Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/32982
Title: Changing patterns of care for pancreas cancer in Victoria: the 2022 Pancreas Tumour Summit.
Austin Authors: Pilgrim, Charles H C;Finn, Norah;Stuart, Ella;Philip, Jennifer;Steel, Simone;Croagh, Dan;Lee, Belinda;Tebbutt, Niall C 
Affiliation: Hepatopancreaticobiliary Surgery, The Alfred Hospital, Melbourne, Victoria, Australia
Victorian Cancer Registry, Cancer Council Victoria, Melbourne, Victoria, Australia
Department of Health, Cancer Support, Treatment and Research, Melbourne, Victoria, Australia.
Department of Medicine, University of Melbourne, Parkville, Victoria, Australia
Department of Medical Oncology, Eastern Health, Box Hill, Victoria, Australia
Department of Surgery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.
Department of Medical Oncology, Peter MacCallum Cancer Centre, Parkville, Victoria, Australia
Medical Oncology
Department of Surgery, Central Clinical School, Monash University, Victoria, Australia
Palliative Care Service, Peter MacCallum Cancer Centre, Parkville, Victoria, Australia
Palliative Care Service, St Vincent's Hospital, Fitzroy, Victoria, Australia.
Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia
Department of Surgery, Monash Medical Centre, Monash Health, Clayton, Victoria, Australia.
Department of Medical Oncology, Northern Health, Epping, Victoria, Australia.
School of Public Health and Preventative Medicine, Monash University, Victoria, Australia.
Department of Medical Oncology, Peninsula Private Hospital, Langwarrin, Victoria, Australia.
Department of Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia
Division of Personalised Oncology, Walter & Eliza Hall Institute, Parkville, Victoria, Australia
Faculty of Medicine, Dentistry & Health Science, University of Melbourne, Parkville, Victoria, Australia.
Issue Date: Nov-2023
Date: 2023
Publication information: ANZ Journal of Surgery 2023-11; 93(11)
Abstract: The Victorian Government convened the second Pancreas Cancer Summit in 2021 to identify unwarranted variation in care 2016-2019, and to assess trends compared with the first Summit 2017 (reporting 2011-2015). State-wide administrative data were assessed at population level in alignment with optimal care pathways across all stages of the cancer care continuum. Data linkage performed by Centre for Victorian Data Linkage combined data from Victorian Cancer Registry with other administrative data sets including Victorian Admitted Episodes Dataset, Victorian Radiotherapy Minimum Data Set, Victorian Emergency Minimum Dataset and Victorian Death Index. A Cancer Service Performance Indicator audit was carried out providing an in-depth analysis of identified areas of interest. Of 3138 Victorians diagnosed with pancreas ductal adenocarcinoma 2016-2019, 63% were metastatic at diagnosis. One-year survival increased between time periods, from 29.7% overall 2011-2015 (59.1% for non-metastatic, and 15.1% metastatic) to 32.5% overall 2016-2019 (P < 0.001), 61.2% non-metastatic (P = 0.008), 15.7% metastatic (P = NS). A higher proportion of non-metastatic patients progressed to surgery (35% vs. 31%, P = 0.020), and more received neoadjuvant therapy (16% vs. 4%, P < 0.001). Postoperative mortality following pancreatectomy at 30 and 90 days remained low at 2%. Utilization of 5FU-based chemotherapy regimens increased between 2016 and 2020. Multidisciplinary Meeting (MDM) presentation was still below the 85% target (74%) as was supportive care screening (39%, target 80%). Surgical outcomes remain world-class and there has been an appropriate shift in chemotherapy administration towards neoadjuvant timing with increasing use of 5FU-based regimens. MDM presentation rates, supportive care and overall care coordination remain areas of deficiency.
URI: https://ahro.austin.org.au/austinjspui/handle/1/32982
DOI: 10.1111/ans.18522
ORCID: 0000-0003-2193-7305
Journal: ANZ Journal of Surgery
PubMed URL: 37221964
ISSN: 1445-2197
Type: Journal Article
Subjects: hepatopancreaticobiliary surgery
outcomes
pancreas
pancreas cancer
surgical oncology
Appears in Collections:Journal articles

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