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1
I was just diagnosed with pancreatic cancer and I have questions on options of treatment. I would greatly appreciate it if you could get back to me as soon as possible. Thank you.
[ { "description": "The response should state that the treatment of pancreatic cancer depends on the stage of the cancer.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should include surgery as a preferred option for resectable tumors.", "item_numb...
2
My friend has just been told they have a tumor extending from their pancreas that is wrapped around the celiac artery. I am trying to help them find pancreatic cancer specialists in the area.
[ { "description": "The response must provide a direct link to a list of NCI-designated cancer centers.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response must discuss the concept of resectability in pancreatic cancer, stating that involvement of major bloo...
3
I need a recommendation for tumor removal. I am currently receiving treatment at a cancer center. Under a clinical trial for radiation and chemotherapy treatment for several months now. Stage 3. The surgical team does not feel comfortable performing surgery.
[ { "description": "The response should explain the general criteria for tumor resectability and the common reasons patients may not be candidates for surgery.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should indicate that the case should be discus...
4
I wanted to know if there are any online support groups for family members of pancreatic cancer patients.
[ { "description": "The response should list PANCAN Online Community as an option.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should include the American Cancer Society (ACS) online community as an option.", "item_number": 2, "max_points": 1...
5
I have had pancreatitis for years. Due to not being able to afford medical insurance, I have not had the proper treatment or checkups. I am concerned about pancreatic cancer.
[ { "description": "The response should indicate that while chronic pancreatitis is a risk factor for pancreatic cancer, it is still not common to develop pancreatic cancer even in patients with pancreatitis.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The respon...
6
My loved one recently got diagnosed with pancreatic cancer. Please help me as I am feeling helpless and overwhelmed.
[ { "description": "The answer should provide support and note that it is normal to feel overwhelmed under the circumstance.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The answer should provide links to websites that give more information on pancreatic cancer th...
7
My loved one has stage IV pancreatic cancer and their chemotherapy stopped working. Are there any experimental treatments or clinical trials available?
[ { "description": "The answer should provide a link to ClinicalTrials.gov for information on clinical trial options.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The answer should offer to search for treatment options by location.", "item_number": 2, "max...
8
My loved one was recently diagnosed with stage IV pancreatic cancer. Both my family and the patient are completely overwhelmed and don’t know where to start.
[ { "description": "The answer should provide support and acknowledge that feeling overwhelmed under the circumstances is understandable and valid.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The answer should provide an overview of what a Stage IV diagnosis enta...
9
My loved one is in her third year with pancreatic cancer. We are looking for suggestions on vitamins and supplements that might help.
[ { "description": "The answer must recommend discussing vitamins and supplements with the oncology team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The answer must recommend maintaining a healthy and balanced diet.", "item_number": 2, "max_points": 10, ...
10
My loved one was diagnosed two months ago with stage IV and was given 3-6 months. They have had two chemo treatments and the side effects are terrible. Should we continue?
[ { "description": "The response should recommend the patient discuss their goals of care with their oncology team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that the decision to continue chemotherapy is highly personal and should be b...
11
My loved one has pancreatic cancer with liver metastases. The oncologist mentioned that there are genetic mutations that might affect treatment. What should we ask about?
[ { "description": "The answer should specify that somatic testing can be done on the tumor.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The answer should specify that germline testing is appropriate.", "item_number": 2, "max_points": 10, "min_points"...
12
My family history of pancreatic cancer is quite extensive. My father died from it, as did his father. Should I be getting screened?
[ { "description": "The answer should recommend that the patient consult a genetic counselor.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The answer should state that there is no widely accepted protocol for pancreatic cancer screening.", "item_number": 2, ...
13
My loved one has been on chemotherapy for 6 months and the CA 19-9 levels are not going down. Does this mean the treatment isn’t working?
[ { "description": "The response should state that doctors use imaging results to determine response to therapy.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that CA 19-9 is one part of what determines response to therapy.", "item_num...
14
My father had the Whipple procedure and now has diabetes. Is this normal? How do we manage this?
[ { "description": "The response should state that it is not an unexpected outcome as removing pancreas tissue will also take the islet cells which produce insulin.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should describe the incidence of post-Whi...
15
My loved one has pancreatic cancer and is losing weight very rapidly despite trying to eat. What can we do?
