{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:15:51Z","timestamp":1788347751242,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Optimal care pathways (OCP) were developed in Australia as a framework to define quality and timeliness targets. The 2022 National Pancreatic Cancer Roadmap highlighted a paucity of population\u2010level data on pancreatic cancer management in Australia, such that compliance with OCP targets is uncertain. This study used real\u2010world data to compare pancreatic cancer care in Victoria, Australia, against OCP targets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data collected on pancreatic cancer patients between January 2016 and July 2025 were extracted from the PURPLE registry for five Victorian tertiary hospitals. Care processes and timeliness outcomes were compared with OCP benchmarks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>1878 patients were identified, with a median age of 70\u2009years. At diagnosis, 41% had metastatic disease and 69% were ECOG performance status 0\u20131. Median interval from diagnosis to surgery was 20\u2009days (OCP benchmark \u2264\u200928\u2009days) with 60% of patients operated on within the timeframe, and to adjuvant therapy 55\u2009days with 88% of patients receiving chemotherapy within the OCP benchmark of \u2264\u200984\u2009days. However, just 33% received neoadjuvant chemotherapy, and 38% received palliative chemotherapy within the 28\u2010day timeframe for commencing systemic treatment. Palliative care referral occurred in 65% of patients with advanced disease and 61% were discussed at a multidisciplinary meeting. Marked inter\u2010site variation was evident across metrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In Victoria, Australia, pancreatic cancer care variably met OCP targets. Real\u2010world registry data can identify domains of care where performance is strong and highlight opportunities for process improvement and resource optimisation. Where OCP targets are rarely achieved, these findings support review of their real\u2010world feasibility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70705","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:35:32Z","timestamp":1777451732000},"page":"1988-1998","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Timeliness of Care and Treatment Patterns for Pancreatic Cancer in Victoria, Australia: Comparison With Optimal Care Pathways Targets"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6267-7880","authenticated-orcid":false,"given":"Sam","family":"Banks","sequence":"first","affiliation":[{"name":"Personalised Oncology Division Walter &amp; Eliza Hall Institute of Medical Research  Melbourne Victoria Australia"},{"name":"Cabrini Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Lee","sequence":"additional","affiliation":[{"name":"Personalised Oncology Division Walter &amp; Eliza Hall Institute of Medical Research  Melbourne Victoria Australia"},{"name":"Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"},{"name":"Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"The Northern Hospital  Epping Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Ayres","sequence":"additional","affiliation":[{"name":"Personalised Oncology Division Walter &amp; Eliza Hall Institute of Medical Research  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silja","family":"Schrader","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Thomson","sequence":"additional","affiliation":[{"name":"Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin P. T.","family":"Loveday","sequence":"additional","affiliation":[{"name":"Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Michael","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"},{"name":"Peter MacCallum Cancer Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances","family":"Barnett","sequence":"additional","affiliation":[{"name":"The Northern Hospital  Epping Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue\u2010Anne","family":"McLachlan","sequence":"additional","affiliation":[{"name":"St Vincents Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett","family":"Knowles","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"},{"name":"Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"St Vincents Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4866-276X","authenticated-orcid":false,"given":"Mehrdad","family":"Nikfarjam","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"},{"name":"Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5274-6336","authenticated-orcid":false,"given":"Jon","family":"Emery","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Gibbs","sequence":"additional","affiliation":[{"name":"Personalised Oncology Division Walter &amp; Eliza Hall Institute of Medical Research  Melbourne Victoria Australia"},{"name":"Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"},{"name":"Western Health  Footscray Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Cancer Data in Australia: How Are Pancreatic Cancer Rates Changing?","author":"AIHW","year":"2023"},{"key":"e_1_2_10_3_1","volume-title":"Pancreatic Cancer in Australia Statistics","author":"Cancer A.","year":"2024"},{"key":"e_1_2_10_4_1","volume-title":"SEER Cancer Statistics Review, 1975\u20132020","author":"National Cancer I, Surveillance E, End Results P","year":"2023"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.37349\/etat.2025.1002299"},{"key":"e_1_2_10_6_1","volume-title":"The Optimal Care Pathway for Pancreatic Cancer","author":"Pancreatic Cancer UK","year":"2022"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18522"},{"key":"e_1_2_10_8_1","volume-title":"Report on the National Pancreatic Cancer Roadmap","author":"Australia C","year":"2021"},{"key":"e_1_2_10_9_1","volume-title":"Optimal Care Pathway for People With Pancreatic Cancer","author":"Victoria CCVaDoH","year":"2021"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14174131"},{"key":"e_1_2_10_11_1","first-page":"WA2023","volume-title":"Microsoft Excel","author":"Corporation M","year":"2023"},{"key":"e_1_2_10_12_1","volume-title":"R: A Language and Environment for Statistical Computing","author":"Team RC","year":"2023"},{"key":"e_1_2_10_13_1","volume-title":"Timely Palliative Care Referrals for Incurable Oesophagogastric and Pancreatic Cancer: Gippsland Region, 2022\u20132023 Project Report","author":"Victorian Integrated Cancer S","year":"2023"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10046"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2011.07.048"},{"key":"e_1_2_10_16_1","volume-title":"NCCN Clinical Practice Guidelines in Oncology: Pancreatic Adenocarcinoma. 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