Chronic pancreatitis — DVA SoP factors

Reasonable Hypothesis (RH) — Statement of Principles No. 64 of 2020

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting chronic pancreatitis or death from chronic pancreatitis with the circumstances of a person's relevant service:

1. (1)
   having smoked at least 20 pack-years of tobacco products before the clinical onset of chronic pancreatitis, and where smoking has ceased, the clinical onset of chronic pancreatitis has occurred within ten years of cessation;

   Note: pack-year of tobacco products is defined in the Schedule 1 - Dictionary.

2. (2)
   having consumed a cumulative total of at least 90 kilograms of alcohol within any five year period before the clinical onset of chronic pancreatitis and where alcohol consumption has ceased, the clinical onset of chronic pancreatitis has occurred within ten years of cessation;

   Note: Alcohol consumption is calculated utilising the Australian Standard of ten grams of alcohol per standard alcoholic drink.

3. (3)
   undergoing a course of therapeutic radiation for cancer, where the pancreas was in the field of radiation, at least one year before the clinical onset of chronic pancreatitis;
4. (4)
   having complete or partial obstruction of the ductal system draining the secretions of the exocrine pancreas at the time of the clinical onset of chronic pancreatitis;
5. (5)
   having cholelithiasis at the time of the clinical onset of chronic pancreatitis;
6. (6)
   having hyperparathyroidism at the time of the clinical onset of chronic pancreatitis;
7. (7)
   having hypertriglyceridaemia resulting in triglyceride levels above 11.3 millimoles per litre (or 1,000 milligrams per decilitre) at the time of the clinical onset of chronic pancreatitis;
8. (8)
   having an episode of acute pancreatitis before the clinical onset of chronic pancreatitis;
9. (9)
   having chronic renal failure before the clinical onset of chronic pancreatitis;

   Note: chronic renal failure is defined in the Schedule 1 - Dictionary.

10. (10)
    inability to obtain appropriate clinical management for chronic pancreatitis;

Aggravation-only factors: the factors in subsection 9(10) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.