National practice patterns in the use of endoscopic ultrasound biopsy for resectable Pancreatic Neuroendocrine Tumors: Insights into the role of DOTATATE PET/CT in diagnosis.
Am J Surg
; 235: 115779, 2024 Sep.
Article
in En
| MEDLINE
| ID: mdl-38811243
ABSTRACT
INTRODUCTION:
Pancreatic neuroendocrine tumors (PNETs) are typically diagnosed using endoscopic ultrasound-guided (EUS) biopsy, which can be associated with complications. Since 2016, DOTATATE PET/CT has emerged as an effective tool to localize and stage PNETs.METHODS:
Patients with PNETs who underwent R0 resections were identified from the 2004-2019 National Cancer Database PUF. Joinpoint regression and multivariable logistic regression were used to analyze trends in the use of biopsy.RESULTS:
Of 16,746 R0 resected PNET patients, 44 â% underwent diagnostic biopsy. Joinpoint regression showed a significant increase in the use of biopsy from 2004 to 2019 (APC 1.80, p â< â0.001). A higher percentage of patients diagnosed after DOTATATE approval underwent biopsy compared to those diagnosed before (48 â% vs. 42 â%, p â< â0.001). Adjusted analysis showed diagnosis after 2016 was associated with increased odds of biopsy (OR â= â1.67, p â< â0.001).CONCLUSIONS:
Despite technologic advancement with DOTATATE PET/CT, there has been a significant increase in the proportion of resectable PNETs undergoing preoperative biopsy.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pancreatic Neoplasms
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Practice Patterns, Physicians'
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Neuroendocrine Tumors
/
Positron Emission Tomography Computed Tomography
Limits:
Adult
/
Aged
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Female
/
Humans
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Male
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
Am J Surg
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: