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Peer-reviewedCC BYEpidemiologia

Deaths Mentioning Both Pancreatic Cancer and Renal Failure in the United States, 1999–2024: Temporal Trends and Disparities

7 affiliations
  1. 1Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S5 7AU, UK
  2. 2Department of General Medicine, CMH Multan Institute of Medical Sciences, Multan 6000, Pakistan
  3. 3Department of General Medicine, Barasat Government Medical College and Hospital, Barasat 700124, India
  4. 4Department of Hospital Medicine, Yale New Haven Hospital, New Haven, CT 06510, USA
  5. 5Division of Gastroenterology, Hepatology & Motility, The University of Kansas School of Medicine, Kansas City, KS 66160, USA
  6. 6School of Medical Science and Technology, Indian Institute of Technology Kharagpur, Kharagpur 721302, India
  7. 7School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK

Abstract

Background: We examined temporal trends in deaths mentioning both pancreatic cancer and renal failure in the United States. Methods: We analyzed CDC WONDER multiple-cause-of-death data for adults aged ≥25 years from 1999 to 2024. Age-adjusted mortality rates (AAMRs) were assessed using Joinpoint regression. Secondary analyses quantified renal-failure co-recording among pancreatic-cancer-involving deaths, renal-failure subtypes, disparities, and comparisons with lung and bronchus, colorectal, and liver and intrahepatic bile duct cancers. Results: Overall, 31,497 deaths mentioned both conditions. The AAMR increased from 0.37 per 100,000 in 1999 to 0.82 in 2024, with the most rapid increase during 2018–2024 (annual percentage change, 10.77%; 95% CI, 7.18–18.22%). Renal failure was co-recorded in 2.98% of pancreatic-cancer-involving deaths. Corresponding proportions were 2.37% for lung and bronchus, 4.75% for colorectal, and 5.77% for liver and intrahepatic bile duct cancer; recent trends did not differ significantly from pancreatic cancer. Acute kidney failure was the most frequently recorded renal subtype (43.22%). In 2024, AAMRs were higher among males and highest among non-Hispanic Black individuals. Conclusions: Renal-failure co-recording with pancreatic cancer increased markedly after 2018 but was not unique to pancreatic cancer. Death-certificate data do not establish temporal sequence or causality; linked clinical data are needed to clarify potentially modifiable kidney-related pathways.

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BibTeX
@article{dhali2026deaths,
  title = {{Deaths Mentioning Both Pancreatic Cancer and Renal Failure in the United States, 1999–2024: Temporal Trends and Disparities}},
  author = {Arkadeep Dhali and Ali Shan Hafeez and Jyotirmoy Biswas and Ashish Sharma and Dushyant Singh Dahiya and Rick Maity and Saikat Mandal},
  journal = {Epidemiologia},
  year = {2026},
  month = sep,
  doi = {10.3390/epidemiologia7050124},
  url = {https://doi.org/10.3390/epidemiologia7050124},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Deaths Mentioning Both Pancreatic Cancer and Renal Failure in the United States, 1999–2024: Temporal Trends and Disparities
AU  - Arkadeep Dhali
AU  - Ali Shan Hafeez
AU  - Jyotirmoy Biswas
AU  - Ashish Sharma
AU  - Dushyant Singh Dahiya
AU  - Rick Maity
AU  - Saikat Mandal
PY  - 2026
DA  - 2026/09/01
JO  - Epidemiologia
DO  - 10.3390/epidemiologia7050124
UR  - https://doi.org/10.3390/epidemiologia7050124
AB  - Background: We examined temporal trends in deaths mentioning both pancreatic cancer and renal failure in the United States. Methods: We analyzed CDC WONDER multiple-cause-of-death data for adults aged ≥25 years from 1999 to 2024. Age-adjusted mortality rates (AAMRs) were assessed using Joinpoint regression. Secondary analyses quantified renal-failure co-recording among pancreatic-cancer-involving deaths, renal-failure subtypes, disparities, and comparisons with lung and bronchus, colorectal, and liver and intrahepatic bile duct cancers. Results: Overall, 31,497 deaths mentioned both conditions. The AAMR increased from 0.37 per 100,000 in 1999 to 0.82 in 2024, with the most rapid increase during 2018–2024 (annual percentage change, 10.77%; 95% CI, 7.18–18.22%). Renal failure was co-recorded in 2.98% of pancreatic-cancer-involving deaths. Corresponding proportions were 2.37% for lung and bronchus, 4.75% for colorectal, and 5.77% for liver and intrahepatic bile duct cancer; recent trends did not differ significantly from pancreatic cancer. Acute kidney failure was the most frequently recorded renal subtype (43.22%). In 2024, AAMRs were higher among males and highest among non-Hispanic Black individuals. Conclusions: Renal-failure co-recording with pancreatic cancer increased markedly after 2018 but was not unique to pancreatic cancer. Death-certificate data do not establish temporal sequence or causality; linked clinical data are needed to clarify potentially modifiable kidney-related pathways.
SN  - 2673-3986
ER  -