Lew D, Kamal F, Phan K, Randhawa K, Cornwell S, Bangolo AI, Weissman S, Pandol SJ. Epidemiologic risk factors for patients admitted with chronic pancreatitis and pancreatic ductal adenocarcinoma in the United States. World J Clin Oncol 2022; 13(11): 907-917 [PMID: 36483975 DOI: 10.5306/wjco.v13.i11.907]
Corresponding Author of This Article
Ayrton I Bangolo, MBBS, MD, Doctor, Department of Internal Medicine, Hackensack Meridian Health/Palisades Medical Center, 7600 River Road, North Bergen, NJ 07047, United States. ayrtonbangolo@yahoo.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Oncol. Nov 24, 2022; 13(11): 907-917 Published online Nov 24, 2022. doi: 10.5306/wjco.v13.i11.907
Table 1 Demographics, ethno-racial, socioeconomic, and hospital factors for patients hospitalized with chronic pancreatitis
Variable
n = 371275
Race
White
64.82%
Black
22.35%
Hispanic
8.4%
Asian or Pacific Islander
1.31%
Native American
0.87%
Other
2.25%
Gender
Women
44.24%
Men
55.76%
Age
Mean age, years
52.72
Age 18-39 yr
21.63%
Age 40-59 yr
49.84%
Age 60-79 yr
24.26%
Age > 80 yr
4.28%
Insurance provider
Medicare
40.2%
Medicaid
30.28%
Private
22.53%
Uninsured
6.99%
Charlson comorbidity index
0
24.09%
1
25.97%
2
17.37%
3 or more
32.58%
Median income in patient zip code
$1–$38999
36.17%
$39000–$47999
26.11%
$48000–$62999
21.78%
$63000
15.94%
Hospital region
Northwest
17.54%
Midwest
24.63%
South
40.23%
West
17.6%
Hospital location
Rural
8.29%
Urban
91.71%
Hospital size
Small
19%
Medium
28.34%
Large
52.65%
Type of hospital
Teaching
69.54%
Non-teaching
30.46%
Table 2 Multivariate regressions analysis for demographic, socioeconomic, and hospital factors associated with hospitalizations secondary to chronic pancreatitis
Classification
P value
Age
aOR 0.98
< 0.01
Age 18-39 yr
Reference
Age 40-59 yr
aOR 2.60
< 0.01
Age 60-79 yr
aOR 0.96
0.37
Age > 80 yr
aOR 0.46
< 0.01
BMI: 18-24.9
Reference
BMI: 25-29.9
aOR 1.34
< 0.01
BMI: 30-39.9
aOR 0.62
< 0.01
Women
aOR 0.65
< 0.01
Whites
Reference
Blacks
1.13
< 0.01
Hispanics
0.63
< 0.01
Asians/Pacific Islanders
0.50
< 0.01
Native Americans
1.05
0.31
Other
0.67
< 0.01
Table 3 Demographics, ethno-racial, socioeconomic, and hospital factors for patients hospitalized with chronic pancreatitis and pancreatic ductal adenocarcinoma
Variable
CP without PDAC (n = 368385)
CP with PDAC (n = 2890)
P value
Race
< 0.01
Whites
64.75%
74.22%
Blacks
22.4%
16.76%
Hispanics
8.43%
4.97%
Asians or Pacific Islanders
1.31%
1.29%
Native Americans
0.87%
0.37%
Other
2.25%
2.39%
Gender
Women
44.27%
40.31%
0.07
Men
55.73%
59.69%
Age
Mean age, years
52.61
66.32
< 0.05
Age 18-39 yr
21.78%
19%
Age 40-59 yr
50.02%
26.99%
Age 60-79 yr
23.97%
60.03%
Age > 80 yr
4.23%
11.07%
Insurance provider
< 0.01
Medicare
40.04%
60.64%
Medicaid
30.44%
10.73%
Private
22.5%
26.48%
Uninsured
7.03%
2.15%
Charlson comorbidity index
< 0.01
0
24.28%
0
1
26.17%
0
2
17.35%
19.38%
3 or more
32.2%
80.62%
Median income in patient zip code
< 0.01
$1–$38999
36.24%
28.22%
$39000–$47999
26.1%
26.81%
$48000–$62999
21.78%
21.34%
$63000
15.88%
23.63%
Hospital region
0.68
Northwest
17.53%
19.38%
Midwest
24.64%
23.53%
South
40.25%
38.24%
West
17.59%
18.86%
Hospital location
< 0.01
Rural
8.34%
1.56%
Urban
91.66%
98.44%
Hospital size
< 0.01
Small
19.08%
8.65%
Medium
28.43%
16.78%
Large
52.48%
74.57%
Type of hospital
Teaching
69.41%
86.16%
< 0.01
Non-teaching
30.59%
13.84%
Table 4 Multivariate regressions analysis for demographic, socioeconomic, and hospital factors associated with hospitalizations in patients with chronic pancreatitis and pancreatic ductal adenocarcinoma
Classification
P value
Age
aOR 1.05
< 0.01
Age 18-39 yr
Reference
Age 40-59 yr
aOR 6.79
< 0.01
Age 60-79 yr
aOR 24.17
< 0.01
Age > 80 yr
aOR 21.02
< 0.01
BMI: 18-24.9
Reference
BMI: 25-29.9
aOR 2.40
< 0.01
Female
aOR 0.77
< 0.01
White
Reference
Black
aOR 0.77
< 0.05
Hispanic
aOR 0.66
< 0.05
Asian or Pacific Islander
aOR 0.69
0.36
Native American
aOR 0.68
0.60
Other
aOR 0.97
0.94
Citation: Lew D, Kamal F, Phan K, Randhawa K, Cornwell S, Bangolo AI, Weissman S, Pandol SJ. Epidemiologic risk factors for patients admitted with chronic pancreatitis and pancreatic ductal adenocarcinoma in the United States. World J Clin Oncol 2022; 13(11): 907-917