title: Procedures and recommended times in the care process of the patient with pancreatic cancer: PAN-TIME consensus between scientific societies.
abstract: OBJECTIVE
  Pancreatic cancer (PC) is a disease with bad prognosis. It is usually diagnosed at advanced stages and its treatment is complex. The aim of this consensus document was to provide recommendations by experts that would ameliorate PC diagnosis, reduce the time to treatment, and optimize PC management by interdisciplinary teams.
  
  
  METHODS
  As a consensus method, we followed the modified Delphi methodology. A scientific committee of experts provided 40 statements that were submitted in two rounds to a panel of 87 specialists of 12 scientific societies.
  
  
  RESULTS
  Agreement was reached for 39 of the 40 proposed statements (97.5%).
  
  
  CONCLUSIONS
  Although a screening of the asymptomatic population is not a feasible option, special attention to potential symptoms during primary care could ameliorate early diagnostic. It is especially important to decrease the period until diagnostic tests are performed. This consensus could improve survival in PC patients by decreasing the time to diagnose and time to treatment and by the implementation of multidisciplinary teams.
authors.affiliation: Spanish Society of Medical Oncology, Madrid, Spain. ruth.vera.garcia@cfnavarra.es.
authors.forename: R
authors.initials: R
authors.lastname: Vera
authors.affiliation: Spanish Society of Pathological Anatomy, Madrid, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Ferrández
authors.affiliation: Spanish Society of Radiation Oncology, Madrid, Spain.
authors.forename: C J
authors.initials: CJ
authors.lastname: Ferrer
authors.affiliation: Spanish Society of General and Family Physicians, Madrid, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Flores
authors.affiliation: Spanish Society of Endocrinology and Nutrition, Madrid, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Joaquín
authors.affiliation: Spanish Society of Surgical Oncology, Madrid, Spain.
authors.forename: S
authors.initials: S
authors.lastname: López
authors.affiliation: Spanish Society of Medical Radiology/Spanish Society of Abdominal Radiology, Madrid, Spain.
authors.forename: T
authors.initials: T
authors.lastname: Martín
authors.affiliation: Spanish Association of Surgeons, Madrid, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Martín
authors.affiliation: Spanish Society of Family and Community Medicine, Madrid, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Marzo
authors.affiliation: Spanish Society of Primary Care Physicians, Madrid, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Sarrión
authors.affiliation: Spanish Association of Gastroenterology, Madrid, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Vaquero
authors.affiliation: Spanish Society of Internal Medicine, Madrid, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Zapatero
authors.affiliation: Spanish Society of Medical Oncology, Madrid, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Aparicio
mesh_terms: D032921:Consensus; D019983:Guideline Adherence / Q000592:standards*; D006801:Humans; D033183:Interdisciplinary Communication; D010190:Pancreatic Neoplasms / Q000628:therapy*; D010348:Patient Care Team / Q000592:standards*; D010818:Practice Patterns, Physicians' / Q000592:standards*; D012958:Societies, Scientific
keywords: Delphi technique; Early detection of cancer; Interdisciplinary communication; Pancreatic neoplasms; Time-to-treatment