ALB and pancreatic adenocarcinoma: To mitigate the impact of the missing information on performance status, we included information on other variables that could be associated with both receipt of adjuvant chemotherapy and survival, e.g. comorbidity, ASA score, and albumin.50 The postoperative serum albumin recovery rate has been suggested to be a prognostic factor in patients with resected pancreatic adenocarcinoma.46 We saw that late initiators had a higher increase in albumin levels than early initiators, as well as higher pretreatment values.