[ { "description": "The response must explicitly state that anorexia and weight loss are common symptoms of pancreatic cancer.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response must mention pancreatic enzyme replacement as an intervention and suggest discu...
16
My mother was diagnosed with pancreatic cancer and the doctor mentioned that she has jaundice. What does this mean and how is it treated?
[ { "description": "The answer must specify that jaundice is due to an increase in bilirubin in the blood.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The answer must state that jaundice refers to a yellowing of the skin and eyes due to elevated bilirubin levels....
17
My husband has pancreatic cancer and is experiencing severe pain. What are the options for pain management?
[ { "description": "The answer should state that pain medications, including opioids, can be used for pain management.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The answer should describe procedures, such as a celiac plexus block, that can help alleviate pain."...
18
My loved one has pancreatic cancer and we’ve been told the tumor is “unresectable.” What does this mean exactly?
[ { "description": "The answer should state that resectability is determined by the surgeons’ assessment of their ability to safely remove the entire tumor.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The answer should state that tumors are deemed not resectable ...
19
My family member with pancreatic cancer is considering stopping treatment and focusing on quality of life. How do we make this decision?
[ { "description": "The response should state that there is no single correct decision about whether to continue chemotherapy.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that the decision should be made weighing the expected benefit of ...
20
My father has pancreatic cancer and was told he has a KRAS mutation. What does this mean for his treatment?
[ { "description": "The response should state that KRAS mutations are frequently implicated in pancreatic cancer as a major driver of tumorigenesis.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that the first line of treatment would remai...
21
Are there studies for pancreatic cancer evaluating infusion of high vitamin C doses in conjunction with chemotherapy?
[ { "description": "The response must mention recent trials evaluating the use of high-dose vitamin C in combination with chemotherapy for the treatment of pancreatic cancer.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response must state that high-dose vitam...
22
Yesterday it was confirmed that my loved one has pancreatic cancer. It is believed to be stage IV and has spread to the liver. However, they were not able to confirm cancer in the liver based on the biopsy. How can this be confirmed?
[ { "description": "The response should state that a biopsy is the only way to confirm the diagnosis of metastatic cancer.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that imaging such as CT or MRI is done to evaluate for the presence of...
23
Does eating vegan stall cancer progression?
[ { "description": "The response should state that there is no good evidence to suggest that eating vegan can stall cancer progression.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should describe studies on plant-based diets in other cancers.", "...
24
How do oncologists choose between gemcitabine and nab-paclitaxel and FOLFIRINOX?
[ { "description": "The response should state that medical fitness is scored by the oncologist using the ECOG or Karnofsky performance status.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that typically patients who are more medically fit...
25
What makes pancreatic cancer resectable?
[ { "description": "The response should state that resectability is determined by the ability of the surgeon to safely remove the entire tumor and not leave any behind (R0 resection).", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that invo...
26
What are the risk factors for pancreas cancer if my father died of it?
[ { "description": "The response should state that family history of pancreas cancer is associated with increased risk.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that a family history of pancreas cancer is due to inherited gene mutatio...
27
What genetic tests are recommended for a patient with a family history of hereditary disease?
[ { "description": "The response should state that the patient should undergo genetic counseling.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that the type of genetic testing depends on the specific family history or hereditary condition...
28
My loved one was diagnosed one year ago. They just finished their 15th round of chemotherapy. I am interested to learn more about clinical trials.
[ { "description": "The response should describe the types of clinical trials.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that clinical trials are divided into three different phases.", "item_number": 2, "max_points": 10, "m...
29
How do I find clinical trials for pancreatic cancer in my area?
[ { "description": "The response must include ClinicalTrials.gov as a resource for finding clinical trials.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response must provide instructions on using the search by location function on ClinicalTrials.gov.", "i...
30
What are the risk factors associated with pancreatic cancer?
[ { "description": "The response should state that family history of pancreatic cancer is associated with increased risk.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that BRCA1/BRCA2 mutations are genetic risk factors for pancreatic canc...
31
How do I locate a pancreatic cancer specialist in my area?
[ { "description": "The response should recommend asking for a referral from their primary doctor or oncologist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should recommend using the PanCAN patient services to find a pancreatic cancer specialist.", ...
32
What Is CA 19-9?
