Diagnostic yield of the plasma free amino acid index for pancreatic cancer in patients with diabetes mellitus.
Amino acid
Biomarker
Diabetes mellitus
Metabolomics
Pancreatic cancer
Journal
Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]
ISSN: 1424-3911
Titre abrégé: Pancreatology
Pays: Switzerland
ID NLM: 100966936
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
10
06
2019
revised:
04
07
2019
accepted:
12
07
2019
pubmed:
20
7
2019
medline:
29
1
2020
entrez:
20
7
2019
Statut:
ppublish
Résumé
A multivariate index calculated using plasma free amino acids (PFAA index) was reported as a diagnostic biomarker for pancreatic cancer (PaC). Although diabetes mellitus (DM) is expected to be an early diagnostic indicator of PaC, identifying the high-risk individuals among patients with DM is warranted. We evaluated the diagnostic yield of the PFAA index for PaC in patients with DM. We compared the diagnostic yield of the PFAA index between individuals with and those without DM. Cases and controls were recruited prospectively, and controls were matched to cases at a 1:1 ratio for age, sex, and DM status. A total of 180 case-control pairs were included in the analysis. The prevalence of DM was 53.3%. The sensitivity of the PFAA index was 66.7% in cases with DM and 56.0% in those without DM (P = 0.14), and the specificity was 92.7% in controls with DM and 94.0% in those without DM (P = 0.95). This matched case-control study revealed a comparable diagnostic yield of the PFAA index for PaC in individuals with and those without DM. The PFAA index can be used as a biomarker for further diagnostic imaging in selected patients with DM.
Identifiants
pubmed: 31320196
pii: S1424-3903(19)30617-9
doi: 10.1016/j.pan.2019.07.002
pii:
doi:
Substances chimiques
Amino Acids
0
Biomarkers
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
695-698Informations de copyright
Copyright © 2019 IAP and EPC. Published by Elsevier B.V. All rights reserved.