Autoimmune pancreatitis, pancreatic and extrapancreatic cancer (AIPPEAR): a multicentre, retrospective study protocol

Introduction Autoimmune pancreatitis (AIP) mainly manifests in two distinct forms with different clinical, serological and prognostic characteristics. Previous studies indicated a higher risk of malignancy in AIP patients compared with the general population. However, a direct comparison of cancer i...

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Main Authors: Jonas Rosendahl, Ivonne Regel, Julian Cardinal von Widdern, Cecilie Siggaard Knoph, Karri Kase, Christoph Ammer-Hermenau, Sara Nikolic
Format: Article
Language:English
Published: BMJ Publishing Group 2025-02-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/2/e086824.full
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author Jonas Rosendahl
Ivonne Regel
Julian Cardinal von Widdern
Cecilie Siggaard Knoph
Karri Kase
Christoph Ammer-Hermenau
Sara Nikolic
author_facet Jonas Rosendahl
Ivonne Regel
Julian Cardinal von Widdern
Cecilie Siggaard Knoph
Karri Kase
Christoph Ammer-Hermenau
Sara Nikolic
author_sort Jonas Rosendahl
collection DOAJ
description Introduction Autoimmune pancreatitis (AIP) mainly manifests in two distinct forms with different clinical, serological and prognostic characteristics. Previous studies indicated a higher risk of malignancy in AIP patients compared with the general population. However, a direct comparison of cancer incidence in AIP patients with controls from the general population has not been conducted yet.Methods and analysis This is an international, multicentre, retrospective study on patients diagnosed with AIP after 2005. Retrospective data regarding demography, AIP characteristics and cancer incidence will be extracted from the medical files of AIP patients. The primary outcome is the standardised incidence ratio of any first invasive cancer after AIP diagnosis compared with the general population. The expected number of cancers in the general population will be determined using the ‘Cancer Incidence in Five Continents Volume XI’ registry. Secondary outcomes are the prevalence of all cancer diagnoses within 12 months prior to AIP diagnosis and AIP features associated with a cancer diagnosis.Ethics and dissemination This study was approved by the ethics committees of the autoimmune pancreatitis, pancreatic and extrapancreatic cancer (AIPPEAR) core group centres (Halle (Saale), Germany; Aalborg, Denmark; Tartu, Estonia; Munich, Germany; Göttingen, Germany; Maribor, Slovenia, with the following reference numbers: 2023–204, 2023–0 29 953, 382 /T-3, 24–0768, 9/7/23, UKC-MB-KME 59/23, respectively). Where required, the study protocol will be reviewed and approved by the ethics committees of participating centres in compliance with local regulations. Data will be stored in an electronic case report form within REDCap. In this context, the AIPPEAR core group will share joint responsibility for the data. All results from this study will be submitted to international, peer-reviewed journals and presented at international conferences.Trial registration number NCT06328101.
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spelling doaj-art-07b81f79c62d45809c4399a0aecefd4a2025-08-20T02:12:58ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2024-086824Autoimmune pancreatitis, pancreatic and extrapancreatic cancer (AIPPEAR): a multicentre, retrospective study protocolJonas Rosendahl0Ivonne Regel1Julian Cardinal von Widdern2Cecilie Siggaard Knoph3Karri Kase4Christoph Ammer-Hermenau5Sara Nikolic61 Department for Internal Medicine I (Gastroenterology, Pulmonology), University Hospital Halle Department of Internal Medicine, Halle, Germany4 Department of Medicine II, University Hospital of Munich, Munchen, Germany1 Department for Internal Medicine I (Gastroenterology, Pulmonology), University Hospital Halle Department of Internal Medicine, Halle, Germany2 Department of Gastroenterology and Hepatology, Aalborg University Hospital, Aalborg, Denmark3 Department of General and Plastic Surgery, Tartu University Hospital, Tartu, Estonia5 Department for Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Hospital Göttingen, Göttingen, Germany6 Department of Gastroenterology and Endoscopy, University Medical Center Maribor, Maribor, SloveniaIntroduction Autoimmune pancreatitis (AIP) mainly manifests in two distinct forms with different clinical, serological and prognostic characteristics. Previous studies indicated a higher risk of malignancy in AIP patients compared with the general population. However, a direct comparison of cancer incidence in AIP patients with controls from the general population has not been conducted yet.Methods and analysis This is an international, multicentre, retrospective study on patients diagnosed with AIP after 2005. Retrospective data regarding demography, AIP characteristics and cancer incidence will be extracted from the medical files of AIP patients. The primary outcome is the standardised incidence ratio of any first invasive cancer after AIP diagnosis compared with the general population. The expected number of cancers in the general population will be determined using the ‘Cancer Incidence in Five Continents Volume XI’ registry. Secondary outcomes are the prevalence of all cancer diagnoses within 12 months prior to AIP diagnosis and AIP features associated with a cancer diagnosis.Ethics and dissemination This study was approved by the ethics committees of the autoimmune pancreatitis, pancreatic and extrapancreatic cancer (AIPPEAR) core group centres (Halle (Saale), Germany; Aalborg, Denmark; Tartu, Estonia; Munich, Germany; Göttingen, Germany; Maribor, Slovenia, with the following reference numbers: 2023–204, 2023–0 29 953, 382 /T-3, 24–0768, 9/7/23, UKC-MB-KME 59/23, respectively). Where required, the study protocol will be reviewed and approved by the ethics committees of participating centres in compliance with local regulations. Data will be stored in an electronic case report form within REDCap. In this context, the AIPPEAR core group will share joint responsibility for the data. All results from this study will be submitted to international, peer-reviewed journals and presented at international conferences.Trial registration number NCT06328101.https://bmjopen.bmj.com/content/15/2/e086824.full
spellingShingle Jonas Rosendahl
Ivonne Regel
Julian Cardinal von Widdern
Cecilie Siggaard Knoph
Karri Kase
Christoph Ammer-Hermenau
Sara Nikolic
Autoimmune pancreatitis, pancreatic and extrapancreatic cancer (AIPPEAR): a multicentre, retrospective study protocol
BMJ Open
title Autoimmune pancreatitis, pancreatic and extrapancreatic cancer (AIPPEAR): a multicentre, retrospective study protocol
title_full Autoimmune pancreatitis, pancreatic and extrapancreatic cancer (AIPPEAR): a multicentre, retrospective study protocol
title_fullStr Autoimmune pancreatitis, pancreatic and extrapancreatic cancer (AIPPEAR): a multicentre, retrospective study protocol
title_full_unstemmed Autoimmune pancreatitis, pancreatic and extrapancreatic cancer (AIPPEAR): a multicentre, retrospective study protocol
title_short Autoimmune pancreatitis, pancreatic and extrapancreatic cancer (AIPPEAR): a multicentre, retrospective study protocol
title_sort autoimmune pancreatitis pancreatic and extrapancreatic cancer aippear a multicentre retrospective study protocol
url https://bmjopen.bmj.com/content/15/2/e086824.full
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