This website uses cookies to improve your experience.

Cookie policy

Implementation of best practices in pancreatic cancer care in the Netherlands. A stepped-wedge randomized clinical trial.

Mackay TM, Latenstein AEJ, Augustinus S, van der Geest LG, Bogte A et al, for the Dutch Pancreatic Cancer Group.

JAMA Surg 2024; 159: 429-437.

This study included 5887 patients with pancreatic cancer. One year survival was similar both before and after implementation of a best practice protocol (24 versus 23 per cent). Most patients did not receive any tumour-directed therapy.

Comment: I like that this study has a negative primary result, but shows up how much care for pancreatic cancer is palliative. It will stimulate discussion about how to offer more active therapy.

Read paper


Part of the charitable activity of the Foundation, BJS Academy is an online educational resource for current and future surgeons.

The Academy is comprised of five distinct sections: Continuing surgical education, Young BJS, Cutting edge, Scientific surgery and Surgical news. Although the majority of this is open access, additional content is available to BJS subscribers and strategic partners.

Discover the Academy
Surgeon Training & Surgeons in Surgery