eprintid: 10203916 rev_number: 7 eprint_status: archive userid: 699 dir: disk0/10/20/39/16 datestamp: 2025-01-24 09:03:48 lastmod: 2025-01-24 09:03:48 status_changed: 2025-01-24 09:03:48 type: article metadata_visibility: show sword_depositor: 699 creators_name: Bogdanski, AM creators_name: Acedo, P creators_name: Wallace, MB creators_name: van Leerdam, ME creators_name: Klatte, DCF title: Recommendations, evidence and sustainability of screening for pancreatic cancer in high-risk individuals ispublished: inpress divisions: UCL divisions: B02 divisions: C10 divisions: D17 divisions: G91 keywords: Pancreatic cancer, Early detection, Screening, Surveillance, High-risk individuals note: Under a Creative Commons license https://creativecommons.org/licenses/by/4.0/ abstract: Pancreatic cancer is a highly lethal malignancy and is predicted to become the second leading cause of cancer-related deaths by 2030. Early detection significantly improves outcomes, but general population screening remains infeasible due to the low prevalence of the disease and lack of specific biomarkers. This review evaluates current recommendations for pancreatic cancer surveillance in high-risk individuals, synthesises evidence from recent studies and explores the sustainability of current imaging-based surveillance programmes. Challenges such as overdiagnosis, economic feasibility and disparities in access highlight the need for targeted, cost-effective strategies. Collaborative initiatives and consortia are needed to advance biomarker research and refine risk stratification. By integrating evidence-based recommendations with sustainable approaches, this review outlines pathways to improve early detection and reduce mortality from pancreatic cancer. date: 2025-01-01 date_type: published publisher: Elsevier BV official_url: https://doi.org/10.1016/j.bpg.2025.101974 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2354237 doi: 10.1016/j.bpg.2025.101974 lyricists_name: Acedo Nunez, Maria Del Pilar lyricists_id: PACED64 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner full_text_status: public publication: Best Practice and Research: Clinical Gastroenterology article_number: 101974 issn: 1521-6918 citation: Bogdanski, AM; Acedo, P; Wallace, MB; van Leerdam, ME; Klatte, DCF; (2025) Recommendations, evidence and sustainability of screening for pancreatic cancer in high-risk individuals. Best Practice and Research: Clinical Gastroenterology , Article 101974. 10.1016/j.bpg.2025.101974 <https://doi.org/10.1016/j.bpg.2025.101974>. (In press). Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10203916/1/1-s2.0-S1521691825000010-main.pdf