Background: Population-based data on distal cholangiocarcinoma (DCC) from the Western world are
not available, albeit essential to identify areas for improvement. This study investigated the incidence,
treatment and outcomes, including time trends and predictors for survival, in a nationwide cohort
of DCC.
Methods: This is a retrospective cohort study of patients diagnosed with DCC (2009–2016)
derived from the Netherlands Cancer Registry. Overall survival (OS) and its predictors were analyzed
using Kaplan–Meier and Cox regres