Evidence map›Paper›PMID 21372037›Full record

ArticleCancer prevention research (Philadelphia, Pa.)2011

A framework for evaluating biomarkers for early detection: validation of biomarker panels for ovarian cancer.

Claire S Zhu, Paul F Pinsky, Daniel W Cramer, David F Ransohoff, Patricia Hartge, Ruth M Pfeiffer, Nicole Urban, Gil Mor, Robert C Bast, Lee E Moore and 18 more

Open access · greenAbstract read
In one paragraph

Article in Cancer prevention research (Philadelphia, Pa.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 2 pooled it
31.8field-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

98 citing papers in PubMed, 2 syntheses or guidelines pooled it, 187 citations in OpenAlex.

  1. Elevated Cardiac Troponin to Detect Acute Cellular Rejection After Cardiac Transplantation: A Systematic Review and Meta-Analysis.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Pooled it
  2. Pooled it
  3. Trial
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  8. Designing early detection programs for ovarian cancer.Annals of oncology : official journal of the European Society for Medical Oncology · 2011
    Trial
  9. Article
  10. Framework to Select Multi-Cancer Detection Assays in the National Cancer Institute's Vanguard Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  11. Early detection of pancreatic cancer: Study design and analytical considerations in biomarker discovery and early phase validation studies.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Early Detection of Ovarian Cancer.Cold Spring Harbor perspectives in medicine · 2023
    Review
  16. Article
  17. Article
  18. MS-Based Proteomics of Body Fluids: The End of the Beginning.Molecular & cellular proteomics : MCP · 2023
    Article
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 4 institutions in 1 country.

Claire S ZhuDivision of Cancer Prevention, National Cancer Institute, National Institute of Health, Bethesda, MD 20892-7346, USA. bergc@mail.nih.gov
Paul F Pinsky
Daniel W Cramer
David F Ransohoff
Patricia Hartge
Ruth M Pfeiffer
Nicole Urban
Gil Mor
Robert C Bast
Lee E Moore
Anna E Lokshin
Martin W McIntosh
Steven J Skates
Allison Vitonis
Zhen Zhang
David C Ward
James T Symanowski
Aleksey Lomakin
Eric T Fung
Patrick M Sluss
Nathalie Scholler
Karen H Lu
Adele M Marrangoni
Christos Patriotis
Sudhir Srivastava
Saundra S Buys
Christine D Berg
PLCO Project Team
Cancer Research Center · USNational Cancer Institute · USFred Hutch Cancer Center · USUniversity of North Carolina at Chapel Hill · US

Funding

Vaccinating against IGFBP-2 to prevent ovarian cancer relapseP50CA083636 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DRESCHER, CHARLES, URBAN, NICOLE DENISE · 1999 to 2015
$35.1M
INTEGRATED DEVELOPMENT OF NOVEL MOLECULAR MARKERSU01CA084986 · NCI · JOHNS HOPKINS UNIVERSITY · PI SIDRANSKY, DAVID · 1999 to 2014
$33.8M
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
PROTEOMIC/EPIDMIOLOGIC PATHS TO OVARIAN CANCER SCREENINGU01CA086381 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CRAMER, DANIEL WILLIAM · 2000 to 2010
$9.0M
MyD88-bearing tumors in immune-regulation and chemo-resistanceR01CA127913 · NCI · YALE UNIVERSITY · PI MOR, GIL G · 2008 to 2012
$1.7M
PROSTATE, LUNG, COLORECTAL AND OVARIAN (PLCO) CANCERN01CN025514 · CN · UNIVERSITY OF COLORADO DENVER · PI CRAWFORD, E DAVID · 1992 to 2000
$1.3M
PROSTATE, LUNG, COLORECTAL AND OVARIAN (PLCO) CANCER SCREENING TRIA-261925514N01CA025514 · NCI · UNIVERSITY OF COLORADO HEALTH · 2002 to 2003
–
NCI NIH HHS 5U01 CA86381NCI NIH HHS N01 CN025514NCI NIH HHS P50 CA083636NCI NIH HHS P50 CA083639NCI NIH HHS R01 CA127913NCI NIH HHS U01 CA084986NCI NIH HHS U01 CA086381
6 · The paper itself

Abstract

A panel of biomarkers may improve predictive performance over individual markers. Although many biomarker panels have been described for ovarian cancer, few studies used prediagnostic samples to assess the potential of the panels for early detection. We conducted a multisite systematic evaluation of biomarker panels using prediagnostic serum samples from the Prostate, Lung, Colorectal, and Ovarian Cancer (PLCO) screening trial. Using a nested case-control design, levels of 28 biomarkers were measured laboratory-blinded in 118 serum samples obtained before cancer diagnosis and 951 serum samples from matched controls. Five predictive models, each containing 6 to 8 biomarkers, were evaluated according to a predetermined analysis plan. Three sequential analyses were conducted: blinded validation of previously established models (step 1); simultaneous split-sample discovery and validation of models (step 2); and exploratory discovery of new models (step 3). Sensitivity, specificity, sensitivity at 98% specificity, and AUC were computed for the models and CA125 alone among 67 cases diagnosed within one year of blood draw and 476 matched controls. In step 1, one model showed comparable performance to CA125, with sensitivity, specificity, and AUC at 69.2%, 96.6%, and 0.892, respectively. Remaining models had poorer performance than CA125 alone. In step 2, we observed a similar pattern. In step 3, a model derived from all 28 markers failed to show improvement over CA125. Thus, biomarker panels discovered in diagnostic samples may not validate in prediagnostic samples; utilizing prediagnostic samples for discovery may be helpful in developing validated early detection panels.

Indexed as

Gene Expression Regulation, NeoplasticAgedArea Under CurveBiological Specimen BanksBiomarkers, TumorCA-125 AntigenCase-Control StudiesEarly Detection of CancerFemaleHumansMiddle AgedOvarian NeoplasmsReproducibility of ResultsROC CurveSensitivity and SpecificityBiomarkers, TumorCA-125 Antigen

Identifiers

PMID21372037
PMCPMC3057372
OpenAlexW2115258708

What OpenQuestion holds

Textmetadata
LicenceTDM
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.