Inclusion Criteria:  Diagnosed and histologically confirmed PDAC by biopsy Permanent street address and consent to study participation Axial CT scan consistent with PDAC No prior chemotherapy or less than 2 months of pre-operative chemotherapy for PDAC. Eastern Cooperative Oncology Group (ECOG) performance status 0-2  Exclusion Criteria:  No phone number of Male or Female patients > 18 years of age Diagnosed and histologically confirmed PDAC by biopsy No permanent street address or telephone number Pregnant patients Inmates or prisoners Unable to provide informed consent