With limited evidence, the benefit of adjuvant chemotherapy (AT) after completion of neoadjuvant chemotherapy (NT) and surgical resection in patients with pancreatic adenocarcinoma is debated. The National Cancer Database from 2006 to 2015 was used to identify patients undergoing NT. Results of this study (http://doi.org/10.1245/s10434-020-09546-8) suggest that, in patients with pancreatic adenocarcinoma, additional adjuvant chemotherapy is beneficial in subgroups with low-risk pathologic features who have undergone neoadjuvant chemotherapy and surgical resection.

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