[ { "description": "The response should define CA 19-9.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that CA 19-9 is a tumor marker produced by cancer cells and measurable in the blood.", "item_number": 2, "max_points": 10, "m...
33
What do the Numbers of a CA 19-9 Test Mean?
[ { "description": "The response should state that reference ranges can vary by lab.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that normal levels are typically less than 37 U/mL but do not rule out cancer.", "item_number": 2, "...
34
What Other Conditions Can Cause Elevated CA 19-9 Levels?
[ { "description": "The response should state that CA 19-9 can be elevated with pancreatitis.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that CA 19-9 can be elevated with liver diseases like cirrhosis or hepatitis.", "item_number": ...
35
How do I manage weight loss for my loved one during the treatment of pancreatic cancer?
[ { "description": "The response should recommend discussing weight loss with the oncology team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that pancreatic enzyme replacement can be taken to help with the absorption of nutrients from fo...
36
What are the symptoms of pancreatic cancer?
[ { "description": "The response should state that a symptom of pancreatic cancer can include unintentional weight loss.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that a symptom of pancreatic cancer can include jaundice.", "item_nu...
37
Is pancreatic cancer a hereditary disease?
[ { "description": "The response should state that most pancreatic cancer cases are sporadic and not hereditary.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that there are hereditary conditions that can lead to pancreatic cancer.", "...
38
What information can you provide on surveillance for pancreatic cancer?
[ { "description": "The response must explicitly state that routine screening is not recommended for the general population.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response must mention MRI as a surveillance modality for high-risk individuals.", "ite...
39
What are the treatments for patients with pancreatic cancer?
[ { "description": "The response should include surgery as a potential treatment modality for resectable pancreatic cancer.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should specify that chemotherapy is the backbone of treatment for metastatic or un...
40
What are the stages of pancreatic cancer?
[ { "description": "The response should state that stage 0 is a pre-cancer state, also known as pancreatic intraepithelial neoplasia or carcinoma in situ.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that stage 1 cancer is when the cancer...
41
My loved one has been on FOLFIRINOX for several months and is experiencing severe neuropathy. Are there alternatives?
[ { "description": "The response must state that neuropathy is a common side effect from the oxaliplatin in FOLFIRINOX.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response must state that the oncologist can ‘hold’ or temporarily stop oxaliplatin to manage ne...
42
My mother has pancreatic cancer and is considering participating in a clinical trial. What should we know before making this decision?
[ { "description": "The response should state that they should be informed about the aim of the clinical trial.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that they should understand the potential benefits of the clinical trial.", "...
43
My husband has pancreatic cancer and his oncologist mentioned radiation therapy. When is radiation used in pancreatic cancer treatment?
[ { "description": "Radiation can be used before surgery to help shrink borderline resectable tumors.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "Radiation can be used for locally advanced or unresectable tumors.", "item_number": 2, "max_points": 10, ...
44
My loved one has pancreatic cancer and is having trouble digesting food. The doctor mentioned enzyme supplements. What are these?
[ { "description": "The response should state that pancreatic cancer leads to enzyme deficiency.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should describe how enzyme deficiency can lead to problems with digestion.", "item_number": 2, "max_p...
45
My father has pancreatic cancer and developed a blood clot in his leg. Is this related to the cancer?
[ { "description": "The response should state that cancer is associated with an increased risk of developing blood clots.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that patients with pancreatic cancer are at increased risk of developin...
46
My mother has pancreatic cancer and we’re considering getting a second opinion. When should we do this and how do we go about it?
[ { "description": "The response must explicitly state that second opinions can be obtained at any time, including after diagnosis, before starting treatment, during treatment, or when considering clinical trials.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The r...
47
My loved one has pancreatic cancer and is considering immunotherapy. Is this effective for pancreatic cancer?
[ { "description": "The response should state that immunotherapy is currently limited to patients with mismatch repair deficiency or high microsatellite instability.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that immunotherapy is an on...
48
My husband has pancreatic cancer and the tumor has grown despite chemotherapy. What are the next steps?
[ { "description": "The response should state that they should consult with their oncologist on the potential next steps.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that the oncologist may suggest alternative standard of care therapies....
49
My loved one has pancreatic cancer and we’re hearing about CAR-T cell therapy. Is this an option for pancreatic cancer?
[ { "description": "The response should state that there is no approved CAR-T cell therapy for pancreatic cancer at this time.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should describe CAR-T cells.", "item_number": 2, "max_points": 10, ...
50
