Skip to main content
eScholarship
Open Access Publications from the University of California

Diabetes and risk of pancreatic cancer: a pooled analysis from the pancreatic cancer cohort consortium.

  • Author(s): Elena, Joanne W
  • Steplowski, Emily
  • Yu, Kai
  • Hartge, Patricia
  • Tobias, Geoffrey S
  • Brotzman, Michelle J
  • Chanock, Stephen J
  • Stolzenberg-Solomon, Rachael Z
  • Arslan, Alan A
  • Bueno-de-Mesquita, H Bas
  • Helzlsouer, Kathy
  • Jacobs, Eric J
  • LaCroix, Andrea
  • Petersen, Gloria
  • Zheng, Wei
  • Albanes, Demetrius
  • Allen, Naomi E
  • Amundadottir, Laufey
  • Bao, Ying
  • Boeing, Heiner
  • Boutron-Ruault, Marie-Christine
  • Buring, Julie E
  • Gaziano, J Michael
  • Giovannucci, Edward L
  • Duell, Eric J
  • Hallmans, Göran
  • Howard, Barbara V
  • Hunter, David J
  • Hutchinson, Amy
  • Jacobs, Kevin B
  • Kooperberg, Charles
  • Kraft, Peter
  • Mendelsohn, Julie B
  • Michaud, Dominique S
  • Palli, Domenico
  • Phillips, Lawrence S
  • Overvad, Kim
  • Patel, Alpa V
  • Sansbury, Leah
  • Shu, Xiao-Ou
  • Simon, Michael S
  • Slimani, Nadia
  • Trichopoulos, Dimitrios
  • Visvanathan, Kala
  • Virtamo, Jarmo
  • Wolpin, Brian M
  • Zeleniuch-Jacquotte, Anne
  • Fuchs, Charles S
  • Hoover, Robert N
  • Gross, Myron
  • et al.

Published Web Location

http://10.0.3.239/s10552-012-0078-8
No data is associated with this publication.
Abstract

Diabetes is a suspected risk factor for pancreatic cancer, but questions remain about whether it is a risk factor or a result of the disease. This study prospectively examined the association between diabetes and the risk of pancreatic adenocarcinoma in pooled data from the NCI pancreatic cancer cohort consortium (PanScan).The pooled data included 1,621 pancreatic adenocarcinoma cases and 1,719 matched controls from twelve cohorts using a nested case-control study design. Subjects who were diagnosed with diabetes near the time (<2 years) of pancreatic cancer diagnosis were excluded from all analyses. All analyses were adjusted for age, race, gender, study, alcohol use, smoking, BMI, and family history of pancreatic cancer.Self-reported diabetes was associated with a forty percent increased risk of pancreatic cancer (OR = 1.40, 95 % CI: 1.07, 1.84). The association differed by duration of diabetes; risk was highest for those with a duration of 2-8 years (OR = 1.79, 95 % CI: 1.25, 2.55); there was no association for those with 9+ years of diabetes (OR = 1.02, 95 % CI: 0.68, 1.52).These findings provide support for a relationship between diabetes and pancreatic cancer risk. The absence of association in those with the longest duration of diabetes may reflect hypoinsulinemia and warrants further investigation.

Many UC-authored scholarly publications are freely available on this site because of the UC's open access policies. Let us know how this access is important for you.

Item not freely available? Link broken?
Report a problem accessing this item