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Cost analysis indicates that the case-specific or routine use of laparoscopy in pancreatic cancer does not add significantly to the overall expense of treatment and supports the use of laparoscopy in patients with known or suspected pancreatic adenocarcinoma.

BACKGROUND: The use of adjuvant chemoradiation for pancreatic adenocarcinoma (PAC) is accepted in North America, but there is a paucity of data to support this practice. The relation between adjuvant therapy and survival was assessed in a population-based cohort of patients with PAC. METHODS: A review was conducted of all cases of resected PAC from 1996 to 2003 using data from the state cancer registry augmented with data from primary medical record review. Use of adjuvant therapy was ascertained from registry data. Survival was assessed using the Kaplan-Meier method, and a Cox proportional hazards model was developed for multivariate analysis. RESULTS: A total of 298 patients from 27 hospitals met criteria for inclusion. There were 228 patients (76.5%) who were resected with curative intent, with a median overall survival of 12 months. The 6-month, 1-year, and 5-year survival rates were 80.2%, 58.4%, and 6.7%, respectively. Of the 228 patients resected, 122 (53.5%) received adjuvant treatment and had a median survival of 13.0 months versus 11.0 months for those with no adjuvant treatment (P ¼ .16). After adjustment for surrogates of performance status, significant predictors of overall survival included no weight loss, T1/T2 pathologic stage, a microscopically complete resection (R0), and receipt of adjuvant therapy. CONCLUSIONS: An R0 resection and adjuvant therapy were found to be independently associated with an increase in overall survival in patients with resected PAC. These data underscore the importance of adjuvant therapy in resected PAC and the need for ongoing clinical trials to refine the efficacy and timing of adjuvant therapy in this disease. Cancer 2010;116:2932-40.

Two bolts of cotton duck fabric that meet military specifications and the purchasing guidelines described by the National Institute of Standards and Technology (NIST) for use as a substrate in "Test Methods for Quantifying the Propensity of Cigarettes to Ignite Soft Furnishings" were tested with smoldering cigarettes to determine the effect of inter-bolt variations on cigarette ignition propensity test outcome. The test was designed around an ASTM method that calls for the control of all known test variables, except for those inherent to the fabric's manufacture. The ignitability of each fabric was determined by testing two sets of 48 replications for each of two experimental cigarettes. The two bolts of cotton duck fabric showed a statistically significant difference in ignitions, independent of environmental and experimental fac tors. Two additional bolts of cotton duck #4 were analyzed. Cigarette ignition test results and the physical parameters of the additional bolts offer evidence that the NIST specifications are difficult to meet and further that test results are extremely sensitive to fabric properties.