Evidence map›Paper›PMID 22137491›Full record

Trial reportFertility and sterility2012

Impact of cancer therapies on ovarian reserve.

Clarisa R Gracia, Mary D Sammel, Ellen Freeman, Maureen Prewitt, Claire Carlson, Anushree Ray, Ashley Vance, Jill P Ginsberg

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Fertility and sterility, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01143844 (Assessing Fertility Potential in Female Cancer Survivors), which is not on this map. Cited by 92 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 5 pooled it
13.2field-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.

NCT01143844 completednot on this map

Assessing Fertility Potential in Female Cancer Survivors

TypeobservationalSponsorUniversity of PennsylvaniaRan2006 to 2020Enrolled391ConditionsEffects of Chemotherapy
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 5 syntheses or guidelines pooled it, 216 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. [Fertility management in breast cancer patients: current strategies and research advances].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Clarisa R GraciaDepartment of Obstetrics/Gynecology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. cgracia@obgyn.upenn.edu
Mary D Sammel
Ellen Freeman
Maureen Prewitt
Claire Carlson
Anushree Ray
Ashley Vance
Jill P Ginsberg
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
Ovarian Reserve After Cancer: Longitudinal Effects (The ORACLE Study)R01HD062797 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI GRACIA, CLARISA R. · 2010 to 2014
$2.7M
Measures of Fertility in Young Cancer PatientsKL1CA133839 · NCI · UNIVERSITY OF PENNSYLVANIA · PI GRACIA, CLARISA R. · 2007 to 2011
$786k
The Oncofertility Consortium: Fertility Preservation for WomanUL1RR024926 · NCRR · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WOODRUFF, TERESA K · 2007 to 2007
$692k
NCI NIH HHS KL1 CA133839NCI NIH HHS KL1-CA-133839-01NCRR NIH HHS 1 UL1 RR024926-01NCRR NIH HHS UL1 RR024134NCRR NIH HHS UL1RR024134NCRR NIH HHS UL1 RR024926NICHD NIH HHS R01 HD062797NICHD NIH HHS R01HD062797-02
6 · The paper itself

Abstract

objectiveTo determine whether measures of ovarian reserve differ between females exposed to cancer therapies in a dose-dependent manner as compared with healthy controls of similar age and late reproductive age.

designCross-sectional analysis of data from a prospective cohort study.

settingUniversity medical center. PATIENT(S): Seventy-one cancer survivors aged 15-39 years; 67 healthy, similarly aged unexposed subjects; and 69 regularly menstruating women of late reproductive age (40-52 years). INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Early follicular-phase hormones (FSH, E(2), inhibin B, antimüllerian hormone [AMH]) and ovarian ultrasound measurements (ovarian volume and antral follicle counts [AFC]) were compared using multivariable linear regression. RESULT(S): In adjusted models, FSH, AMH, and AFC differed between exposed vs. unexposed subjects (FSH 11.12 mIU/mL vs. 7.25 mIU/mL; AMH 0.81 ng/mL vs. 2.85 ng/mL; AFC 14.55 vs. 27.20). In participants with an FSH <10 mIU/mL, survivors had lower levels of AMH and AFC compared with controls. Alkylating agent dose score was associated with increased levels of FSH and decreased levels of AMH. Exposure to pelvic radiation was associated with impairment in FSH, AMH, AFC, and ovarian volume. Antimüllerian hormone was similar in women previously exposed to high-dose cancer therapy and 40-42-year-old controls. CONCLUSION(S): Measures of ovarian reserve are impaired in a dose-dependent manner among cancer survivors compared with unexposed females of similar age. Reproductive hormone levels in menstruating survivors exposed to high-dose therapy are similar to those in late-reproductive-age women. The predictive value of measures for pregnancy and menopause must be studied. CLINICALTRIALS.GOV IDENTIFIER: NCT01143844.

Indexed as

AdolescentAdultAge FactorsAnti-Mullerian HormoneAntineoplastic AgentsCross-Sectional StudiesDose-Response Relationship, DrugEstradiolFemaleFollicle Stimulating HormoneHumansInfertility, FemaleInhibinsMenopauseMiddle AgedNeoplasmsAnti-Mullerian HormoneAntineoplastic AgentsEstradiolFollicle Stimulating Hormoneinhibin BInhibins

Identifiers

PMID22137491
PMCPMC4005036
OpenAlexW2160715479

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.