ABO Blood Type and the Long-term Outcomes of Pancreatic Cancer.


Journal

Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241

Informations de publication

Date de publication:
2020
Historique:
entrez: 17 3 2020
pubmed: 17 3 2020
medline: 10 6 2020
Statut: ppublish

Résumé

Objective The long-term effect of the ABO blood type on the clinical course of patients with pancreatic cancer (PC) is inconclusive. This study aimed to determine whether or not the ABO blood type influences the long-term outcomes of PC in Japanese patients. Methods The medical records of Japanese patients with PC were reviewed. Data, including the age, sex, and outcomes, from the Ehime Pancreato-Cholangiology Study Group were analyzed. Results The mean age of the 406 patients was 71.0±10.5 years, and 220 (54.2%) were men. A total of 44.6%, 20.7%, 22.4%, and 12.3% had blood type A, B, O, and AB, respectively. The median survival time (MST) of patients with A alleles was shorter than that of patients with non-A alleles (p=0.048), especially among those who underwent resection (p=0.031). In contrast, no marked difference in the MST was noted among those who underwent chemotherapy and palliative care. Finally, a multivariate analysis confirmed A alleles as an independent factor associated with the long-term outcome of PC (p<0.05 in 2 different models). Conclusion The ABO blood type influenced the long-term outcomes of Japanese patients with PC, presumably due to its impact on disease onset and tumor behavior.

Identifiants

pubmed: 32173688
doi: 10.2169/internalmedicine.3748-19
pmc: PMC7118372
doi:

Substances chimiques

ABO Blood-Group System 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

761-768

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Auteurs

Yoshinori Tanaka (Y)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.
Gastroenterology, Matsuyama Shimin Hospital, Japan.

Teru Kumagi (T)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.

Takashi Terao (T)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.
Gastroenterology, National Hospital Organization Shikoku Cancer Center, Japan.

Taira Kuroda (T)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.

Tomoyuki Yokota (T)

Center for Liver-Biliary-Pancreatic Diseases, Matsuyama Red Cross Hospital, Japan.

Nobuaki Azemoto (N)

Center for Liver-Biliary-Pancreatic Diseases, Matsuyama Red Cross Hospital, Japan.
Gastroenterology, Ehime Prefectural Central Hospital, Japan.

Yoshiki Imamura (Y)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.

Kazuhiro Uesugi (K)

Gastroenterology, National Hospital Organization Shikoku Cancer Center, Japan.
Gastroenterology, Uwajima Municipal Hospital, Japan.

Yoshiyasu Kisaka (Y)

Gastroenterology, Uwajima Municipal Hospital, Japan.

Naozumi Shibata (N)

Internal Medicine, Ehime Prefectural Niihama Hospital, Japan.

Mitsuhito Koizumi (M)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.

Yoshinori Ohno (Y)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.

Kozue Kanemitsu (K)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.

Atsushi Yukimoto (A)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.
Gastroenterology, Uwajima Municipal Hospital, Japan.

Kazuhiro Tange (K)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.
Center for Liver-Biliary-Pancreatic Diseases, Matsuyama Red Cross Hospital, Japan.

Mari Nishiyama (M)

Gastroenterology, Matsuyama Shimin Hospital, Japan.

Teruki Miyake (T)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.

Hideki Miyata (H)

Gastroenterology, Ehime Prefectural Central Hospital, Japan.

Hiroshi Ishii (H)

Gastroenterology, National Hospital Organization Shikoku Cancer Center, Japan.

Masanori Abe (M)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.

Yoichi Hiasa (Y)

Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.

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Classifications MeSH