Evidence map›Paper›PMID 23084267›Full record

Trial reportFertility and sterility2013

Pretreatment antimüllerian hormone levels determine rate of posttherapy ovarian reserve recovery: acute changes in ovarian reserve during and after chemotherapy.

Katherine E Dillon, Mary D Sammel, Maureen Prewitt, Jill P Ginsberg, Dana Walker, Jennifer E Mersereau, Yasmin Gosiengfiao, Clarisa R Gracia

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Fertility and sterility, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02467231 (Ovarian Reserve After Cancer), which is not on this map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
12.3field-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.

NCT02467231 active not recruitingnot on this map

Ovarian Reserve After Cancer: Longitudinal Effects A Multicenter Prospective Cohort Study by the Oncofertility Consortium

TypeobservationalSponsorUniversity of PennsylvaniaRan2009 to 2028Enrolled196ConditionsEffects of Chemotherapy, Premature Ovarian Failure
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. [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
  6. Article
  7. Review
  8. Article
  9. Review
  10. Oocyte collection and outcome following oncologic treatment: a retrospective multicentre study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Cancer Treatment-Related Ovarian Dysfunction in Women of Childbearing Potential: Management and Fertility Preservation Options.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
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 4 institutions in 1 country.

Katherine E DillonDepartment of Obstetrics and Gynecology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA.
Mary D Sammel
Maureen Prewitt
Jill P Ginsberg
Dana Walker
Jennifer E Mersereau
Yasmin Gosiengfiao
Clarisa R Gracia
University of Pennsylvania · USChildren's Hospital of Philadelphia · USLurie Children's Hospital · USUniversity of North Carolina at Chapel Hill · US

Funding

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
NCI NIH HHS K01 L:1-CA-133839-03NCI NIH HHS KL1 CA133839NICHD NIH HHS 1R01HD062797NICHD NIH HHS R01 HD062797
6 · The paper itself

Abstract

objectiveTo identify factors associated with ovarian reserve impairment during and immediately after chemotherapy.

designProspective cohort study.

settingFour university hospitals. PATIENT(S): Forty-six adolescent and young adult women with a new diagnosis of cancer requiring chemotherapy. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Measurements of ovarian reserve via levels of serum follicle-stimulating hormone, luteinizing hormone, estradiol, inhibin B, and antimüllerian hormone (AMH) as well as antral follicle counts and mean ovarian volume at 3-month intervals. RESULT(S): Changes in ovarian reserve were quantified for both the acute impact of treatment using linear regression and the longitudinal recovery after therapy using mixed-effects models adjusted for baseline ovarian reserve, use of alkylating agent, and hormone use. The women had at least one pretreatment and two posttreatment study visits (mean follow-up interval: 12 months). All measures of ovarian reserve demonstrated statistically significant changes during chemotherapy. Alkylating agent exposure and baseline ovarian reserve were acutely associated with the magnitude of impairment, and pretreatment AMH levels were associated with the rate of recovery of AMH after treatment. In adjusted models, participants with a pretreatment AMH level > 2 ng/mL recovered at a rate of 11.9% per month after chemotherapy, whereas participants with pretreatment AMH levels ≤ 2 ng/mL recovered at a rate of 2.6% per month after therapy. CONCLUSION(S): Baseline ovarian reserve and alkylating agent exposure effect the magnitude of acute changes in ovarian reserve from chemotherapy. The rate of recovery of AMH is impacted by pretreatment levels. This should be considered during pretreatment fertility preservation counseling.

Indexed as

AdolescentAdultAnti-Mullerian HormoneAntineoplastic AgentsFemaleHumansInfertility, FemalePrimary Ovarian InsufficiencyRecovery of FunctionYoung AdultAnti-Mullerian HormoneAntineoplastic Agents

Identifiers

PMID23084267
PMCPMC3661215
OpenAlexW2041752474

What OpenQuestion holds

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LicenceTDM
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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.