Cancer Control (Jan 2021)

Risk factors of Pancreatic Cancer in Vietnam: A Matched Case–Control Hospital-Based Study

  • Thuan Van Tran MD, PhD,
  • Tu Van Dao MD, PhD,
  • Khac-Dung Nguyen Pharm, PhD,
  • To van TA MD, PhD,
  • Khanh Truong Vu MD, PhD,
  • Son Hong Trinh MD, PhD,
  • Hoang Cong Nguyen MD, PhD,
  • Oanh Thi Bui Pharm, MPH,
  • Quang Tien Nguyen MD, PhD,
  • Hoan Duc Vu Pharm,
  • Hiep Le Nguyen Pharm,
  • Huong Thanh Tran MD, PhD

DOI
https://doi.org/10.1177/1073274821989320
Journal volume & issue
Vol. 28

Abstract

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Background: Data about the risk factors and pancreatic cancer in developing countries remain limited. We investigated for the first time the role of a number of risk factors (family cancer history, smoking, alcohol consumption, diabetes, inflammation disease, HBV infection) associated with pancreatic cancer among Vietnamese patients. Methods: We included all patients hospitalized at 4 Northern Vietnamese hospitals (Vietnam National Cancer Hospital, Bach Mai, Viet Duc, Thai Nguyen) and diagnosed with pancreatic cancer during the period from 2017 to 2019. Risk factors of eligible patients were collected and assessed the associations using a matched control study and logistic regression model analysis. Results: We identified 196 patients with diagnosis of pancreatic cancer of which 114 males and 82 females. The average age of the patient at the time of diagnosis was 58.28 years (standard deviation of 12.94, ranging from 25 to 87). Most of patients were diagnosed at advanced stage (85%). Smoking, diabetes, inflammation disease significantly increased the cancer risks (OR and 95% CI were 2.42 (1.38-4.37), 3.09 (1.54-6.68), 2.21 (1.42-3.45), respectively). HBV infection demonstrated a significant link with pancreatic cancer in univariate model (OR = 2.94 (1.08-9.36)), but not in multivariate model. However, cancer family history and alcohol drinkers did not show any significantly increased risk related to pancreatic cancer. Conclusions: Our finding showed smoking, diabetes, inflammation disease significantly increased the risk of pancreatic cancer in Vietnam.