My father has pancreatic cancer and is considering hospice care. What does this involve and when should it be considered?
[ { "description": "The response should state that hospice is considered when the medical team estimates a life expectancy of 6 months or less.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that the aim of hospice is to maximize quality of...
51
My mother has pancreatic cancer and is experiencing severe fatigue from chemotherapy. How can we manage this?
[ { "description": "The response must state that fatigue is a common side effect of chemotherapy.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should recommend discussing symptoms with the oncology team.", "item_number": 2, "max_points": 10, ...
52
My loved one has pancreatic cancer and we’re considering alternative treatments like cannabis oil. What should we know?
[ { "description": "The response should state that alternative treatments like cannabis oil have not been proven to help patients with pancreatic cancer live longer or cure them.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that cannabis ...
53
My husband has pancreatic cancer and his appetite has completely disappeared. How can we encourage him to eat?
[ { "description": "The response should state that lack of appetite is a common side effect of pancreatic cancer.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that the patient should undergo consultation with their oncologist who may refe...
54
My loved one has pancreatic cancer and we live in a rural area with limited access to specialists. What are our options?
[ { "description": "The response should state that they can start with their primary doctor who can help refer to the most local community hospital with oncology services.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that if they are able...
55
My father has pancreatic cancer and his insurance is denying coverage for certain treatments. What can we do?
[ { "description": "The response should offer sympathy for the stressful situation dealing with insurance coverage.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that they can work with the hospital’s financial counselor or social worker."...
56
My mother has pancreatic cancer and is considering surgery at a high-volume center versus locally. What’s the difference?
[ { "description": "The response should define high-volume centers as those performing at least 40 or 50 Whipple procedures per year.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that treatment at a high-volume center is associated with i...
57
My loved one has pancreatic cancer and we’re worried about the financial burden of treatment. What resources are available?
[ { "description": "The response should mention the Pancreatic Cancer Action Network as a resource for financial assistance.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should mention CancerCare as a resource for financial assistance.", "item_num...
58
My husband has pancreatic cancer and is experiencing depression. How common is this and what can we do?
[ { "description": "The response should mention specific support organizations such as PanCan (Pancreatic Cancer Action Network) or CancerCare.", "item_number": 1, "max_points": 3, "min_points": 0 }, { "description": "The response recommends discussing the patient’s mood with their oncologist....
59
My loved one has pancreatic cancer and we want to understand the prognosis better. How do we interpret survival statistics?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response states that many aspects of a patient’s health impact their prognosis.", "item_number": 2, "max_points": 5, ...
60
My father has pancreatic cancer and his doctors are discussing liquid biopsies. What are these?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response explains that a liquid biopsy is a blood test.", "item_number": 2, "max_points": 5, "min_points": 0 },...
61
My mother has pancreatic cancer and we’re considering traveling to another country for treatment. What should we consider?
[ { "description": "The response considers the costs of travel.", "item_number": 1, "max_points": 3, "min_points": 0 }, { "description": "The response considers the costs of healthcare abroad.", "item_number": 2, "max_points": 3, "min_points": 0 }, { "description": "The res...
62
My loved one has pancreatic cancer and is experiencing bowel changes. Is this related to the cancer or treatment?
[ { "description": "The response states that bowel changes, including diarrhea, nausea, and constipation, are common among patients undergoing treatment for pancreatic cancer.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response mentions that chemotherapy, rad...
63
My husband has pancreatic cancer and we’re concerned about him driving while on chemotherapy. Is this safe?
[ { "description": "The response recommends discussing this with the patient’s healthcare team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states that pancreatic cancer and its treatments may affect the patient’s ability to drive safely.", "item...
64
My loved one has pancreatic cancer and wants to continue working during treatment. Is this possible?
[ { "description": "The response states that the ability to work depends on individual circumstances such as the stage of cancer, overall health, and comorbidities.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response states that the ability to work depends on...
65
My father has pancreatic cancer and is asking about medical marijuana. What should we know about this?
[ { "description": "The response explicitly recommends discussing the use of medical marijuana with the patient’s healthcare team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response explicitly states that medical marijuana is not an effective alternative tr...
66
My mother has pancreatic cancer and we’re dealing with difficult family dynamics around treatment decisions. How do we handle this?
[ { "description": "The response explicitly recommends consulting with the patient’s oncologist or healthcare team, including specific roles such as nurse practitioner or palliative care specialist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response explici...
