Optimizing branch-duct intraductal papillary mucinous neoplasms surveillance: Data-driven dimensional grouping for risk stratification and cost-effectiveness

doi:10.3748/wjg.v32.i20.114867

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Cohort Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastroenterol. May 28, 2026; 32(20): 114867
Published online May 28, 2026. doi: 10.3748/wjg.v32.i20.114867

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Figure 1 Statistically significant predictors of malignant degeneration. IPMN: Intraductal papillary mucinous neoplasms; WFs: Worrisome features; HRS: High risk stigmata.

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Figure 2 Receiver operating characteristic curve, intraductal papillary mucinous neoplasms size accuracy in predicting malignancy.

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Figure 3 Kaplan-Meier malignancy-free survival curves stratified by intraductal papillary mucinous neoplasms size.

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Figure 4 Proposed algorithm for the management of suspected branch-duct intraductal papillary mucinous neoplasms without high risk stigmata or worrisome features. IAP: International Association of Pancreatology; WFs: Worrisome features; HRS: High risk stigmata.

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Figure 5 Total costs per-3 years of follow up by surveillance strategies.

Citation: Kayali S, Dibitetto S, Busatto A, Gaiani F, Pasta A, Calabrese F, Fantasia S, Caprioli S, Luzzi AP, De Angelis CG, Savarino EV, Laghi L, Giannini EG, Marabotto E. Optimizing branch-duct intraductal papillary mucinous neoplasms surveillance: Data-driven dimensional grouping for risk stratification and cost-effectiveness. World J Gastroenterol 2026; 32(20): 114867
URL: https://www.wjgnet.com/1007-9327/full/v32/i20/114867.htm
DOI: https://dx.doi.org/10.3748/wjg.v32.i20.114867

Kayali S, Dibitetto S, Busatto A, Gaiani F, Pasta A, Calabrese F, Fantasia S, Caprioli S, Luzzi AP, De Angelis CG, Savarino EV, Laghi L, Giannini EG, Marabotto E. Optimizing branch-duct intraductal papillary mucinous neoplasms surveillance: Data-driven dimensional grouping for risk stratification and cost-effectiveness. World J Gastroenterol 2026; 32(20): 114867 [DOI: 10.3748/wjg.v32.i20.114867]

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