Evidence map›Paper›PMID 34179786›Full record

ReviewTherapeutic advances in reproductive health

A rational diagnostic approach to the "phantom hCG" and other clinical scenarios in which a patient is thought to be pregnant but is not.

Oluwafunmilayo Oyatogun, Mandeep Sandhu, Stephanie Barata-Kirby, Erin Tuller, Danny J Schust

Abstract readReview
In one paragraph

Review in Therapeutic advances in reproductive health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Postmenopausal complete hydatidiform mole: A case report.Experimental and therapeutic medicine · 2026
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  5. Article
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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

5 authors.

Oluwafunmilayo OyatogunInstitute for Women's Health Research and Department of Obstetrics, Gynecology and Women's Health, University of Missouri, 500 North Keene St Suite 203, Columbia, MO 65201, USA.
Mandeep SandhuInstitute for Women's Health Research and Department of Obstetrics, Gynecology and Women's Health, University of Missouri, Columbia, MO, USA.ORCID https://orcid.org/0000-0001-6244-5329
Stephanie Barata-KirbyInstitute for Women's Health Research and Department of Obstetrics, Gynecology and Women's Health, University of Missouri, Columbia, MO, USA.
Erin TullerInstitute for Women's Health Research and Department of Obstetrics, Gynecology and Women's Health, University of Missouri, Columbia, MO, USA.
Danny J SchustInstitute for Women's Health Research and Department of Obstetrics, Gynecology and Women's Health, University of Missouri, Columbia, MO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The scenario in which a patient tests positive for human chorionic gonadotropin (hCG) in the absence of pregnancy can pose a diagnostic dilemma for clinicians. The term "phantom hCG" refers to persistently positive hCG levels on diagnostic testing in a nonpregnant patient and such results often lead to a false diagnosis of malignancy and subsequent inappropriate treatment with chemotherapy or hysterectomy. There remains a need for a consistent and rational diagnostic approach to the "phantom hCG." This article aims to review the different etiologies of positive serum hCG testing in nonpregnant subjects and concludes with a practical, stepwise diagnostic approach to assist clinicians encountering this clinical dilemma.

Indexed as

false-positive pregnancy testgestational trophoblastic diseaseheterophile antibodyhuman chorionic gonadotropinhyperglycosylated hCGphantom hCGpituitary hCGpregnancy test

Identifiers

PMID34179786
PMCPMC8207263

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.