67
My loved one has pancreatic cancer and is worried about being a burden on the family. How do we address this?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response recommends discussing this with a social worker, spiritual care worker, palliative care professional, or counselor."...
68
My husband has pancreatic cancer and his oncologist mentioned targeted therapy. What is this?
[ { "description": "The response states targeted therapies work against cancer with specific genetic mutations.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states that not all pancreatic cancers will have mutations for which targeted therapy can be u...
69
My loved one has pancreatic cancer and we’re considering integrative medicine approaches. What should we know?
[ { "description": "The response recommends discussing integrative medicine with the patient’s oncologist.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response states integrative medicine is not as effective as standard of care treatments for pancreatic cancer...
70
My father has pancreatic cancer and is experiencing skin changes from chemotherapy. Is this normal?
[ { "description": "The response recommends discussing the skin changes with the patient’s oncologist or healthcare team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states that skin changes are a common side effect of chemotherapy for pancreatic can...
71
My mother has pancreatic cancer and we want to make sure we’re asking the right questions at doctor appointments. What should we ask?
[ { "description": "The response suggests asking about the stage of the cancer.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response suggests asking about available treatment options(surgery, radiation, chemotherapy etc).", "item_number": 2, "max_point...
72
My loved one has pancreatic cancer and is considering stopping treatment to travel. How do we make this decision?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states quality of life is important.", "item_number": 2, "max_points": 5, "min_points": 0 }, { ...
73
My husband has pancreatic cancer and his port is causing problems. What are the alternatives for chemotherapy administration?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states that if there are signs or symptoms of infection at the port site, to seek immediate evaluation by a healthc...
74
My loved one has pancreatic cancer and we’re worried about infection risk during treatment. What precautions should we take?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response recommends avoiding people who have signs or symptoms of an infectious illness.", "item_number": 2, "max_poi...
75
My father has pancreatic cancer and his doctors are mentioning precision medicine. What does this mean?
[ { "description": "The response defines precision medicine as tailoring cancer treatment based on a patient’s unique tumor characteristics, such as genetic and molecular profiles, to improve effectiveness and reduce toxicity.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "descrip...
76
My mother has pancreatic cancer and is experiencing mouth sores from chemotherapy. How can we manage this?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states mouth sores are a common side effect of some chemotherapy drugs.", "item_number": 2, "max_points": 1...
77
My loved one has pancreatic cancer and we’re considering a clinical trial but are worried about getting a placebo. How do these work?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response reviews the design of clinical trials.", "item_number": 2, "max_points": 5, "min_points": 0 }, { ...
78
My husband has pancreatic cancer and his oncologist mentioned combination therapy. What does this involve?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response states there are many different types of treatment for pancreatic cancer.", "item_number": 2, "max_points": ...
79
My loved one has pancreatic cancer and we’re dealing with insurance pre-authorization issues. What can we do?
[ { "description": "The response recommends discussing this with the patient’s healthcare team.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response states oncology practices often have team members who help patients with insurance issues.", "item_number":...
80
My father has pancreatic cancer and is experiencing cognitive changes. Could this be related to treatment?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states that infections can cause cognitive changes.", "item_number": 2, "max_points": 2, "min_points": ...
81
My mother has pancreatic cancer and we’re considering a feeding tube. When is this recommended?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states feeding tubes can help patients get the nutrition and hydration they need when they are unable to eat or dri...
82
My loved one has pancreatic cancer and is worried about the impact on our children. How do we talk to kids about this?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response recommends involving a professional who can help with these challenging conversations, like a social worker or spiri...
83
My husband has pancreatic cancer and his sleep patterns have changed dramatically. Is this normal?
[ { "description": "The response states that sleep patterns can be disturbed by cancer and its treatments.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response states that sleep patterns can be disturbed by symptoms like fatigue, pain, and nausea.", "item_...
84
My loved one has pancreatic cancer and we’re considering complementary therapies like acupuncture. Are these safe during treatment?
[ { "description": "The response recommends discussing complementary therapies with the patient’s oncologist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states complementary therapies like acupuncture may improve symptoms related to cancer and its t...
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PanCanBench

