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Restaging after neoadjuvant FOLFIRINOX for localized pancreatic cancer: a clinical calculator from the Trans-Atlantic Pancreatic Surgery consortium - PubMed

4 hours ago
  • #neoadjuvant chemotherapy
  • #prognostic factors
  • #pancreatic cancer
  • Study focuses on restaging after neoadjuvant FOLFIRINOX for localized pancreatic cancer (PDAC).
  • Aims to assess treatment response, revise prognosis, and guide further management.
  • Retrospective international study with 2338 patients categorized by initial staging: 22.6% potentially resectable, 30.7% borderline resectable, 46.7% locally advanced.
  • Identified independent prognostic factors for overall survival (OS), including tumor location, performance status, metastatic disease at restaging, CA19-9 levels, and tumor size changes.
  • Patients stratified into four risk groups with 3-year OS ranging from 6.0% to 65.8%.
  • Developed a web-based calculator for individualized prognosis to aid clinicians and patients in decision-making.