- Date of birth
- Date of study
- Age at diagnosis/
age at study
- Birth country
- Gender
- Marital status
- Race/ethnic
- Current Ht. & Wt.
- Usual Wt. at age 20, 50,
prior
to illness
- Education
–
highest level completed
- Tobacco/smoking
- Alcohol
– current & past
- Confirmed index case* (Y/N)
(*Index case
definition: histologically proven ductal adenocarcinoma)
|
- Imaging studies done
- Stage (pathologic & clinical)
at diagnosis
- Resected for
pancreatic
disease (Y/N)
- Drugs (NSAIDS,
enzymes,
insulin, oral hypoglycemics)
- Diseases & year of diagnosis (diabetes,
acute and
chronic pancreatitis, asthma, gallstones)
- Any previous surgery
- Ever involved
in other pancreatic
cancer research
- Previous
radiation exposure to abdomen
- Summary
of family history
- Cooperative
trial (Y/N)
|