Chronic pancreatitis — alcoholic etiology (≥10y heavy use), hereditary (PRSS1 or SPINK1 p...
Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.
| ID | RF-CHRONIC-PANCREATITIS-PDAC-PREVENTION |
|---|---|
| Type | Red flag |
| Status | reviewed 2026-05-18 | pending_clinical_signoff |
| Diseases | DIS-PDAC |
| Sources | SRC-NCCN-BCELL-2025 |
Red Flag Origin
| Definition | Chronic pancreatitis — alcoholic etiology (≥10y heavy use), hereditary (PRSS1 or SPINK1 pathogenic variant), or new-onset diabetes after age 50 with pancreatic stigmata. Lifetime PDAC risk: ~5% in alcoholic chronic pancreatitis; ~40-50% in hereditary pancreatitis by age 70 (per EUROPAC). Engine routes to PreventionPlan with PDAC surveillance + risk-factor modification. |
|---|---|
| Clinical direction | investigate |
| Category | other |
Trigger Logic
{
"any_of": [
{
"finding": "chronic_pancreatitis_alcohol_associated_duration_ge_10y",
"value": true
},
{
"finding": "chronic_pancreatitis_hereditary_pancreatitis_prss1_or_spink1",
"value": true
},
{
"finding": "chronic_pancreatitis_with_diabetes_new_onset_after_50",
"value": true
}
],
"type": "lab_value"
}
Notes
Prevention-persona RedFlag for chronic pancreatitis → PDAC. Hereditary pancreatitis carries highest risk (~40-50% lifetime). STUB pending two-Co-Lead signoff.
Used By
Indications
IND-CHRONIC-PANCREATITIS-PDAC-PREVENTION-OBSERVATION- IND-CHRONIC-PANCREATITIS-PDAC-PREVENTION-OBSERVATIONIND-CHRONIC-PANCREATITIS-PDAC-PREVENTION-SURVEILLANCE- IND-CHRONIC-PANCREATITIS-PDAC-PREVENTION-SURVEILLANCE