Evidence map›Paper›PMID 30948451›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2019

Predicting Circulating CA125 Levels among Healthy Premenopausal Women.

Naoko Sasamoto, Ana Babic, Bernard A Rosner, Renée T Fortner, Allison F Vitonis, Hidemi Yamamoto, Raina N Fichorova, Anne Tjønneland, Louise Hansen, Kim Overvad and 33 more

Open access · goldAbstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Personalizing CA125 Levels Using Tumor Marker Variants: A Case-Control Analysis of Diagnostic Performance for Pancreatic Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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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

43 authors at 20 institutions in 14 countries.

Naoko SasamotoObstetrics and Gynecology Epidemiology Center, Brigham and Women's Hospital, Boston, Massachusetts. nsasmoto@bwh.harvard.edu.
Ana BabicHarvard Medical School, Boston, Massachusetts.
Bernard A RosnerHarvard Medical School, Boston, Massachusetts.
Renée T FortnerDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ) Heidelberg, Germany.ORCID 0000-0002-1426-8505
Allison F VitonisObstetrics and Gynecology Epidemiology Center, Brigham and Women's Hospital, Boston, Massachusetts.
Hidemi YamamotoLaboratory of Genital Tract Biology, Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Boston, Massachusetts.
Raina N FichorovaHarvard Medical School, Boston, Massachusetts.
Anne TjønnelandDiet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark.ORCID 0000-0003-4385-2097
Louise HansenDiet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark.
Kim OvervadDepartment of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark.
Marina KvaskoffCESP, Fac. de médecine - Univ. Paris-Sud, Fac. de médecine - UVSQ, INSERM, Université Paris-Saclay, Villejuif, France.
Agnès FournierCESP, Fac. de médecine - Univ. Paris-Sud, Fac. de médecine - UVSQ, INSERM, Université Paris-Saclay, Villejuif, France.ORCID 0000-0001-8380-3439
Francesca Romana ManciniCESP, Fac. de médecine - Univ. Paris-Sud, Fac. de médecine - UVSQ, INSERM, Université Paris-Saclay, Villejuif, France.
Heiner BoeingDepartment of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.
Antonia TrichopoulouHellenic Health Foundation, Athens, Greece.
Eleni PeppaHellenic Health Foundation, Athens, Greece.
Anna KarakatsaniHellenic Health Foundation, Athens, Greece.ORCID 0000-0002-3275-2026
Domenico PalliHead, Cancer Risk Factors and Life-Style Epidemiology Unit Institute for Cancer Research, Prevention and Clinical Network - ISPRO, Florence, Italy.ORCID 0000-0002-5558-2437
Valeria PalaEpidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.
Amalia MattielloDipartimento Di Medicina Clinica E Chirurgia, Federico II University, Naples, Italy.
Rosario TuminoCancer Registry and Histopathology Department, "Civic - M.P. Arezzo" Hospital, ASP Ragusa, Italy.ORCID 0000-0003-2666-414X
Chiara C GrassoUnit of Cancer Epidemiology- CeRMS, Department of Medical Sciences, University of Turin, Turin, Italy.
N Charlotte Onland-MoretDepartment of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands.ORCID 0000-0002-2360-913X
Elisabete WeiderpassDepartment of Research, Cancer Registry of Norway, Institute of Population-Based Cancer Research, Oslo, Norway.ORCID 0000-0003-2237-0128
J Ramón QuirósPublic Health Directorate, Asturias, Spain.
Leila Lujan-BarrosoUnit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology (ICO-IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.ORCID 0000-0001-6224-1764
Miguel Rodríguez-BarrancoEscuela Andaluza de Salud Pública. Instituto de Investigación Biosanitaria ibs.GRANADA. Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain.ORCID 0000-0002-9972-9779
Sandra Colorado-YoharDepartment of Epidemiology, Murcia Health Council, IMIB-Arrixaca, Spain.
Aurelio BarricarteNavarra Public Health Institute, Pamplona, Spain Navarra Institute for Health Research (IdiSNA) Pamplona, Spain.ORCID 0000-0001-6750-1270
Miren DorronsoroPublic Health Direction and Biodonostia Research Institute and Ciberesp, Basque Regional Health Department, San Sebastian, Spain.
Annika IdahlDepartment of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden.
Eva LundinDepartment of Medical Biosciences, Pathology, Umeå University, Umeå, Sweden.
Hanna SartorDepartment of Medical Imaging and Physiology, Skåne University Hospital, Lund, Sweden.ORCID 0000-0002-1116-5199
Kay-Tee KhawCancer Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom.
Timothy J KeyCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.ORCID 0000-0003-2294-307X
David MullerDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, United Kingdom.
Elio RiboliInternational Agency for Research on Cancer, Lyon, France.
Marc J GunterInternational Agency for Research on Cancer, Lyon, France.
Laure DossusInternational Agency for Research on Cancer, Lyon, France.
Rudolf KaaksDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ) Heidelberg, Germany.
Daniel W CramerObstetrics and Gynecology Epidemiology Center, Brigham and Women's Hospital, Boston, Massachusetts.
Shelley S TworogerDepartment of Cancer Epidemiology, Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-6986-7046
Kathryn L TerryObstetrics and Gynecology Epidemiology Center, Brigham and Women's Hospital, Boston, Massachusetts.
Brigham and Women's Hospital · USCentre international de recherche sur le cancer · FRUniversité Paris-Sud · FRDanish Cancer Society · DKGerman Cancer Research Center · DENational and Kapodistrian University of Athens · GRUmeå University · SEAarhus University · DKAzienda Usl 8 Arezzo · ITBiogipuzkoa Health Research Institute · ESDepartment of Medical Sciences · BYFederico II University Hospital · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITGerman Institute of Human Nutrition · DEGobierno del Principado de Asturias · ESHarvard University · USHellenic Health Foundation · GRImperial College London · GBInstitut d'Investigació Biomédica de Bellvitge · ESKarolinska Institutet · SE