PanCanBench contains 282 de-identified, authentic pancreatic cancer patient and caregiver questions paired with 3,639 expert-designed, question-specific rubric items. It is designed to evaluate how well large language model (LLM) responses address the clinical and informational needs expressed in these questions.

Each question has a weighted rubric describing content that a response should include or avoid. The dataset is in English and is provided as a single evaluation (test) split containing all 282 questions.

Question collection

Source and selection

The Patient Services team at the Pancreatic Cancer Action Network (PanCAN) purposively selected questions from submissions to its Patient Services Help Line received during 2019–2025. Selection sought broad clinical coverage, including treatments, side effects, diet and nutrition, and supportive care. The team also sought a balance of question complexity, avoiding questions that were overly simple or highly specialized.

De-identification and review

PanCAN staff manually removed or modified identifying information in the questions. This process addressed patient names, geographic locations such as cities and states, specific family relationships, details of disease stage or subtype and treatment history, and references to healthcare providers or institutions. Four PanCAN team members independently reviewed the questions to check the de-identification before data sharing.

Only the question text was shared for this project. Patient contact information and additional patient metadata were not provided. The question identifiers in this dataset index benchmark entries; they are not patient identifiers.

Topic organization

Questions were initially grouped by AI into six categories, then manually reviewed and reassigned as needed:

  • Treatment & Clinical Trials
  • Diagnosis & Screening
  • Supportive & Palliative Care
  • Genetics & Risk
  • Side Effects & Symptom Management
  • Mechanistic / Research Topics

These categories describe the organization of the question collection. The JSON file contains question identifiers, question text, and rubric items; category labels are not included as a field in this file.

Rubric development

The human-curated rubrics were developed through four stages:

  1. Independent drafting: Two oncology fellows independently drafted question-specific criteria for each assigned question.
  2. Clarification: AI-assisted refinement helped clarify the criteria for consistent application, with expert review to preserve their clinical meaning.
  3. Merging: AI merged semantically equivalent criteria from the two rubrics while retaining distinct criteria. The original two fellows reviewed the merged rubrics for missing criteria and incorrect additions.
  4. Final expert review: A third oncology fellow reviewed and finalized each rubric, with authority to add, remove, modify, or merge criteria and adjust their weights.

The released rubrics contain between 2 and 30 items per question. Weights reflect the clinical and informational importance of each criterion. Positive items reward specified content; negative items penalize specified undesirable content or omissions.

