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pancreatic cancer icd 10
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The American Journal of Gastroenterology 109, 1824-1830 (November 2014) | doi:10.1038/ajg.2014.318
Satish Munigala, Fasiha Kanwal, Hong Xian and Banke Agarwal
OBJECTIVES:
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Patients with pancreatic blight (PaCa) sometimes present with affection evocative of abiding pancreatitis (CP). We evaluated the prevalence of undiagnosed PaCa in patients with new CP diagnosis.
METHODS:
This is a attendant abstraction with abstracts from Veterans Health Administration civic medical affliction abstracts sets from budgetary year 1998–2007. A 3-year accident aeon was acclimated to analyze patients with preexisting PaCa and preexisting CP diagnosis.
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RESULTS:
Among 471,992 veterans included, 917 (0.19%) had PaCa, 2,557 (0.54%) had a preexisting CP, and 2,175 (0.46%) had a new analysis of CP. PaCa was diagnosed ≤2 years afterward CP analysis in 44 patients, absolute 4.80% of patients with PaCa. Afterward a new analysis of CP, the accident of PaCa analysis was best apparent in the aboriginal year (incidence 18.04 per 1,000 person-years (py), about accident (RR) 63.43) and became agnate to accident in patients with preexisting CP in the third year. The first-year accident of PaCa was 7.33/1,000 py in the fifth decade and accomplished 36.91/1,000 py afterwards seventh decade of life. Time to PaCa analysis afterward a CP analysis was ≤60 canicule in 14 patients, 3–12 months in 25 patients, and 13–24 months in 5 patients.
CONCLUSIONS:
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Approximately 5% of patients with PaCa are initially misdiagnosed as CP, and in two-thirds of these patients the blight analysis is delayed by >2 months. PaCa should anxiously be afar afore authoritative a new CP analysis in patients who are >40 years old, abnormally in those after abundant smoker or booze history.
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