Hello everyone i am tajeshwaryan and i am here to share our findings on prescription practices of bird for pancreatic cancer patients among pancreatic surgeons in the u.s the authors have no conflicts of influence to declare pei or pancreatic exocrine insufficiency can exist in a significant number of feedback patients preoperatively and can increase even further
Postoperatively word or enzyme replacement therapy is the treatment of choice for exocrine insufficiency however in the setting of pedagog there are no evidence-based guidelines to inform its clinical use leading to wide variations in clinical practice therefore we designed the study to evaluate the prescription practices of the treating physicians with regards
To pert impedac we disseminated an online anonymous survey to members of the ahpba and the pancreas club and were able to record 208 unique responses a majority of our respondents identified their practice as university academic and had annual pedagogical volumes of more than 20. only 13.5 percent of the respondents stated that they never used pert for pedagog
Cases in their practice while amongst the users majority preferred to use bird in selective case by case basis we observed that anal pedic surgical volumes of more than 20 were associated with greater poet use and surgeons preferred to use pert for patients getting up front pancreatic or deutonectomies as compared to those getting distal pancreatic techniques or
New adjuvant therapy and this is quite logical as studies have already shown that cases requiring pancreatic organectomies are an increased risk of exocrine insufficiency pre-operatively as well as post-operatively we also observe that surgeons infrequently utilized lab tests to establish pei before initiating pert or to check for adequacy of therapy once it
Was initiated it should be noted that few surgeons repeated fecal elastase 1 to check for adequacy of therapy but this might give confounding results as this test measures human elastase while pert has porcine or bovine elastase it’s also interesting to note that while most of the surgeons do use bird for some cases of pirate majority of them do not believe that
It can improve overall survival or disease free survival it should also be noted that there are a significant number of surgeons who are still undecided over the effects of food on pdac outcomes ours is the first study evaluating prescription practices of pert in pedagog and we observed that majority of the surgeons use bird for at least some cases of p-dug with
Surgical volumes of more than 20 per year associated with greater birth use there is inconsistent testing before and follow-up after initiation of good possibly reflecting a lack of confidence in existing lab tests views on effect of put on pdac outcomes can influence prescription practices however most of these solutions are still undecided over the effects of
Pert on pdf outcomes therefore well-designed prospective studies are required to evaluate the effects of pert on pdac outcomes thank you
Transcribed from video
PRESCRIPTION PRACTICES OF PANCREATIC ENZYME REPLACEMENT THERAPY (PERT) FOR PANCREATIC CANCER By American Pancreatic Association
