Evidence map›Paper›PMID 20368574›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2010

Development of a multimarker assay for early detection of ovarian cancer.

Zoya Yurkovetsky, Steven Skates, Aleksey Lomakin, Brian Nolen, Trenton Pulsipher, Francesmary Modugno, Jeffrey Marks, Andrew Godwin, Elieser Gorelik, Ian Jacobs and 5 more

Open access · greenAbstract readComparative StudyValidation Study
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 5 pooled it
35.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

116 citing papers in PubMed, 5 syntheses or guidelines pooled it, 279 citations in OpenAlex.

  1. Causal inference in the diagnosis and prognosis of ovarian cancer: current state and future directions.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Molecular Management of High-Grade Serous Ovarian Carcinoma.International journal of molecular sciences · 2022
    Review
  20. Article

56 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Zoya YurkovetskyUniversity of Pittsburgh Hillman Cancer Center, 5117 Centre Ave, Pittsburgh, PA 15213, USA.
Steven Skates
Aleksey Lomakin
Brian Nolen
Trenton Pulsipher
Francesmary Modugno
Jeffrey Marks
Andrew Godwin
Elieser Gorelik
Ian Jacobs
Usha Menon
Karen Lu
Donna Badgwell
Robert C Bast
Anna E Lokshin
UPMC Hillman Cancer Center · US

Funding

UNIVERSITY OF TEXAS MD ANDERSON SPORE IN OVARIAN CANCERP50CA083639 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BAST, ROBERT C · 1999 to 2015
$33.0M
Novel Serum, Plasma, and Urine Biomarkers of Ovarian CanP50CA105009 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CRAMER, DANIEL WILLIAM · 2004 to 2010
$13.3M
PROTEOMIC/EPIDMIOLOGIC PATHS TO OVARIAN CANCER SCREENINGU01CA086381 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CRAMER, DANIEL WILLIAM · 2000 to 2010
$9.0M
Urine and Serum Biomarkers for Screening and Diagnosis of Ovarian CancerR01CA108990 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LOKSHIN, ANNA E. · 2005 to 2014
$5.3M
Identification of Early Markers for Ovarian CancerR01CA098642 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LOKSHIN, ANNA E. · 2003 to 2006
$1.3M
Medical Research Council G0801228Medical Research Council G9901012NCI NIH HHS CA086381NCI NIH HHS CA105009NCI NIH HHS P50 CA083639NCI NIH HHS P50 CA105009NCI NIH HHS R01 CA098642NCI NIH HHS R01 CA108990NCI NIH HHS U01 CA086381
6 · The paper itself

Abstract

purposeEarly detection of ovarian cancer has great promise to improve clinical outcome. PATIENTS AND

methodsNinety-six serum biomarkers were analyzed in sera from healthy women and from patients with ovarian cancer, benign pelvic tumors, and breast, colorectal, and lung cancers, using multiplex xMAP bead-based immunoassays. A Metropolis algorithm with Monte Carlo simulation (MMC) was used for analysis of the data.

resultsA training set, including sera from 139 patients with early-stage ovarian cancer, 149 patients with late-stage ovarian cancer, and 1,102 healthy women, was analyzed with MMC algorithm and cross validation to identify an optimal biomarker panel discriminating early-stage cancer from healthy controls. The four-biomarker panel providing the highest diagnostic power of 86% sensitivity (SN) for early-stage and 93% SN for late-stage ovarian cancer at 98% specificity (SP) was comprised of CA-125, HE4, CEA, and VCAM-1. This model was applied to an independent blinded validation set consisting of sera from 44 patients with early-stage ovarian cancer, 124 patients with late-stage ovarian cancer, and 929 healthy women, providing unbiased estimates of 86% SN for stage I and II and 95% SN for stage III and IV disease at 98% SP. This panel was selective for ovarian cancer showing SN of 33% for benign pelvic disease, SN of 6% for breast cancer, SN of 0% for colorectal cancer, and SN of 36% for lung cancer.

conclusionA panel of CA-125, HE4, CEA, and VCAM-1, after additional validation, could serve as an initial stage in a screening strategy for epithelial ovarian cancer.

Indexed as

ImmunoassayAgedAged, 80 and overAlgorithmsbeta-DefensinsBiomarkers, TumorCA-125 AntigenCarcinoembryonic AntigenData Interpretation, StatisticalEarly Detection of CancerEpididymal Secretory ProteinsFemaleHumansMass ScreeningMiddle AgedMonte Carlo Methodbeta-DefensinsBiomarkers, TumorCA-125 AntigenCarcinoembryonic AntigenDEFB126 protein, humanEpididymal Secretory ProteinsVascular Cell Adhesion Molecule-1

Identifiers

PMID20368574
PMCPMC2860434
OpenAlexW2145803449

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.