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Jefferson Pancreas Tumor Registry (JPTR)

How Do I Join?

30 Minutes

Participants are asked to complete a detailed questionnaire (available through the links below or through the mail) and may be asked to submit a blood sample and/or cheek swab. The procedure for collection of blood samples and/or cheek swabs is outlined in detail in the Informed Consent form, which participants must read and sign before completing the questionnaire.

There are three versions of the Registry questionnaire:

  1. One to be filled out by the patient 
  2. One to be filled out by a family member on behalf of the patient 
    (in the event that the patient is deceased or unable complete the form)
  3. One to be filled out by nonaffected family members 
    Nonaffected family members are first-degree relatives (parents, siblings, offspring) or spouses

The questionnaires are designed to collect the family health history of a patient with pancreatic cancer or a nonaffected family member and to document exposure to occupational and environmental factors, such as residential radon, asbestos and second-hand tobacco smoke.

It is important to sign and return the Informed Consent Form. A signed informed consent form is required from every participant. Each questionnaire takes approximately 30 minutes to complete.