detection efforts, particularly in LMICs where resources and healthcare infrastructure may be limited.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.082
Threshold uncertainty score0.484

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.096
GPT teacher head0.423
Teacher spread0.326 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2024
Admission routes1
Has abstractyes

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