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Pancreatic Adenocarcinoma, Version 2.2012

Featured Updates to the NCCN Guidelines

Margaret A. Tempero, J. Pablo Arnoletti, Stephen W. Behrman, Edgar Ben-Josef, Al B. Benson III, Ephraim S. Casper, Steven J. Cohen, Brian Czito, Joshua D. I. Ellenhorn, William G. Hawkins, Joseph Herman, John P. Hoffman, Andrew Ko, Srinadh Komanduri, Albert Koong, Wen Wee Ma, Mokenge P. Malafa, Nipun B. Merchant, Sean J. Mulvihill, Peter Muscarella II, Eric K. Nakakura, Jorge Obando, Martha B. Pitman, Aaron R. Sasson, Anitra Tally, Sarah P. Thayer, Samuel Whiting, Robert A. Wolff, Brian M. Wolpin, Deborah A. Freedman-Cass, and Dorothy A. Shead

: 277 – 300 . 3 Arnold LD Patel AV Yan Y . Are racial disparities in pancreatic cancer explained by smoking and overweight/obesity? Cancer Epidemiol Biomarkers Prev 2009 ; 18 : 2397 – 2405 . 4 StatBite . U.S. pancreatic cancer

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Linda A. Jacobs and David J. Vaughn

obesity. 30 It is associated with cardiovascular morbidity and mortality, and has been described as a late complication among TC survivors. 31 , 32 In a study of 589 survivors who had unilateral orchiectomy, the prevalence of metabolic syndrome and

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Renee W. Pinsky and Mark A. Helvie

and glandular tissue. In the setting of obesity, absolute measurement of density may be more significant. The heritability of breast density has been examined in several classic twin studies. Both Boyd et al. 29 and Ursin et al. 13 showed that

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Linda S. Overholser and Carlin Callaway

, dyslipidemia, obesity, diabetes mellitus, unhealthy dietary habits, and smoking, contribute not only to CVD but also to cancer, and can also impact the course of cancer survivorship. These risk factors are also targets of preventive health counseling, screening

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Daphne Y. Lichtensztajn, John T. Leppert, James D. Brooks, Sumit A. Shah, Weiva Sieh, Benjamin I. Chung, Scarlett L. Gomez, and Iona Cheng

management was contraindicated and appropriately not received. However, it is unlikely that differences in comorbidity burden would explain the observed disparity. Although Latinos have a higher prevalence of diabetes and obesity, the prevalence of

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Daniel Boakye, Viola Walter, Lina Jansen, Uwe M. Martens, Jenny Chang-Claude, Michael Hoffmeister, and Hermann Brenner

% overall) and diabetes (16%). Median age of the participants was 69 years. Comorbidity was particularly common in men, older and underweight/obese patients, former smokers, those recently diagnosed, those with right-sided colon cancer and stage I–II disease

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Ami Vyas, S. Suresh Madhavan, and Usha Sambamoorthi

March 22, 2017 . 14. Kaiser State Health Facts . Overweight and obesity rates for adults by sex, 2009 . Menlo Park, CA : Kaiser Family Foundation ; 2009 . Available at: http://www.statehealthfacts.org . Accessed April 21, 2016

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Amy A. Kirkham, Kelcey A. Bland, Holly Wollmann, Alis Bonsignore, Don C. McKenzie, Cheri Van Patten, Karen A. Gelmon, and Kristin Campbell

Institute. The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Bethesda, MD; National Institutes of Health; October 2000. NIH publication 00-4084 . 10. Pollock ML , Foster C , Schmidt D

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Crystal S. Denlinger, Robert W. Carlson, Madhuri Are, K. Scott Baker, Elizabeth Davis, Stephen B. Edge, Debra L. Friedman, Mindy Goldman, Lee Jones, Allison King, Elizabeth Kvale, Terry S. Langbaum, Jennifer A. Ligibel, Mary S. McCabe, Kevin T. McVary, Michelle Melisko, Jose G. Montoya, Kathi Mooney, Mary Ann Morgan, Tracey O’Connor, Electra D. Paskett, Muhammad Raza, Karen L. Syrjala, Susan G. Urba, Mark T. Wakabayashi, Phyllis Zee, Nicole McMillian, and Deborah Freedman-Cass

cancer survivors have significant comorbidities, smoke, are obese, and/or do not engage in physical activity. 7 Analysis of data from the National Health Interview Survey showed similar results, 8 as have other studies. 9 In addition, many survivors

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Amy A. Kirkham, Riggs J. Klika, Tara Ballard, Paul Downey, and Kristin L. Campbell

MK Joshi AV Madhavan SS Amonkar MM . Obesity and health-related quality of life: a cross-sectional analysis of the US population . Int J Obes Relat Metab Disord 2003 ; 27 : 1227 – 1232 . 44. Baum-Baicker C . The psychological benefits