Funding

Mucins and immune cell interactions in ovarian cancer pathogenesis & progressionR35CA197605 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CRAMER, DANIEL WILLIAM · 2016 to 2022
$6.9M
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
Obesity and Pancreatic Cancer Progression and SurvivalK07CA222159 · NCI · DANA-FARBER CANCER INST · PI BABIC, ANA · 2018 to 2022
$747k
Cancer Research UK 14136Cancer Research UK C570/A16491Cancer Research UK C8221/A19170Medical Research Council 1000143Medical Research Council G0401527Medical Research Council G1000143Medical Research Council MR/M012190/1Medical Research Council MR/N003284/1NCI NIH HHS K07 CA222159NCI NIH HHS R01 CA158119NCI NIH HHS R01 CA193965NCI NIH HHS R35 CA197605World Health Organization 001
6 · The paper itself

Abstract

backgroundCancer antigen 125 (CA125) is the most promising ovarian cancer screening biomarker to date. Multiple studies reported CA125 levels vary by personal characteristics, which could inform personalized CA125 thresholds. However, this has not been well described in premenopausal women.

methodsWe evaluated predictors of CA125 levels among 815 premenopausal women from the New England Case Control Study (NEC). We developed linear and dichotomous (≥35 U/mL) CA125 prediction models and externally validated an abridged model restricting to available predictors among 473 premenopausal women in the European Prospective Investigation into Cancer and Nutrition Study (EPIC).

resultsThe final linear CA125 prediction model included age, race, tubal ligation, endometriosis, menstrual phase at blood draw, and fibroids, which explained 7% of the total variance of CA125. The correlation between observed and predicted CA125 levels based on the abridged model (including age, race, and menstrual phase at blood draw) had similar correlation coefficients in NEC (

conclusionsWe identified a combination of factors associated with CA125 levels in premenopausal women. IMPACT: Our model could be valuable in identifying healthy women likely to have elevated CA125 and consequently improve its specificity for ovarian cancer screening.

Indexed as

AdultCA-125 AntigenCase-Control StudiesEarly Detection of CancerFemaleFollow-Up StudiesHumansMembrane ProteinsMiddle AgedOvarian NeoplasmsPremenopausePrognosisProspective StudiesWomen's HealthCA-125 AntigenMembrane ProteinsMUC16 protein, human

Identifiers

PMID30948451
PMCPMC6548604
OpenAlexW2925925144

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Registered trials

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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.