Publication Name	World Journal of Gastroenterology
Manuscript ID	119592
Country	China

Category	Oncology
Manuscript Type	Observational Study
Article Title	Spatiotemporal trends in pancreatic cancer incidence from 2013 to 2023 in Gansu Province, Northwest China: A regional study
Manuscript Source	Unsolicited Manuscript
All Author List	Yan-Mei Gu, Jie Liu, Ying-Ying Wang, Gang-Li Liu, Yuan-Yuan Li, Xiao-Mei Li, Yang Zhao, Hui-Juan Cheng, Jun Zhao and Yu-Min Li
Funding Agency and Grant Number	Funding Agency Grant Number Cuiying Science and Technology Innovation Program Project of the Second Hospital of Lanzhou University CY2022-MS-A18 Chief Scientist Project of the Science and Technology Department of Gansu Province 22JR9KA002
Corresponding Author	Yu-Min Li, Chief Physician, MD, PhD, Professor, Department of General Surgery, Lanzhou University Second Hospital, No. 82 Cuiying Gate, Lanzhou 730030, Gansu Province, China. liym@lzu.edu.cn
Key Words	Pancreatic cancer; Spatiotemporal analysis; Incidence; Trend; China; Climate
Core Tip	Using province-level multi-center hospital surveillance data from 262 hospitals in Gansu Province, China from 2013 to 2023, we quantified pancreatic cancer incidence trends and mapped county-level spatiotemporal clusters. It was found that age-standarded incidence increased from 2.39 per 100000 people to 3.23 per 100000 population, with consistently higher rates in men and older adults. Spatial autocorrelation and SaTScan revealed persistent high-risk hotspots concentrated in the Hexi region, and an increasing burden in the Dwb climate zone. These results provide an evidence for targeted prevention, earlier diagnosis, and resource allocation in high-risk counties.
Citation	Gu YM, Liu J, Wang YY, Liu GL, Li YY, Li XM, Zhao Y, Cheng HJ, Zhao J, Li YM. Spatiotemporal trends in pancreatic cancer incidence from 2013 to 2023 in Gansu Province, Northwest China: A regional study. World J Gastroenterol 2026; In press

Received	2026-02-06 02:24
Peer-Review Started	2026-02-06 02:25
First Decision by Editorial Office Director	2026-02-25 09:07
Return for Revision	2026-02-25 09:07
Revised	2026-03-06 09:50
Publication Fee Transferred	2026-03-09 09:31
Second Decision by Editor	2026-04-16 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-04-16 07:30
Articles in Press	2026-04-16 07:30
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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