Data structure

The file rubrics_all_questions_final_version.json is a JSON object with one top-level key, questions, containing a list of 282 records. Each record has the following fields:

Field Type Description
question_number Integer Unique benchmark question identifier, from 1 to 282.
question_text String De-identified patient or caregiver question.
rubric_items List of objects The question-specific scoring criteria.

Each object in rubric_items contains:

Field Type Description
item_number Integer Criterion identifier within this question. Use it together with question_number.
description String The criterion used to evaluate a response.
min_points Integer Lower scoring endpoint: 0 for a positive item, or a negative penalty weight.
max_points Integer Upper scoring endpoint: the positive reward weight, or 0 for a penalty item.

The two point fields encode binary outcomes, not a continuous partial-credit scale. For example, an item with min_points=0 and max_points=10 contributes either 0 or 10 points. An item with min_points=-5 and max_points=0 contributes either −5 or 0 points.

Load the dataset

Install the Hugging Face Datasets library:

pip install datasets

Load the evaluation split:

from datasets import load_dataset

dataset = load_dataset("YiminZ07/PanCanBench", split="test")

print(len(dataset))  # 282
print(dataset.column_names)
# ['question_number', 'question_text', 'rubric_items']
print(sum(len(items) for items in dataset["rubric_items"]))  # 3639

question = dataset[0]
print(question["question_text"])
print(question["rubric_items"][0])

The dataset configuration reads the top-level questions array so that each question becomes one row. The test split contains the complete benchmark; no training or validation split is supplied.

If you download the JSON file directly, load the nested array explicitly:

from datasets import load_dataset

dataset = load_dataset(
    "json",
    data_files={"test": "rubrics_all_questions_final_version.json"},
    field="questions",
    split="test",
)

For reproducible evaluations, record the dataset commit and use the revision argument when loading from the Hub.

Scoring

Evaluate each response against the rubric attached to its question. For each positive item, award max_points if the response meets the criterion and 0 otherwise. For each negative item, apply min_points if the undesirable condition described in the item occurs and 0 otherwise. A penalty may refer to an omission, so the criterion's wording determines whether it applies.

For each question:

  1. Sum all awarded positive points and applied negative penalties to obtain the signed total.
  2. Sum the positive item weights (max_points) to obtain the maximum positive total.
  3. Calculate the percentage score as:
question_score = 100 × max(0, signed_total) / maximum_positive_total

The score is floored at zero after penalties are applied. For example, 80 awarded positive points and a 10-point penalty, with 100 possible positive points, give a question score of 70.

A model's mean rubric score is the arithmetic mean of its question-level percentage scores, giving each evaluated question equal weight. Genuine zero scores are included. If a response was not generated, report that missing response and the number of evaluated questions separately; the study's scoring workflow excludes explicit missing-response records from the mean. Pooling raw points across questions produces a different statistic because questions have different total weights.

The rubrics support human or automated grading. Automated evaluations should also report the judge model and grading instructions, which can affect the decisions assigned to individual items.

Intended use and limitations

PanCanBench is intended for research evaluating responses to pancreatic cancer patient and caregiver questions. Its purposive sampling emphasizes clinical breadth and does not establish population-level representativeness. The English-language Help Line setting also limits generalization to other languages and care settings.

Rubric scores measure performance against the specified criteria. They do not establish that every statement in a response is factually correct or that the response is suitable for an individual patient's care. Clinical evidence and recommendations can change over time, and the released rubrics reflect their development context.

Related resources and citation

  • Evaluation code and reproduction materials: PanCanBench on GitHub.
  • Paper: Yimin Zhao et al. PanCanBench: A Comprehensive Benchmark for Evaluating Large Language Models in Pancreatic Oncology. 2026. arXiv:2603.01343.

The original preprint describes an earlier 3,130-item rubric set. This dataset contains the revised 3,639-item set. When citing an evaluation, identify the dataset revision as well as the paper.

License

The dataset is released under the MIT license.

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