Evidence map›Paper›PMID 28320479›Full record

ArticleJournal of ovarian research2017

Correlates of circulating ovarian cancer early detection markers and their contribution to discrimination of early detection models: results from the EPIC cohort.

Renée T Fortner, Allison F Vitonis, Helena Schock, Anika Hüsing, Theron Johnson, Raina N Fichorova, Titilayo Fashemi, Hidemi S Yamamoto, Anne Tjønneland, Louise Hansen and 37 more

Open access · goldAbstract read
In one paragraph

Article in Journal of ovarian research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Chronic Medical Conditions and CA125 Levels among Women without Ovarian Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018
    Trial
  4. Article
  5. Article
  6. Molecular Management of High-Grade Serous Ovarian Carcinoma.International journal of molecular sciences · 2022
    Review
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Predicting Circulating CA125 Levels among Healthy Premenopausal Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2019
    Article
  16. Review
  17. Article
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

47 authors at 20 institutions in 12 countries.

Renée T FortnerDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, Heidelberg, 69120, Germany. r.fortner@dkfz.de.
Allison F VitonisOb/Gyn Epidemiology Center, Brigham and Women's Hospital, Boston, MA, USA.
Helena SchockDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, Heidelberg, 69120, Germany.
Anika HüsingDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, Heidelberg, 69120, Germany.
Theron JohnsonDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, Heidelberg, 69120, Germany.
Raina N FichorovaObstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, MA, USA.
Titilayo FashemiLaboratory of Genital Tract Biology, Brigham and Women's Hospital, Boston, MA, USA.
Hidemi S YamamotoLaboratory of Genital Tract Biology, Brigham and Women's Hospital, Boston, MA, USA.
Anne TjønnelandUnit of Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark.
Louise HansenUnit of Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark.
Kim OvervadDepartment of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark.
Marie-Christine Boutron-RuaultINSERM, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health team, Villejuif, F-94805, France.
Marina KvaskoffINSERM, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health team, Villejuif, F-94805, France.
Gianluca SeveriINSERM, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health team, Villejuif, F-94805, France.
Heiner BoeingDepartment of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.
Antonia TrichopoulouHellenic Health Foundation, Athens, Greece.
Vassiliki BenetouHellenic Health Foundation, Athens, Greece.
Carlo La VecchiaHellenic Health Foundation, Athens, Greece.
Domenico PalliCancer Risk Factors and Life-Style Epidemiology Unit, Cancer Research and Prevention Institute - ISPO, Florence, Italy.
Sabina SieriEpidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Rosario TuminoCancer Registry and Histopathology Unit, "Civic - M.P-Arezzo" Hospital, ASP, Ragusa, Italy.
Giuseppe MatulloDepartment of Medical Sciences, University of Torino and Human Genetics Foundation - HuGeF, Torino, Italy.
Amalia MattielloDipartimeno di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.
N Charlotte Onland-MoretDepartment of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands.
Petra H PeetersDepartment of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands.
Elisabete WeiderpassDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
Inger Torhild GramDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
Mie JareidDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
J Ramón QuirósPublic Health Directorate, Asturias, Spain.
Eric J DuellCancer Epidemiology Research Program, Bellvitge Biomedical Research Institute (IDIBELL), Catalan Institute of Oncology (ICO), Barcelona, Spain.
Maria-Jose SánchezEscuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain.
María Dolores ChirlaqueDepartment of Epidemiology/Murcia Health Authority, Murcia, Spain.
Eva ArdanazCIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Nerea LarrañagaPublic Health Division and BioDonostia Research Institute and CIBERESP, Basque Regional Health Department, San Sebastian, Spain.
Björn NodinDepartment of Clinical Sciences, Lund University, Lund, Sweden.
Jenny BrändstedtDepartment of Clinical Sciences, Lund University, Lund, Sweden.
Annika IdahlDepartment of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden.
Kay-Tee KhawCancer Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom.
Naomi AllenClinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Marc GunterInternational Agency for Research on Cancer, Lyon, France.
Mattias JohanssonInternational Agency for Research on Cancer, Lyon, France.
Laure DossusInternational Agency for Research on Cancer, Lyon, France.
Melissa A MerrittDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Elio RiboliDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Daniel W CramerOb/Gyn Epidemiology Center, Brigham and Women's Hospital, Boston, MA, USA.
Rudolf KaaksDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, Heidelberg, 69120, Germany.
Kathryn L TerryOb/Gyn Epidemiology Center, Brigham and Women's Hospital, Boston, MA, USA.
Brigham and Women's Hospital · USCentre International de Recherche sur le Cancer · FRGerman Cancer Research Center · DEDanish Cancer Society · DKHeidelberg University · DEHellenic Health Foundation · GRImperial College London · GBInserm · FRUiT The Arctic University of Norway · NOUniversity Medical Center Utrecht · NLAarhus University · DKAzienda Usl 8 Arezzo · ITBiogipuzkoa Health Research Institute · ESCentre de recherche en Epidémiologie et Santé des Populations · FRCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESFederico II University Hospital · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITGerman Institute of Human Nutrition · DEGobierno del Principado de Asturias · ESHarvard University · US

Funding

Screening and Risk Biomarkers for Ovarian Cancer in EPIC SpecimensR01CA158119 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CRAMER, DANIEL WILLIAM · 2012 to 2015
$2.0M
Redefining Normal: personalized CA125 cutpoints for ovarian cancer screeningR01CA193965 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI TERRY, KATHRYN L. · 2016 to 2019
$1.6M
Cancer Research UK 14136Medical Research Council G0401527Medical Research Council G1000143Medical Research Council MR/M012190/1Medical Research Council MR/N003284/1NCI NIH HHS R01 CA158119NCI NIH HHS R01 CA193965World Health Organization 001
6 · The paper itself

Abstract

backgroundOvarian cancer early detection markers CA125, CA15.3, HE4, and CA72.4 vary between healthy women, limiting their utility for screening.

methodsWe evaluated cross-sectional relationships between lifestyle and reproductive factors and these markers among controls (n = 1910) from a nested case-control study in the European Prospective Investigation into Cancer and Nutrition (EPIC). Improvements in discrimination of prediction models adjusting for correlates of the markers were evaluated among postmenopausal women in the nested case-control study (n = 590 cases). Generalized linear models were used to calculate geometric means of CA125, CA15.3, and HE4. CA72.4 above vs. below limit of detection was evaluated using logistic regression. Early detection prediction was modeled using conditional logistic regression.

resultsCA125 concentrations were lower, and CA15.3 higher, in post- vs. premenopausal women (p ≤ 0.02). Among postmenopausal women, CA125 was higher among women with higher parity and older age at menopause (p

conclusionsThis study provides insights into sources of variation in ovarian cancer early detection markers in healthy women and informs about the utility of individualizing marker cutpoints based on epidemiologic factors.

Indexed as

Biomarkers, TumorAdultAgedArea Under CurveCase-Control StudiesCohort StudiesCross-Sectional StudiesEarly Detection of CancerEuropeFemaleHumansMiddle AgedOvarian NeoplasmsPopulation SurveillanceRisk FactorsBiomarkers, TumorCA125CA15.3Early detection markersHE4Ovarian cancer

Identifiers

PMID28320479
PMCPMC5360038
OpenAlexW2598054494

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.