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Statistical Analysis To address potential confounding, cohorts were balanced using 1:1 greedy nearest-neighbor propensity score matching based on age at index, sex, race, ethnicity, BMI 30, HbA1c 8, and comorbidities including tobacco use, alcohol use, hypertension, diabetes mellitus, hyperlipidemia, obesity, presence of pancreatic cysts, and use of anti-diabetic medications (insulin, metformin, and SGLT-2 inhibitors)

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& Hernndez-Crdoba, M