| Unique ID issued by UMIN | UMIN000061420 |
|---|---|
| Receipt number | R000070280 |
| Scientific Title | National Retrospective Survey on the Prevalence of Fatty Pancreas in Patients with Pancreatic Cancer |
| Date of disclosure of the study information | 2026/05/27 |
| Last modified on | 2026/04/30 21:34:51 |
National Retrospective Survey on the Prevalence of Fatty Pancreas in Patients with Pancreatic Cancer
Fatty Pancreas in Pancreatic Cancer: A Nationwide Retrospective Study
National Retrospective Survey on the Prevalence of Fatty Pancreas in Patients with Pancreatic Cancer
Fatty Pancreas in Pancreatic Cancer: A Nationwide Retrospective Study
| Japan |
Pancreatic cancer, Pancreatic neuroendocrine tumor
| Hepato-biliary-pancreatic medicine |
Malignancy
NO
Fatty pancreas (diffuse pancreatic steatosis) may induce intra-pancreatic inflammation and predispose to pancreatic cancer. The primary aim is to determine the prevalence (proportion) of fatty pancreas among patients with pancreatic cancer. Secondary aims include comparing clinical backgrounds, prognosis, and postoperative pancreatic fistula between fatty pancreas and non-fatty pancreas groups, and exploring risk factors for pancreatic fat accumulation, prognostic factors for pancreatic cancer, and pathological features of fatty pancreas.
Bio-availability
Prevalence (proportion) of fatty pancreas
Definition: Pancreatic CT attenuation < 30 HU on non-contrast CT (suggesting>10% fat accumulation)
Assessment timing: Preoperative CT images (surgical cases between January 2015 and December 2020) assessed by central review
1. Comparison of clinical backgrounds between fatty pancreas and non-fatty pancreas groups (age, sex, BMI, diabetes, smoking, alcohol, etc.)
2. Comparison of prognosis (overall survival) between the two groups
3. Comparison of postoperative pancreatic fistula (POPF) between the two groups
4. Exploration of prognostic factors for pancreatic cancer (Cox regression)
5. Exploration of risk factors for pancreatic fat accumulation (multiple regression, logistic regression, modified Poisson regression)
6. Pathological assessment of fatty pancreas (distribution pattern of pancreatic fat, presence of lipid droplets in acinar cells, etc.)
Observational
| 20 | years-old | <= |
| 100 | years-old | > |
Male and Female
All of the following criteria must be met:
1. Patients who underwent distal pancreatectomy for cancer of the pancreatic tail or neuroendocrine tumor of the pancreatic tail between January 2015 and December 2020, with pathologically confirmed pancreatic malignancy or pancreatic neuroendocrine tumor
2. Patients who underwent preoperative abdominal CT (both non-contrast and contrast-enhanced)
3. Patients treated at institutions designated as training hospitals by the Japan Pancreas Society
Any of the following:
1. Patients with acute pancreatitis or chronic pancreatitis (early chronic pancreatitis is not excluded)
2. Patients with extensive pancreatic atrophy
3. IPMN with worrisome features
4. Patients who had already undergone pancreatectomy or splenectomy prior to the pancreatic cancer diagnosis
5. Patients who received preoperative chemotherapy
6. Functional neuroendocrine tumors of the pancreas
7. Cases deemed unsuitable for fat measurement based on imaging
8. Others deemed inappropriate by the principal/sub-investigator
1000
| 1st name | REIKO |
| Middle name | |
| Last name | ASHIDA |
Wakayama Medical University
Second Department of Internal Medicine
641-8509
811-1 Kimiidera, Wakayama City, Wakayama 641-8509, Japan
073-447-2300
rashida@wakayama-med.ac.jp
| 1st name | REIKO |
| Middle name | |
| Last name | ASHIDA |
Wakayama Medical University
Second Department of Internal Medicine
641-8509
811-1 Kimiidera, Wakayama City, Wakayama 641-8509, Japan
073-447-2300
fat-panc@wakayama-med.ac.jp
Wakayama Medical University
Project Research Grant, Japan Pancreas Society
Other
Japan
Ethics Review Committee, Wakayama Medical University
811-1 Kimiidera, Wakayama City, Wakayama 641-8509, Japan
073-447-2300
wa-rinri@wakayama-med.ac.jp
NO
| 2026 | Year | 05 | Month | 27 | Day |
Unpublished
Preinitiation
| 2025 | Year | 10 | Month | 01 | Day |
| 2026 | Year | 03 | Month | 26 | Day |
| 2026 | Year | 05 | Month | 27 | Day |
| 2030 | Year | 03 | Month | 31 | Day |
not available
| 2026 | Year | 04 | Month | 30 | Day |
| 2026 | Year | 04 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070280